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完美主义与精神病理学之间的关系:一项元分析。

The Relationship Between Perfectionism and Psychopathology: A Meta-Analysis.

作者信息

Limburg Karina, Watson Hunna J, Hagger Martin S, Egan Sarah J

机构信息

School of Psychology and Speech Pathology, Curtin University, Perth, Australia.

Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.

出版信息

J Clin Psychol. 2017 Oct;73(10):1301-1326. doi: 10.1002/jclp.22435. Epub 2016 Dec 27.

Abstract

OBJECTIVE

The clinical significance of 2 main dimensions of perfectionism (perfectionistic strivings and perfectionistic concerns) was examined via a meta-analysis of studies investigating perfectionism in the psychopathology literature.

METHOD

We investigated relationships between psychopathology outcomes (clinical diagnoses of depression, anxiety disorders, obsessive-compulsive disorder, and eating disorders; symptoms of these disorders; and outcomes related to psychopathology, such as deliberate self-harm, suicidal ideation, and general distress) and each perfectionism dimension. The relationships were examined by evaluating (a) differences in the magnitude of association of the 2 perfectionism dimensions with psychopathology outcomes and (b) subscales of 2 common measures of perfectionism.

RESULTS

A systematic literature search retrieved 284 relevant studies, resulting in 2,047 effect sizes that were analysed with meta-analysis and meta-regression while accounting for data dependencies.

CONCLUSION

Findings support the notion of perfectionism as a transdiagnostic factor by demonstrating that both dimensions are associated with various forms of psychopathology.

摘要

目的

通过对心理病理学文献中有关完美主义的研究进行荟萃分析,探讨完美主义的两个主要维度(完美主义追求和完美主义担忧)的临床意义。

方法

我们研究了心理病理学结果(抑郁症、焦虑症、强迫症和饮食失调的临床诊断;这些疾病的症状;以及与心理病理学相关的结果,如故意自我伤害、自杀意念和一般痛苦)与每个完美主义维度之间的关系。通过评估(a)两个完美主义维度与心理病理学结果的关联程度差异,以及(b)两种常用完美主义测量方法的子量表,来检验这些关系。

结果

系统的文献检索共找到284项相关研究,得出2047个效应量,在考虑数据依赖性的情况下,用荟萃分析和荟萃回归进行了分析。

结论

研究结果支持完美主义作为一个跨诊断因素的观点,表明这两个维度都与各种形式的心理病理学相关。

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