Masson A M, Cadot M, Ansseau M
Service de Psychiatrie, Université de Liège, rue de Meuse, 76-4020 Liège, Belgique.
Encephale. 2003 Mar-Apr;29(2):125-35.
Perfectionism is a dimension which has been studied very little as a separate entity. It is not even considered as a nosological factor. No classification of the medical sciences underlines its importance other than to speak of a personality trait, of an aspect, or of a parameter. Nevertheless, perfectionism is related to multiple disorders such as depression (18, 20, 36), suicide (8, 16, 55), nutritional problems (11, 28), anxiety (3), obsessive-compulsive personality disorder (53), social phobia (2), as well as insomnia (46). Certain authors stress the possible role of perfectionism in the development or the persistence of a substantial number of these disorders (7, 22, 38). Given these facts, it is all the easier to understand the interest shown by clinicians and researchers in the subject. Better detection and evaluation of its impact on behaviour is important in putting therapies in place (6, 53). Relationships between perfectionism and fear of failure have been approached (21, 51, 54). Correlations between perfectionism and high levels of state and trait anxiety have been demonstrated (23). The evaluation of perfectionism has been dealt with very little. Some questionnaires devote a sub-category to it, such as the Eating Disorder Inventory and the Irrational Beliefs Test. However, recently, it has been recognized that perfectionism is a multidimensional construct. Two Multidimensional Perfectionism Scales have been developed and investigated in relative isolation. Frost, Marten, Lahart and Rosenblate defined perfectionism as the setting of excessively high standards for performance associated with critical self-evaluation. Six dimensions are described: concern over making mistakes, high personal standards, parental expectations, parental criticism, doubt about quality of performance and organization. Internal consistency and validity have been established (25, 26). Hewitt and Flett (30, 31, 33, 35) have developed another approach where three dimensions of perfectionism are described: SOP (Self Oriented Perfectionism) related to high standards and self criticism, SPP (Socially Prescribed Perfectionism) related to the need of approval from others and fear of negative evaluation, OOP (Other-Oriented Perfectionism) reflecting a tendency to set high expectations for others and to evaluate them in a demanding way; this component is related, especially for males, to self-esteem, hostility and authoritarianism. Validity and internal consistency have been established too (30, 31, 35). The Frost and al's Multidimensional Perfectionism Scale and the Hewitt and Flett's scales are closely associated, except concerning the OOP. Because this component could provide new information, we have chosen the second scale, referring to the French translation and validation of Labrecque (45). EMP is the French name of MPS; it is a self-report questionnaire of 45 questions, in fact three subscales of 15 items rated on a 7-point Likert-type scale. MPS was administered to 617 first year students at the university of Liège (table II). Differences are considered according to gender and experience of failure i.e. the fact of repeating an academic year. We realized a component analysis with promax rotation. Among the different possibilities offered by the scree-test the choice of a 4 factor solution stresses the original structure: SOP (14 items), SPP (12 items), OOP (9 items) and anti OOP (10 items); the last one is additional but allows for respecting semantics and saturation of the items. The first aim of confirming validity and internal consistency is satisfactory. In other respects the multidimensional structure of the concept leads to consideration of a positive, adaptive perfectionism and a more negative perfectionism, facilitating psychopathology (59, 60, 61). So it seems interesting to compare the different components of MPS in order to find an eventual sex-failure effect. The evaluation of perfectionism is obvious, considering it as a personality trait, but it can be used also in taking into account stress and its impact, for instance that of academic performance (29, 37, 39, 58). Conferring on MPS more pertinence in gender differentiation and failure evaluation is an other goal of this research. Through the particular choice of statistical results, sex and sex-failure effects can be demonstrated: a MANOVA underlines sex effect (lambda de Wilks = 0.96, p = 0.001) and sex-failure effect (lambda de Wilks = 0.98, p = 0.05). Structure of MPS is different in four groups (FE: women with failure, FnE: women without failure, ME: men with failure, MnE: men without failure). ANOVA show differences of MPS3, MPS1 and MPS2. Far more promising is the use of LISREL method allowing for the construction of a coherent model of relationships between some dimensions of MPS and Test-Anxiety, approached here with THEE (test d'habileté aux études et à leur évaluation) French abbreviated version (49) of TASTE (Test for Ability to Study and Evaluation). In fact according to the literature of fear of failure, girls score higher on anxiety and procrastination but less on self-confidence. The structural model shows different pathways, more especially between SPP (socially prescribed perfectionism), T2 (sense of incompetence) and T1 (anxiety). SOP (self oriented perfectionism) and SPP (socially prescribed perfectionism) by girls are very much correlated; it seems that they are more subjected to society and its exigencies of studying but consequently they are more at risk of anxiety and a sense of incompetence. SOP (self oriented perfectionism) by boys functions more indiscriminately of SPP (socially prescribed perfectionism) and is negatively correlated with self-incompetence; boys are more self-confident but they usually procrastinate more probably because failure expectancies would be particularly harmful for their self-esteem; consequently, failure should be related to something else than their own capacity; this may be an explanation of the high rate of male dropouts and failure in the first year at the university of Liège; also a factor explaining the female domination at the university. In the same way the first choice of studies is moving towards shorter and less difficult orientation (46). In case of failure the model is very similar according to gender: SOP (self oriented perfectionism) and T1 (anxiety) are directly connected; SOP and SPP are in this case better correlated by boys but the path between SPP, sense of incompetence and anxiety is less significant than in girls. In conclusion, providing some modifications according to semantics, the choice of a four factor solution allows for confirmation of the original structure of MPS and for internal consistency. The different components of MPS vary according to gender: SOP and more OOP discriminate men and women; SPP allows for differentiating women with failure. A structural model enhances the role of perfectionism in the cognitive and behavioural contexts; for instance it clarifies its action on fear of failure and success rates according to gender.
完美主义作为一个独立的实体,其相关研究非常少。它甚至未被视为一个疾病分类学因素。除了将其作为一种人格特质、一个方面或一个参数提及外,医学科学的任何分类都未强调其重要性。然而,完美主义与多种疾病相关,如抑郁症(18, 20, 36)、自杀(8, 16, 55)、营养问题(11, 28)、焦虑症(3)、强迫型人格障碍(53)、社交恐惧症(2)以及失眠症(46)。某些作者强调完美主义在这些疾病中相当一部分的发生或持续存在中可能发挥的作用(7, 22, 38)。鉴于这些事实,临床医生和研究人员对该主题表现出的兴趣就更容易理解了。更好地检测和评估其对行为的影响对于实施治疗很重要(6, 53)。已经探讨了完美主义与对失败的恐惧之间的关系(21, 51, 54)。已经证明了完美主义与高水平的状态焦虑和特质焦虑之间的相关性(23)。对完美主义的评估很少受到关注。一些问卷为其设置了子类别,如饮食失调量表和不合理信念测试。然而,最近人们认识到完美主义是一个多维结构。已经开发并相对独立地研究了两个多维完美主义量表。弗罗斯特、马滕、拉哈特和罗森布拉特将完美主义定义为与批判性自我评价相关的对表现设定过高标准。描述了六个维度:对犯错的担忧、高个人标准、父母期望、父母批评、对表现质量的怀疑和条理性。已经确立了内部一致性和效度(25, 26)。休伊特和弗莱特(30, 31, 33, 35)提出了另一种方法,其中描述了完美主义的三个维度:与高标准和自我批评相关的自我导向完美主义(SOP)、与他人认可需求和对负面评价的恐惧相关的社会规定完美主义(SPP)、反映对他人设定高期望并以苛刻方式评价他人倾向的他人导向完美主义(OOP);这个成分尤其与男性的自尊、敌意和独裁主义相关。也确立了效度和内部一致性(30, 31, 35)。弗罗斯特等人的多维完美主义量表和休伊特与弗莱特的量表密切相关,除了关于OOP这一维度。因为这个成分可能提供新信息,我们选择了第二个量表,并参考了拉布雷克(45)的法语翻译和验证。EMP是MPS的法语名称;它是一个包含45个问题的自陈问卷,实际上是三个各有15个项目的子量表,采用7点李克特式量表评分。MPS被施测于列日大学的617名一年级学生(表二)。根据性别和失败经历(即重读学年的情况)来考虑差异。我们进行了具有斜交旋转的成分分析。在碎石检验提供的不同可能性中,选择一个四因素解决方案突出了原始结构:SOP(14个项目)、SPP(12个项目)、OOP(9个项目)和反OOP(10个项目);最后一个是额外的,但有助于尊重项目的语义和饱和度。确认效度和内部一致性的首要目标是令人满意的。在其他方面,该概念的多维结构导致考虑一种积极的、适应性的完美主义和一种更消极的完美主义,这促进了精神病理学(59, 60, 61)。因此,比较MPS的不同成分以发现最终的性别 - 失败效应似乎很有趣。将完美主义视为一种人格特质时,对它的评估是显而易见的,但它也可用于考虑压力及其影响,例如学业成绩的压力(29, 37, 39, 58)。赋予MPS在性别差异和失败评估方面更多相关性是本研究的另一个目标。通过对统计结果的特定选择,可以证明性别和性别 - 失败效应:一个多变量方差分析突出了性别效应(威尔克斯lambda = 0.96,p = 0.001)和性别 - 失败效应(威尔克斯lambda = 0.98,p = 0.05)。MPS的结构在四组中有所不同(FE:有失败经历的女性,FnE:无失败经历的女性,ME:有失败经历的男性,MnE:无失败经历的男性)。方差分析显示了MPS3、MPS1和MPS2的差异。更有前景的是使用LISREL方法,该方法允许构建一个关于MPS的某些维度与考试焦虑之间关系的连贯模型,这里用TASTE(学习与评估能力测试)的法语缩写版本THEE(学习与评估能力测试)来探讨考试焦虑。事实上,根据关于对失败的恐惧的文献,女孩在焦虑和拖延方面得分更高,但在自信方面得分更低。结构模型显示了不同的路径,特别是在SPP(社会规定完美主义)、T2(无能感)和T1(焦虑)之间。女孩的SOP(自我导向完美主义)和SPP(社会规定完美主义)高度相关;似乎她们更容易受到社会及其学习要求的影响,但因此她们更有焦虑和无能感的风险。男孩的SOP(自我导向完美主义)的作用与SPP(社会规定完美主义)的关系较小,并且与自我无能感呈负相关;男孩更自信,但他们通常更容易拖延,可能是因为失败预期对他们的自尊特别有害;因此,失败应该与他们自身能力之外的其他因素相关;这可能是列日大学一年级男性辍学率和不及格率高的一个解释;也是大学中女性占主导地位的一个因素。同样,对学习的首选正朝着更短、难度更低的方向发展(46)。在失败的情况下,根据性别模型非常相似:SOP(自我导向完美主义)和T1(焦虑)直接相连;在这种情况下,男孩的SOP和SPP相关性更好,但SPP、无能感和焦虑之间的路径在男孩中不如在女孩中显著。总之,根据语义进行一些修改后,选择一个四因素解决方案可以确认MPS的原始结构并保证内部一致性。MPS的不同成分因性别而异:SOP以及更多的OOP区分男性和女性;SPP可以区分有失败经历的女性。一个结构模型增强了完美主义在认知和行为背景中的作用;例如,它根据性别阐明了其对失败恐惧和成功率的影响。