Skip to main content Accessibility help
×
×
Home

The Relationship between Perfectionism and Rumination in Post Traumatic Stress Disorder

  • Sarah J. Egan (a1), Mary Hattaway (a1) and Robert T. Kane (a1)

Abstract

Background: To date no research has investigated the link between Post Traumatic Stress Disorder (PTSD) and perfectionism in a clinical sample. Aims: The aim of the current study was to examine whether there is a relationship between PTSD and perfectionism. This is important to address as many studies have demonstrated a link between other anxiety disorders, eating disorders, depression and perfectionism. The research also aimed to examine whether rumination was a mediator of the relationship between PTSD and perfectionism. Method: The sample consisted of 30 participants who were currently in treatment for PTSD. Results: The results suggest that perfectionism and PTSD symptoms were significantly correlated. In addition, rumination was a significant mediator of the relationship between Concern over Mistakes and PTSD. Conclusions: These findings help increase understanding about the relationships of perfectionism and rumination in PTSD and have implications for the treatment of PTSD.

Copyright

Corresponding author

Reprint requests to Sarah Egan, School of Psychology and Speech Pathology, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. E-mail: s.egan@curtin.edu.au

References

Hide All
Australian Centre for Posttraumatic Mental Health (2007). The Australian Guidelines for the Treatment of Adults with Acute Stress Disorder and Posttraumatic Stress Disorder [Brochure]. Melbourne, Australia: Author.
Baron, R. M. and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182.
Beck, A. T., Ward, C. H., Mendelsohn, M., Mock, J. and Erbaugh, J. (1961). An inventory or measuring depression. Archives of General Psychiatry, 4, 561571.
Cahill, S. P. and Foa, E. B. (2007). Psychological theories of PTSD. In Friedman, M. J., Keane, T. M. and Resick, P. A. (Eds.), Handbook of PTSD: science and practice (pp. 5577). New York: Guilford Press.
Clohessy, S. and Ehlers, A. (1999). PTSD symptoms, response to intrusive memories and coping in ambulance service workers. British Journal of Clinical Psychology, 38, 251265.
Egan, S. J., Wade, T. D. and Shafran, R. (2011). Perfectionism as a transdiagnostic process: a clinical review. Clinical Psychology Review, 31, 203212.
Ehlers, A., Mayou, R. A. and Bryant, B. (1998). Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of Abnormal Psychology, 107, 508519.
Ehring, T. and Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy, 1, 192205.
Enns, M. W. and Cox, B. J. (2002). Nature and assessment of perfectionism. In Flett, G. L. and Hewitt, P. L. (Eds.), Perfectionism: theory, research and treatment (pp. 3362). Washington, DC: American Psychological Association.
Fairburn, C., Cooper, Z. and Shafran, R. (2003). The Clinical Perfectionism Questionnaire. Oxford, UK: Unpublished manuscript.
Faul, F., Erdfelder, E., Buchner, A. and Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 11491160.
Flett, G. L., Madorsky, D., Hewitt, P. L. and Heisel, M. J. (2002). Perfectionism cognitions, rumination and psychological distress. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 20, 3347.
Frost, R. O., Marten, P. A., Lahart, C. and Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449468.
Harris, P. W., Pepper, C. M. and Maack, D. J. (2008). The relationship between maladaptive perfectionism and depressive symptoms: the mediating role of rumination. Personality and Individual differences, 44, 150160.
Hewitt, P. L. and Flett, G. L. (1991). Perfectionism in the self and social contexts: conceptualization, assessment and association with psychopathology. Journal of Personality and Social Psychology, 60, 456470.
Hewitt, P. L. and Flett, G. L. (2002). Perfectionism and stress processes. In Flett, G. L. and Hewitt, (Eds.), Perfectionism: theory, research and treatment (pp. 255284). Washington, DC. American Psychological Association.
Kawamura, K., Hunt, S., Frost, R. and DiBartolo, P. (2001). Perfectionism, anxiety, and depression: are the relationships independent? Cognitive Therapy and Research, 25, 291301.
Keane, T. M., Brief, D. J., Pratt, E. M. and Miller, M. W. (2007). Assessment of PTSD and its comorbidities in adults. In Friedman, M. J.., Keane, T. M. and Resick, P. A. (Eds.), Handbook of PTSD: science and practice (pp. 279305). New York: Guilford Press.
Martin, L. L. and Tesser, A. (1996). Some ruminative thoughts. In Wyer, R. S. (Ed.), Ruminative Thought (pp. 306326). New York: Guilford.
Mayou, R. A., Ehlers, A. and Bryant, B. (2002). Posttraumatic stress disorder after motor vehicle accidents: 3-year follow-up of a prospective longitudinal study. Behaviour Research and Therapy, 40, 665675.
Michael, T., Halligan, S. L., Clark, D. M. and Ehlers, A. (2007). Rumination in Posttraumatic Stress Disorder. Depression and Anxiety, 24, 307317.
Moberly, N. J. and Watkins, E. R. (2006). Processing mode influences the relationship between trait rumination and emotional vulnerability. Behavior Therapy, 37, 281291.
Murray, J., Ehlers, A. and Mayou, R. A. (2002). Dissociation and posttraumatic stress disorder: two prospective studies of motor vehicle accident survivors. British Journal of Psychiatry, 180, 363368.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on their on the duration of depressive episode. Journal of Abnormal Psychology, 100, 569582.
O'Connor, D., O'Connor, R. and Marshall, R. (2007). Perfectionism and psychological distress: evidence of the mediating effects of rumination, European Journal of Personality, 21, 429452.
Olson, M. L. and Kwon, P. (2008). Brooding perfectionism: refining the roles of rumination and perfectionism in the etiology of depression. Cognitive Therapy and Research, 32, 788802.
Shafran, R. and Mansell, W. (2001). Perfectionism and psychopathology: a review of research and treatment. Clinical Psychology Review, 21, 879906.
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In Leinhardt, S. (Ed.), Sociological Methodology 1982 (pp. 290312). Washington DC: American Sociological Association.
Steele, A. L., O'Shea, A., Murdock, A. and Wade, T. D. (2011). Perfectionism and its relation to overevaluation of weight and shape and depression in an eating disorder sample. International Journal of Eating Disorders, 44, 459464.
Stoeber, J. and Otto, K. (2006). Conceptions of perfectionism: approaches, evidence, challenges. Personality and Social Psychology Review, 10, 295319.
Treynor, W., Gonzalez, R. and Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research, 27, 247259.
Weathers, F. W., Huska, J. A. and Keane, T. M. (1991). PCL-C for DSM-IV. Boston: National Center for PTSD – Behavioral Science Division.
Weathers, F., Litz, B., Herman, D., Huska, J. and Keane, T. (1993). The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX, October.
Wells, A. (2009). Metacognitive Therapy for Anxiety and Depression. New York: Guilford Press.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

The Relationship between Perfectionism and Rumination in Post Traumatic Stress Disorder

  • Sarah J. Egan (a1), Mary Hattaway (a1) and Robert T. Kane (a1)
Submit a response

Comments

No Comments have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *