Department of Psychiatry, Lady Davis Institute, Jewish General Hospital, Montreal, Canada.
Department of Psychology, McGill University, Montreal, Canada.
J Clin Psychol. 2021 Jun;77(6):1453-1471. doi: 10.1002/jclp.23079. Epub 2020 Nov 2.
This study examined how perfectionism and efficacy impacted the maintenance of daily coping and affect in depression over six months.
Forty-six depressed patients (69.6% female, mean age = 41.11 years) completed measures of perfectionism dimensions (self-critical, personal standards), efficacy, and depressive severity at Time 1. Participants then completed daily diaries of stress appraisals, coping, and affect for 7 consecutive days at Time 1 and Time 2, 6 months later.
Perfectionism dimensions and efficacy were differentially correlated with appraisals, coping, and affect across Times 1 and 2. Behavioral disengagement tendencies mediated the relation between self-critical perfectionism and daily negative affect over 6 months, controlling for depressive severity. Efficacy was related to daily positive affect over 6 months through problem-focused coping tendencies.
Results highlight the importance of addressing perfectionism, efficacy, and daily coping tendencies to more effectively reduce distress and bolster resilience in people with depression.
本研究考察了完美主义和效能感如何在六个月内影响抑郁患者日常应对和情绪的维持。
46 名抑郁患者（69.6%为女性，平均年龄为 41.11 岁）在第 1 次时完成了完美主义维度（自我批评、个人标准）、效能感和抑郁严重程度的测量。然后，参与者在第 1 次和第 6 个月后的第 2 次时，连续 7 天完成了压力评估、应对和情绪的日常日记。
在第 1 次和第 2 次时，完美主义维度和效能感与评估、应对和情绪呈不同相关。控制抑郁严重程度后，自我批评的完美主义倾向与 6 个月内的日常负性情绪呈行为脱离倾向的中介关系。效能感通过问题焦点应对倾向与 6 个月内的日常正性情绪相关。
结果强调了在有抑郁症状的人群中，解决完美主义、效能感和日常应对倾向的重要性，以更有效地减轻痛苦和增强韧性。
