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Perseverative negative thinking prospectively mediates the relationship between perfectionism and psychological distress

Published online by Cambridge University Press:  23 March 2020

P. Casimiro
Affiliation:
University of Coimbra, Faculty of Medicine, Coimbra, Portugal
A.M. Pinto
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal Faculty of Psychology and Educational Sciences, University of Coimbra, CINEICC, Coimbra, Portugal
A.T. Pereira*
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
V. Quaresma
Affiliation:
University of Coimbra, Faculty of Medicine, Coimbra, Portugal
M.J. Soares
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
A.P. Amaral
Affiliation:
Institute Polytechnic of Coimbra, Coimbra Health School, ESTESC, Coimbra, Portugal
B. Maia
Affiliation:
The Catholic University of Portugal, Braga Regional Centre, Faculty of Philosophy and Social Sciences, Coimbra, Portugal
M. Marques
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
V. Nogueira
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
C. Roque
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
N. Madeira
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
M. Bajouco
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
S. Morais
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
A. Macedo
Affiliation:
Faculty of Medicine, University of Coimbra, Psychological Medicine, Coimbra, Portugal
*
*Corresponding author.

Abstract

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Introduction

We have recently found that Perfectionism and Perseverative Negative are both correlates of psychological distress/PD and that PNT mediates the relationship between perfectionism and PD (Macedo et al., 2015).

Objectives

To investigate if perfectionism and PNT are prospectively associated to PD and if PNT is a longitudinal mediator between perfectionism and PD, controlling for perceived stress and gender.

Methods

A total of 227 university students (80.1% girls) filled in the Portuguese validated versions of Perseverative Thinking Questionnaire (PTQ), Multidimensional Perfectionism Cognitions Inventory (MPCI), Profile of Mood States and Perceived Stress Scale, with an additional item to evaluate perceived social support/PSS at T0 and after approximately one year (T1) (Mean months = 12.77 ± 1.137). Only variables significantly correlated with the outcomes (Tension/Anxiety at T1 and Depression at T1) were entered in the conditional process analysis. The moderating role of perceived support on the link between Concern over Mistakes (MPCI) and psychological distress and between PTQ total score and psychological distress (anxiety and depression separately) was examined via conditional process analyses.

Results

The estimated models were significant (F = 4.257, P = .002; F = 6.476, P < .001) explaining 15.9% of tension-anxiety and 25.5% of depression variance. A significant conditional indirect effect of PTQ total score on psychological distress at average and higher levels of perceived support was found, in both models (anxiety and depression). On the contrary, the two models showed a non-significant conditional direct effect of Concern over Mistakes on psychological distress only at any level of perceived support.

Conclusion

PNT prospectively mediates the relationship between negative perfectionism and PD.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW393
Copyright
Copyright © European Psychiatric Association 2016
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