DOI QR코드

DOI QR Code

대학생의 사회부과적 완벽주의가 우울에 미치는 영향: 불확실성에 대한 인내력 부족과 반추적, 반성적 반응양식의 매개효과

The Effect of Socially Prescribed Perfectionism of University Student to Depression: Focusing on the Mediating Effects of Intolerance of Uncertainty and Rumination, Reflective Response Style

  • 최재광 (건양대학교 상담심리학과) ;
  • 송원영 (건양대학교 심리상담치료학과)
  • 투고 : 2020.06.23
  • 심사 : 2020.08.07
  • 발행 : 2020.08.30

초록

이 연구는 사회부과적 완벽주의가 불확실성에 대한 인내력 부족과 반추적, 반성적 반응양식을 매개로 우울에 미치는 영향을 검증하여 대학생에게 나타나는 우울을 효과적으로 해결할 수 있는 방안을 모색하고자 실시하였다. 이를 위해 중부권 소재의 대학에 재학중인 대학생 283명을 대상으로 우울(CES-D), 다차원적 완벽주의 척도(HMPS), 불확실성에 대한 인내력 부족 척도(IUS), 우울 기분에 대한 반응양식 척도(RDQ)를 사용하여 설문을 실시하였다. 연구 결과는 다음과 같다. 첫째, 사회부과적 완벽주의 불확실성에 대한 인내력 부족, 반추적 반응양식은 정적인 상관이 나타났지만 반성적 반응양식과는 상관이 나타나지 않았다. 둘째, 사회부과적 완벽주의가 우울에 영향을 미치는 과정에서 불확실성에 대한 인내력 부족을 1차 매개변인으로 설정하고 반추적 반응양식을 2차 매개 변인으로 설정하여 관계를 검증하였고, 모든 매개효과는 의미있는 수준이었다. 한편 2차 매개변인을 반성적 반응양식으로 설정하여 매개효과를 검증한 결과 매개효과는 유의하지 않았다. 이러한 결과로 볼 때 사회부과적 완벽주의로 나타나는 우울을 예방하기 위해서는 불확실성에 대한 인내력 부족과 반추적 반응양식에 초점을 두어 개입한다면 유용할 수 있을 것이다. 마지막으로 결과를 바탕으로 연구의 의의 및 한계점을 논의하였다.

This study was conducted to verify the effects of socially prescribed perfectionism on depression as mediated by intolerance of uncertainty and either ruminating or reflective response styles, on as will as to find ways to effectively address depression as it presents in university students. For this purpose, 283 university students at the central region were assesed using data collected from the following surveys: the Center for Epidemiological Studies-Depression Scale(CES-D), the Multidimensional Perfectionism Scale(HMPS), the Intolerance of Uncertainty Scale(IUS), and the Response to Depressed Mood Questionnaire(RDQ) and that were used to collect data. The results of this study are as follows. First, there was a positive correlation between the Intolerance of uncertainty and the rumination response style to the uncertainty of socially prescribed perfectionism, but not correlation the reflective response mode. Second, with respect to the relationship between socially prescribed perfectionism and depression, intolerance of uncertainty was set as the primary mediator variable and the rumination response style were set as the secondary mediator variables. The results shown to have a significant mediating effects. However this mediating effect was not significant when, in order to verify the mediating effect, we set the secondary mediator variable as the reflective response style. These results suggest that to prevent depression that manifests as socially prescribed perfectionism, it may be effective to intervene with a focus on the intolerance of uncertainty and the rumination response style. Finally, the implications and limitations of the study are discussed based on the results.

키워드

참고문헌

  1. 김진영 (2000). 우울한 기분에 대한 두 가지 내부 초점적 반응양식: 반추적 반응양식 대반성적 반응양식. 서울대학교 석사학위논문.
  2. 백인철 (2016). 불확실성에 대한 대처방식이 우울과 불안에 미치는 영향. 서울대학교 석사학위논문.
  3. 윤소진, 장혜인 (2019). 불확실성에 대한 인내력 부족과 불안 및 우울과의 관계: 걱정과 반추의 공통 요인(반복적 부정적 사고)과 차별 요인의 매개효과를 중심으로. 한국심리학회지: 건강, 24(3), 709-734.
  4. 이미화, 류진혜 (2002). 완벽주의 성향의 순기능과 역기능. 청소년학연구, 9(3), 293-316.
  5. 이슬 (2016). 한국판 불확실성에 대한 인내력 부족 척도 타당화. 가톨릭대학교 석사학위논문.
  6. 이유림 (2015). 정서적 고통의 의미와 우울의 사회적 구성; 20대 '명문대' 여성의 정서적 고통과 우울증 경험에 대한 분석. 연세대학교 석사학위논문.
  7. 전겸구, 이민규 (1992). 한국판 CES-D 개발 연구 1. Korean Journal of Clinical Psychology, 11(1), 65-76.
  8. 최문경, 이기엽 (2008). 대학졸업에서 첫 직장까지. 한국직업능력개발원, 한국노동연구원.
  9. 최재광, 오예람, 송원영 (2020). 사회부과적 완벽주의와 불확실성에 대한 인내력 부족이 우울에 미치는 영향: 경회피의 매개효과. 한국심리학회: 건강 25(4), 737-756. https://doi.org/10.17315/KJHP.2020.25.4.007
  10. 한기연 (1993). 다차원적 완벽성: 개념, 측정 및 부적응과의 관련성. 고려대학교 박사학위 논문.
  11. 한승헌, 임다혜, 강민아 (2017). 한국 청년의 삶의 불안정성(precariousness)과 행복: 불확실성과 통제권한 부재의 매개효과. 한국사회정책, 24(2), 87-126. https://doi.org/10.17000/KSPR.24.2.201706.87
  12. 홍혜영 (1995). 완벽주의 성향, 자기효능감, 우울과의 관계연구. 이화여자대학교 석사학위논문.
  13. Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theorybased subtype of depression. Psychological review, 96(2), 358. https://doi.org/10.1037/0033-295X.96.2.358
  14. Alden, L. E., Bieling, P. J., & Wallace, S. T. (1994). Perfectionism in an interpersonal context: A self-regulation analysis of dysphoria and social anxiety. Cognitive Therapy and Research, 18(4), 297-316. https://doi.org/10.1007/BF02357507
  15. Andersen, S. M. (1990). The inevitability of future suffering: The role of depressive predictive certainty in depression. Social Cognition, 8(2), 203-228. https://doi.org/10.1521/soco.1990.8.2.203
  16. Antony, M. M., Purdon, C. L., Huta, V., & Swinson, R. P. (1998). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36(12), 1143-1154. https://doi.org/10.1016/S0005-7967(98)00083-7
  17. Baert, S., De Raedt, R., Schacht, R., & Koster, E. H. W. (2010). Attentional bias training in depression: Therapeutic effects depend on depression severity. Journal of Behavior Therapy and Experimental Psychiatry, 41(3), 265-274. https://doi.org/10.1016/j.jbtep.2010.02.004
  18. Barber, J. P., & DeRubeis, R. J. (1992). The ways of responding: A scale to assess compensatory skills taught in cognitive therapy. Behavioral Assessment, 14(1), 93-115.
  19. Blanchette, I., & Richards, A. (2010). The influence of affect on higher level cognition: A review of research on interpretation, judgement, decision making and reasoning. Cognition & Emotion, 24(4), 561-595. https://doi.org/10.1080/02699930903132496
  20. Blankstein, K. R., Lumley, C. H., & Crawford, A. (2007). Perfectionism, hopelessness, and suicide ideation: Revisions to diathesis-stress and specific vulnerability models. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 25(4), 279-319. https://doi.org/10.1007/s10942-007-0053-6
  21. Boelen, P. A., Vrinssen, I., & van Tulder, F. (2010). Intolerance of uncertainty in adolescents: Correlations with worry, social anxiety, and depression. The Journal of Nervous and Mental Disease, 198(3), 194-200. https://doi.org/10.1097/NMD.0b013e3181d143de
  22. Buhr, K., & Dugas, M. J. (2002). The intolerance of uncertainty scale: Psychometric properties of the English version. Behaviour research and therapy, 40(8), 931-945. https://doi.org/10.1016/S0005-7967(01)00092-4
  23. Buhr, K., & Dugas, M. J. (2006). Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. Journal of Anxiety Disorders, 20(2), 222-236. https://doi.org/10.1016/j.janxdis.2004.12.004
  24. Burns, D. D. (1980) The Perfectionist's Script for Self-defeat. Psychology Today, 34-51.
  25. Burns, D. D. (1983). The spouse who is a perfectionist. Medical Aspects of Human Sexuality, 17(3), 219-230.
  26. Carleton, R. N. (2012). The intolerance of uncertainty construct in the context of anxiety disorders: Theoretical and practical perspectives. Expert Review of Neurotherapeutics, 12(8), 937-947. https://doi.org/10.1586/ern.12.82
  27. Carleton, R. N. (2016a). Fear of the unknown: One fear to rule them all?. Journal of Anxiety Disorders, 41, 5-21. https://doi.org/10.1016/j.janxdis.2016.03.011
  28. Carleton, R. N. (2016b). Into the unknown: A review and synthesis of contemporary models involving uncertainty. Journal of anxiety disorders, 39, 30-43. https://doi.org/10.1016/j.janxdis.2016.02.007
  29. Carleton, R. N., Norton, M. P. J., & Asmundson, G. J. (2007). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of anxiety disorders, 21(1), 105-117. https://doi.org/10.1016/j.janxdis.2006.03.014
  30. Chang, E. C., & Rand, K. L. (2000). Perfectionism as a predictor of subsequent adjustment: Evidence for a specific diathesis-stress mechanism among college students. Journal of Counseling Psychology, 47(1), 129-137. https://doi.org/10.1037/0022-0167.47.1.129
  31. Dar, K. A., Iqbal, N., & Mushtaq, A. (2017). Intolerance of uncertainty, depression, and anxiety: Examining the indirect and moderating effects of worry. Asian journal of psychiatry, 29, 129-133. https://doi.org/10.1016/j.ajp.2017.04.017
  32. Davis, R. N., & Nolen-Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive therapy and research, 24(6), 699-711. https://doi.org/10.1023/A:1005591412406
  33. Dugas, M. J., Gagnon, F., Ladouceur, R., & Freeston, M. H. (1998). Generalized anxiety disorder: A preliminary test of a conceptual model. Behaviour research and therapy, 36(2), 215-226. https://doi.org/10.1016/S0005-7967(97)00070-3
  34. Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001). Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognitive therapy and Research, 25(5), 551-558. https://doi.org/10.1023/a:1005553414688
  35. Dugas, M. J., Schwartz, A., & Francis, K. (2004). Brief report: Intolerance of uncertainty, worry, and depression. Cognitive Therapy and Research, 28(6), 835-842. https://doi.org/10.1007/s10608-004-0669-0
  36. Einstein, D. A. (2014). Extension of the transdiagnostic model to focus on intolerance of uncertainty: a review of the literature and implications for treatment. Clinical Psychology: Science and Practice, 21(3), 280-300. https://doi.org/10.1111/cpsp.12077
  37. Ellis, A. (1962). Reason and emotion in psychotherapy. Oxford, England
  38. Enns, M. W., & Cox, B. J. (1999). Perfectionism and depression symptom severity in major depressive disorder. Behaviour Research and Therapy, 37(8), 783-794. https://doi.org/10.1016/S0005-7967(98)00188-0
  39. Flett, G. L., Hewitt, P. L., & Dyck, D. G. (1989). Self-oriented perfectionism, neuroticism and anxiety. Personality and Individual Differences, 10(7), 731-735. https://doi.org/10.1016/0191-8869(89)90119-0
  40. Flett, G. L., Hewitt, P. L., Blankstein, K., & O'Brien, S. (1991). Perfectionism and learned resourcefulness in depression and self-esteem. Personality and individual differences, 12(1), 61-68. https://doi.org/10.1016/0191-8869(91)90132-U
  41. Flett, G. L., Nepon, T., & Hewitt, P. L. (2016). Perfectionism, worry, and rumination in health and mental health: A review and a conceptual framework for a cognitive theory of perfectionism. Perfectionism, health, and well-being, 121-155
  42. Freeston, M. H., Rheaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry?. Personality and individual differences, 17(6), 791-802. https://doi.org/10.1016/0191-8869(94)90048-5
  43. Fresco, D. M., Segal, Z. V., Buis, T., & Kennedy, S. (2007). Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression. Journal of consulting and clinical psychology, 75(3), 447. https://doi.org/10.1037/0022-006X.75.3.447
  44. Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449-468. https://doi.org/10.1007/BF01172967
  45. Frost, R. O., & Steketee, G. (Eds.). (2002). Cognitive approaches to obsessions and compulsions: Theory, assessment, and treatment. Oxford, Elsevier.
  46. Gilbert, P., Durrant, R., & McEwan, K. (2006). Investigating relationships between perfectionism, forms and functions of self-criticism, and sensitivity to put-down. Personality and Individual Differences, 41(7), 1299-1308. https://doi.org/10.1016/j.paid.2006.05.004
  47. Hayes, A. F. (2013). Methodology in the social sciences. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, NY: The Guilford Press. Journal of Educational Measurement, 51(3), 335-337. https://doi.org/10.1111/jedm.12050
  48. Hewitt, P. L., & Flett, G. L. (1991a). Dimensions of perfectionism in unipolar depression. Journal of abnormal psychology, 100(1), 98-101. https://doi.org/10.1037/0021-843X.100.1.98
  49. Hewitt, P. L., & Flett, G. L. (1991b). Perfectionism in the self and social contexts: conceptualization, assessment, and association with psychopathology. Journal of personality and social psychology, 60(3), 456-470. https://doi.org/10.1037/0022-3514.60.3.456
  50. Hewitt, P. L., & Flett, G. L. (1993). Dimensions of perfectionism, daily stress, and depression: a test of the specific vulnerability hypothesis. Journal of abnormal psychology, 102(1), 58-65. https://doi.org/10.1037/0021-843X.102.1.58
  51. Hewitt, P. L., & Flett, G. L. (2002). Perfectionism and stress processes in psychopathology. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment., 255-284.
  52. Hewitt, P. L., Flett, G. L., & Ediger, E. (1995). Perfectionism traits and perfectionistic self presentation in eating disorder attitudes, characteristics, and symptoms. International Journal of eating disorders, 18(4), 317-326. https://doi.org/10.1002/1098-108X(199512)18:4<317::AID-EAT2260180404>3.0.CO;2-2
  53. Hewitt, P. L., Flett, G. L., & Ediger, E. (1996). Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis. Journal of Abnormal Psychology, 105(2), 276. https://doi.org/10.1037/0021-843X.105.2.276
  54. Hewitt, P. L., Mittelstaedt, W. M., & Flett, G. L. (1990). Self-oriented perfectionism and generalized performance importance in depression. Individual Psychology, 46(1), 67.
  55. Hirsch, C. R., Meeten, F., Krahe, C., & Reeder, C. (2016). Resolving ambiguity in emotional disorders: The nature and role of interpretation biases. Annual Review of Clinical Psychology, 12, 281-305. https://doi.org/10.1146/annurev-clinpsy-021815-093436
  56. Holaway, R. M., Heimberg, R. G., & Coles, M. E. (2006). A comparison of intolerance of uncertainty in analogue obsessive-compulsive disorder and generalized anxiety disorder. Journal of Anxiety Disorders, 20(2), 158-174. https://doi.org/10.1016/j.janxdis.2005.01.002
  57. Hollon, S. D., Thase, M. E., & Markowitz, J. C. (2002). Treatment and prevention of depression. Psychological Science in the public interest, 3(2), 39-77. https://doi.org/10.1111/1529-1006.00008
  58. Hoppitt, L., Mathews, A., Yiend, J., & Mackintosh, B. (2010). Cognitive mechanisms underlying the emotional effects of bias modification. Applied Cognitive Psychology, 24(3), 312-325. https://doi.org/10.1002/acp.1678
  59. Junkins, M. B., & Haeffel, G. J. (2017). Rumination: Reflection can amplify the depressogenic effects of brooding. International Journal of Cognitive Therapy, 10(1), 34-46. https://doi.org/10.1521/ijct_2016_09_19
  60. Koerner, N., & Dugas, M. J. (2008). An investigation of appraisals in individuals vulnerable to excessive worry: The role of intolerance of uncertainty. Cognitive Therapy and Research, 32(5), 619-638. https://doi.org/10.1007/s10608-007-9125-2
  61. Liao, K. Y. H., & Wei, M. (2011). Intolerance of uncertainty, depression, and anxiety: The moderating and mediating roles of rumination. Journal of clinical psychology, 67(12), 1220-1239. https://doi.org/10.1002/jclp.20846
  62. Limburg, K., Watson, H. J., Hagger, M. S., & Egan, S. J. (2017). The relationship between perfectionism and psychopathology: A meta analysis. Journal of Clinical Psychology, 73(10), 1301-1326. https://doi.org/10.1002/jclp.22435
  63. Lo, C. S., Ho, S. M., Nicky, K. K., & Siu, B. P. (2014). Decentering mediates the effect of ruminative and experiential self-focus on negative thinking in depression. Cognitive Therapy and Research, 38(4), 389-396. https://doi.org/10.1007/s10608-014-9603-2
  64. Lyubomirsky, S., Caldwell, N. D., NolenHoeksema, S. (1998). Effects of ruminative and distracting responses to depressed mood on retrieval of autobiographical memories. Journal of Personality and Social Psychology, 75(1), 166-177. https://doi.org/10.1037/0022-3514.75.1.166
  65. Martin, L. L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought, NY: Guilford Press. 306-326.
  66. Mathews, A., &Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of abnormal psychology, 109(4), 602. https://doi.org/10.1037//0021-843X.109.4.602
  67. McEvoy, P. M., & Mahoney, A. E. (2011). Achieving certainty about the structure of intolerance of uncertainty in a treatment-seeking sample with anxiety and depression. Journal of Anxiety Disorders, 25(1), 112-122. https://doi.org/10.1016/j.janxdis.2010.08.010
  68. Miranda, R., Fontes, M., & Marroquin, B. (2008). Cognitive content-specificity in future expectancies: Role of hopelessness and intolerance of uncertainty in depression and GAD symptoms. Behaviour Research and Therapy, 46(10), 1151-1159. https://doi.org/10.1016/j.brat.2008.05.009
  69. Muris, P., Roelofs, J., Rassin, E., Franken, I., &Mayer, B. (2005). Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Personality and Individual Differences, 39(6), 1105-1111. https://doi.org/10.1016/j.paid.2005.04.005
  70. Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of abnormal psychology, 100(4), 569-582. https://doi.org/10.1037/0021-843X.100.4.569
  71. Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of abnormal psychology, 109(3), 504. https://doi.org/10.1037/0021-843X.109.3.504
  72. Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on psychological science, 3(5), 400-424. https://doi.org/10.1111/j.1745-6924.2008.00088.x
  73. Obsessive Compulsive Cognitions Working Group. (1997). Cognitive assessment of obsessivecompulsive disorder. Behaviour Research and Therapy, 35, 667-681. https://doi.org/10.1016/S0005-7967(97)00017-X
  74. Obsessive Compulsive Cognitions Working Group. (2005). Psychometric Validation of the Obsessive Belief Questionnaire and Interpretation of Intrusions Inventory. Part2. Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43, 1527-1543. https://doi.org/10.1016/j.brat.2004.07.010
  75. Preusser, K. J., Rice, K. G., & Ashby, J. S. (1994). The role of self-esteem in mediating the perfectionism-depression connection. Journal of College Student Development, 35(2), 88-93.
  76. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied psychological measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
  77. Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757-761. https://doi.org/10.1016/j.paid.2010.01.023
  78. Reuther, E. T., Davis III, T. E., Rudy, B. M., Jenkins, W. S., Whiting, S. E., & May, A. C. (2013). Intolerance of uncertainty as a mediator of the relationship between perfectionism and obsessive-compulsive symptom severity. Depression and Anxiety, 30(8), 773-777. https://doi.org/10.1002/da.22100
  79. Rimes, K. A., & Watkins, E. (2005). The effects of self-focused rumination on global negative self-judgements in depression. Behaviour research and therapy, 43(12), 1673-1681. https://doi.org/10.1016/j.brat.2004.12.002
  80. Rude, S. S., Wenzlaff, R. M., Gibbs, B., Vane, J., & Whitney, T. (2002). Negative processing biases predict subsequent depressive symptoms. Cognition & Emotion, 16(3), 423-440. https://doi.org/10.1080/02699930143000554
  81. Safran, J. D., & Segal, Z. V. (1990). Interpersonal process in cognitive therapy. New York: Basic Books.
  82. Samaie, G., & Farahani, H. A. (2011). Self-compassion as a moderator of the relationship between rumination, self-reflection and stress. Procedia-Social and Behavioral Sciences, 30, 978-982. https://doi.org/10.1016/j.sbspro.2011.10.190
  83. Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive-behavioural analysis. Behaviour research and therapy, 40(7), 773-791. https://doi.org/10.1016/S0005-7967(01)00059-6
  84. Sherry, S. B., Gralnick, T. M., Hewitt, P. L., Sherry, D. L., & Flett, G. L. (2014). Perfectionism and narcissism: testing unique relationships and gender differences. Personality and Individual Differences, 61, 52-56. https://doi.org/10.1016/j.paid.2014.01.007
  85. Smith, H. L., Summers, B. J., Dillon, K. H., Macatee, R. J., & Cougle, J. R. (2016). Hostile interpretation bias in depression. Journal of affective disorders, 203, 9-13. https://doi.org/10.1016/j.jad.2016.05.070
  86. Smith, K. E., Mason, T. B., & Lavender, J. M. (2018). Rumination and eating disorder psychopathology: A meta-analysis. Clinical psychology review, 61, 9-23. https://doi.org/10.1016/j.cpr.2018.03.004
  87. Smith, M. M., Sherry, S. B., Glowacka, M., Speth, T. A., Stewart, S. H., Saklofske, D. H., & Etherson, M. E. (2019). Who is the most demanding of them all? A multisource investigation of other-oriented perfectionism, socially prescribed perfectionism, and depressive symptoms. Personality and Individual Differences, 138, 328-332. https://doi.org/10.1016/j.paid.2018.09.023
  88. Smith, M. M., Sherry, S. B., Hewitt, P. L., Flett, G. L., Hall, P. A., & Lee-Baggley, D. L. (2020). The existential model of perfectionism and depressive symptoms: Testing a moderated mediation model in community adults using a one-month two-wave longitudinal design. Personality and Individual Differences, 157, 109826.
  89. Smith, M. M., Sherry, S. B., McLarnon, M. E., Flett, G. L., Hewitt, P. L., Saklofske, D. H., & Etherson, M. E. (2018). Why does socially prescribed perfectionism place people at risk for depression? A five-month, two-wave longitudinal study of the Perfectionism Social Disconnection Model. Personality and Individual Differences, 134, 49-54. https://doi.org/10.1016/j.paid.2018.05.040
  90. Stoeber, J. (2014). Multidimensional perfectionism and the DSM-5 personality traits. Personality and Individual Differences, 64, 115-120. https://doi.org/10.1016/j.paid.2014.02.031
  91. Tolin, D. F., Abramowitz, J. S., Brigidi, B. D., & Foa, E. B. (2003). Intolerance of uncertainty in obsessive-compulsive disorder. Journal of anxiety disorders, 17(2), 233-242. https://doi.org/10.1016/S0887-6185(02)00182-2
  92. Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: distinguishing rumination from reflection. Journal of personality and social psychology, 76(2), 284-304. https://doi.org/10.1037/0022-3514.76.2.284
  93. Ward, A., Lyubomirsky, S., & Nolen-Hoeksema, S. (2003). Can't quite commit: Rumination and uncertainty. Personality and Social Psychology Bulletin, 29(1), 96-107. https://doi.org/10.1177/0146167202238375
  94. Weissman, A. N., & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitude Scale: A preliminary investigation. Paper presented at the annual meeting of The American Educational Research Association.
  95. Whitmer, A., & Gotlib, I. H. (2011). Brooding and reflection reconsidered: A factor analytic examination of rumination in currently depressed, formerly depressed, and never depressed individuals. Cognitive Therapy and Research, 35(2), 99-107. https://doi.org/10.1007/s10608-011-9361-3
  96. Xie, Y., Kong, Y., Yang, J., & Chen, F. (2019). Perfectionism, worry, rumination, and distress: A meta-analysis of the evidence for the perfectionism cognition theory. Personality and Individual Differences, 139, 301-312. https://doi.org/10.1016/j.paid.2018.11.028
  97. Yook, K., Kim, K. H., Suh, S. Y., & Lee, K. S. (2010). Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. Journal of anxiety disorders, 24(6), 623-628. https://doi.org/10.1016/j.janxdis.2010.04.003