Lea Katy, Richardson Thomas, Rauze Nina
School of Psychology, University of Southampton Highfield Campus, University Road, Southampton SO17 1BJ, UK.
Brain Sci. 2023 Feb 21;13(3):377. doi: 10.3390/brainsci13030377.
Previous research suggests that there is a link between perfectionism and symptoms of depression. This study aimed to see if different types of perfectionism are linked differently to symptoms of depression in mood disorders and if there is a relationship between perfectionism and symptoms of mania in bipolar disorder.
A systematic search was conducted in the databases PsycINFO, EMBASE, Web of Science, and PubMed to find papers which examined the relationship in clinical depression and bipolar disorder. A meta-analysis pooled the correlation effect sizes for mood symptoms severity and the severity of the perfectionism subtype.
Twelve papers were included in the review, with five of these being included in the meta-analysis. The meta-analysis found statistically significant positive correlations between greater severity of depression symptoms and more severe perfectionism for the following subtypes: concern over mistakes, doubts about actions, other-oriented perfectionism, parental criticism, self-oriented perfectionism, and socially prescribed perfectionism. There was no significant relationship between depression symptoms and perfectionism subtypes of organisation and personal standards. There were not enough studies reporting data for manic symptoms for the meta-analysis or for any firm conclusions to be drawn.
The relationship between depression and perfectionism differs depending on the particular type of perfectionism examined. Most studies were cross-sectional and correlational, so causation cannot be inferred, and future longitudinal studies are needed.
先前的研究表明，完美主义与抑郁症状之间存在联系。本研究旨在探讨不同类型的完美主义与心境障碍中抑郁症状的关联是否不同，以及双相情感障碍中完美主义与躁狂症状之间是否存在关系。
在PsycINFO、EMBASE、科学网和PubMed数据库中进行系统检索，以查找研究临床抑郁症和双相情感障碍中这种关系的论文。一项荟萃分析汇总了情绪症状严重程度与完美主义亚型严重程度的相关效应量。
该综述纳入了12篇论文，其中5篇纳入了荟萃分析。荟萃分析发现，在以下完美主义亚型中，抑郁症状的严重程度越高与更严重的完美主义之间存在统计学上显著的正相关：对错误的担忧、对行为的怀疑、他人导向的完美主义、父母批评、自我导向的完美主义和社会规定的完美主义。抑郁症状与组织和个人标准的完美主义亚型之间没有显著关系。没有足够的研究报告用于荟萃分析的躁狂症状数据，也无法得出任何确凿结论。
抑郁与完美主义之间的关系因所研究的完美主义的特定类型而异。大多数研究是横断面的且具有相关性，因此无法推断因果关系，未来需要进行纵向研究。
