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冲动性和完美主义维度的潜在剖面分析及其与精神症状的关联。

Latent profile analysis of impulsivity and perfectionism dimensions and associations with psychiatric symptoms.

机构信息

University of Louisville, Department of Psychological & Brain Sciences, USA.

University of Kentucky, Department of Psychology, USA.

出版信息

J Affect Disord. 2021 Mar 15;283:293-301. doi: 10.1016/j.jad.2021.01.076. Epub 2021 Feb 2.

Abstract

BACKGROUND

Impulsivity and perfectionism are transdiagnostic personality factors that have been studied extensively and shown to relate to externalizing and internalizing pathology respectively. Typically, these personality factors are antithesized, with impulsivity characterized by lack of control and perfectionism characterized by rigid overcontrol.

METHODS

The current study (N = 1,353 undergraduate students) used latent profile analysis to identify subgroups based on impulsivity and perfectionism dimensions and tested the relations of these subgroups with the symptomatology of ten prevalent types of psychopathology (depression, worry, social anxiety, attention-deficit hyperactivity disorder inattentive subtype, attention-deficit hyperactivity disorder impulsive-hyperactive subtype, alcohol use, obsessive-compulsive disorder, posttraumatic stress disorder, restrictive eating pathology, and binge eating pathology).

RESULTS

The latent profile analysis identified four meaningful subgroups: high perfectionism, high impulsivity, combined impulsivity and perfectionism, and low impulsivity and perfectionism. The combined group was the most prevalent, comprising almost half of the sample. Further, the perfectionism group had the highest scores for obsessive-compulsive disorder, worry, and restrictive eating pathology, the impulsivity group had the highest scores for alcohol use disorder, and the combined group had the highest or second-highest scores across all types of psychopathology.

LIMITATIONS

Limitations include the undergraduate sample, self-report, cross-sectional study design, and high bivariate residuals.

CONCLUSIONS

These findings suggest impulsivity and perfectionism can co-occur. Further, the co-occurrence of these personality traits may heighten risk for psychopathology and help explain comorbidity across internalizing and externalizing disorders. Future research should continue to investigate the presentation, prevalence, and treatment for individuals high in both perfectionism and impulsivity.

摘要

背景

冲动性和完美主义是跨诊断人格因素,已被广泛研究,分别与外化和内化病理学相关。通常,这些人格因素是对立的,冲动性的特点是缺乏控制,完美主义的特点是僵化的过度控制。

方法

本研究(N=1353 名大学生)使用潜在剖面分析根据冲动性和完美主义维度来识别亚组,并检验这些亚组与十种常见精神病理学症状(抑郁、担忧、社交焦虑、注意缺陷多动障碍不注意亚型、注意缺陷多动障碍冲动-多动亚型、酒精使用障碍、强迫症、创伤后应激障碍、限制饮食障碍和暴食障碍)的症状之间的关系。

结果

潜在剖面分析确定了四个有意义的亚组:高完美主义、高冲动性、冲动性和完美主义结合、低冲动性和完美主义。结合组是最常见的,几乎占样本的一半。此外,完美主义组强迫症、担忧和限制饮食障碍得分最高,冲动组酒精使用障碍得分最高,结合组所有类型精神病理学的得分最高或第二高。

局限性

局限性包括本科生样本、自我报告、横断面研究设计和高双变量残差。

结论

这些发现表明冲动性和完美主义可能同时存在。此外,这些人格特质的共同存在可能会增加患精神病理学的风险,并有助于解释内外化障碍的共病。未来的研究应继续调查同时存在完美主义和冲动性的个体的表现、患病率和治疗方法。

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