Li Na, Zhang Xinyao, Zheng Yi, Liu Qingchuan, Niu Sifang, Qin Yan, Zhang Ying, Liu Yan, Wang Jianli
School of Mental Health, Jining Medical University, Jining, 272013, People's Republic of China.
School of Communication, East China Normal University, Shanghai, 200241, People's Republic of China.
Psychol Res Behav Manag. 2024 Nov 29;17:4053-4062. doi: 10.2147/PRBM.S479381. eCollection 2024.
Perfectionism is a pivotal factor in the etiology and prognosis of major depression. Nevertheless, there is a scarcity of longitudinal research examining the association between perfectionism and major depressive disorder (MDD). The objective of this study was to explore the impact of perfectionism on MDD among a cohort of first-year Chinese university students.
This study employed a longitudinal design to investigate the relationship between perfectionism and MDD in a sample of first-year Chinese university students (n=8079). Socially prescribed perfectionism and almost perfectionism were measured using the Multidimensional Perfectionism Scale (MPS) and the Almost Perfect Scale-Revised (APS-R), while MDD was assessed using the Composite International Diagnostic Interview (CIDI-3.0). Random effects logistic regression modeling was utilized to estimate the associations between the variables.
The findings revealed that the incidence of MDD was 0.6%. Lifetime exposure to severe traumatic events (≥10) (OR=2.619, 95% CI: 1.502-4.565) and almost perfectionism (OR=1.015, 95% CI: 1.004-1.026) were identified as significant risk factors for MDD.
It is evident that perfectionism is linked to an increased susceptibility to MDD. However, additional longitudinal studies focusing on university students are imperative to delve deeper into the influence of perfectionism on the initial manifestation of MDD.
完美主义是重度抑郁症病因和预后的关键因素。然而，关于完美主义与重度抑郁症（MDD）之间关联的纵向研究较少。本研究的目的是探讨完美主义对一群中国大学一年级学生患MDD的影响。
本研究采用纵向设计，调查中国大学一年级学生样本（n = 8079）中完美主义与MDD之间的关系。使用多维完美主义量表（MPS）和修订后的近乎完美量表（APS-R）测量社会规定的完美主义和近乎完美主义，同时使用复合国际诊断访谈（CIDI-3.0）评估MDD。采用随机效应逻辑回归模型估计变量之间的关联。
研究结果显示，MDD的发病率为0.6%。终生暴露于严重创伤事件（≥10次）（OR = 2.619，95%CI：1.502 - 4.565）和近乎完美主义（OR = 1.015，95%CI：1.004 - 1.026）被确定为MDD的重要危险因素。
显然，完美主义与患MDD的易感性增加有关。然而，迫切需要开展更多针对大学生的纵向研究，以更深入地探究完美主义对MDD初始表现的影响。
