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http://dx.doi.org/10.5762/KAIS.2018.19.4.505

The mediating effect of self-concealment on the relationship between self-critical perfectionism and disordered eating behavior  

Kim, Ju-Young (Department of Psychology, Ajou University)
Shin, Hee-Cheon (Department of Psychology, Ajou University)
Kim, Eun-Ha (Department of Psychology, Ajou University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.4, 2018 , pp. 505-516 More about this Journal
Abstract
The purpose of the present study was to examine the mediating effect of self-concealment on the relationship between self-critical perfectionism and disordered eating behavior. Toward this aim, 348 participants responded to the measures of self-critical perfectionism, self-concealment and disordered eating behavior. Correlation analysis revealed that self-critical perfectionism was positively correlated with self-concealment and disordered eating behavior. In addition, self-concealment was positively correlated with disordered eating behavior. Structural equations analysis found that the relationship between self-critical perfectionism and disordered eating behavior had a significant partial mediating effect on self-concealment, meaning that self-critical perfectionism increased disordered eating behavior through high levels of self-concealment. This finding suggests that individuals who place high standards on themselves, and feature fear of negative evaluation from others, are at greater risk for disordered eating behavior. Based on this finding, we discussed suggestions for future research and clinical implications.
Keywords
Disordered eating behavior; Eating disorder; Self-concealment; Self-critical perfectionism; Maladjusted perfectionism;
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1 Steele, A. L., O'shea, A., Murdock, A., & Wade, T. D. Perfectionism and its relation to overevaluation of weight and shape and depression in an eating disorder sample. International Journal of Eating Disorders, 44, 5, pp. 459-464, 2011. DOI: https://doi.org/10.1002/eat.20817   DOI
2 Dunkley, D. M., & Grilo, C. M. Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients. Behaviour Research and Therapy, 45, 1, pp. 139-149, 2007. DOI: https://doi.org/10.1016/j.brat.2006.01.017   DOI
3 Miquelon, P., Vallerand, R. J., Grouzet, F. M., & Cardinal, G. Perfectionism, academic motivation, and psychological adjustment: An integrative model. Personality & Social Psychology Bulletin, 31, 7, pp. 913-924, 2005. DOI: https://doi.org/10.1177/0146167204272298   DOI
4 Enns, M. W., Cox, B. J., & Clara, I. Adaptive and maladaptive perfectionism: Developmental origins and association with depression proneness. Personality and Individual Differences, 33, 6, pp. 921-935, 2002. DOI: https://doi.org/10.1016/s0191-8869(01)00202-1   DOI
5 Wu, T., & Wei, M. Perfectionism and negative mood: The mediating roles of validation from others versus self, Journal of Counseling Psychology, 55, 2, 276, 2008. DOI: https://doi.org/10.1037/0022-0167.55.2.276   DOI
6 Larson, D. G., & Chastain, R. L. Self-concealment: Conceptualization, measurement, and health implications, Journal of Social and Clinical Psychology, 9, 4, pp. 439-455, 1990.   DOI
7 M, R, Park., J, Y, Lee. "Construct Exploration and Validation of Self-Concealment Scale," Korea Journal of Counseling, 9, 4,pp. 1547-1565, 2008. DOI: https://doi.org/10.15703/kjc.9.4.200812.1547   DOI
8 Uysal, A., & Lu, Q. Is self-concealment associated with acute and chronic pain?, Health Psychology, 30, 5, 606, 2011. DOI: https://doi.org/10.1037/a0024287   DOI
9 H, H, Noh., M, K, Rhee. "The Effects of Neurotic Character, Self-concealment, and Attachment on Abnormal Eating Attitude for College Students: Focusing on the Mediating Effect of Psychological Flexibility," Korea Journal of Youth Studies, 22, 1, pp. 375-396, 2015.
10 J, H, Son., S, K, Yoo. "Relationships of the Client's Self-Concealment and the Session Evaluation and the Counselor-Client Verbal Interaction: The Case of Beginning Phase Counselors," Korean Journal of Counseling and Psychotherapy, 16, 3, pp. 327-345, 2004.
11 Schmidt, U., & Treasure, J. Anorexia nervosa: Valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice. British Journal of Clinical Psychology, 45, 3, pp. 343-366, 2006. DOI: https://doi.org/10.1348/014466505x53902   DOI
12 Ghaderi, A. Structural modeling analysis of prospective risk factors for eating disorder, Eating Behaviors, 3, 4, pp. 387-396, 2003. DOI: https://doi.org/10.1016/s1471-0153(02)00089-2   DOI
13 Lavender, J. M., & Anderson, D. A. Contribution of emotion regulation difficulties to disordered eating and body dissatisfaction in college men. International Journal of Eating Disorders, 43, 4, pp. 352-357, 2010. DOI: https://doi.org/10.1002/eat.20705   DOI
14 K, Y, Han. "Multidimensional Perfection: A Relation of Concept, Measurement and Maladjustment," Korea University, Graduate School, Doctorate Thesis, 1993.
15 Littleton, H. L., & Ollendick, T. Negative body image and disordered eating behavior in children and adolescents: What places youth at risk and how can these problems be prevented?, Clinical Child and Family Psychology Review, 6, 1, pp. 51-66, 2003. DOI: https://doi.org/10.1023/a:1022266017046   DOI
16 Quinton, S., & Wagner, H. L. Alexithymia, ambivalence over emotional expression, and eating attitudes, Personality and Individual Differences, 38, 5, pp. 1163-1173, 2005. DOI: https://doi.org/10.1016/j.paid.2004.07.013   DOI
17 Dunkley, D. M., Zuroff, D. C., & Blankstein, K. R. Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping, Journal of Personality and Social Psychology, 84, 1, 234, 2003. DOI: https://doi.org/10.1037//0022-3514.84.1.234   DOI
18 Moroz, M., & Dunkley, D. M. Self-critical perfectionism and depressive symptoms: Low self-esteem and experiential avoidance as mediators, Personality and Individual Differences, 87, pp. 174-179, 2015. DOI: https://doi.org/10.1016/j.paid.2015.07.044   DOI
19 S, J, Chung., M, H, Yon. "A Study of the Development of Cognitive - Behavioral Group Counseling Program for Reducing the Perfectionism," Korean of Counseling and Psychotherapy, 12, 2, pp. 147-167, 2000.
20 H, J, Kim., J, R, Son. "The relation of University students, self-esteem, depression and subjective well-being," Korean Journal of Health Psychology, 11, 2, pp. 345-361, 2006.
21 Slaney, R. B., Rice, K. G., Mobley, M., Trippi, J., & Ashby, J. S. The revised almost perfect scale, Measurement and Evaluation in Counseling and Development, 34, 3, 130, 2001. DOI: https://doi.org/10.1037/t02161-000
22 E, H, Kim., H, J, Kim, M, S, Ki. "The effects of maternal negative body image and negative feedback on appearance on abnormal eating behaviors of female college students : Moderated mediational effect," The Korea Journal of Psychology: Female, 21, 4, pp. 725-748, 2016.
23 J, Y, Park., M, S, Shin., E, J, Kim. "The Mediating Effect of Body Shame in The Relationship between The Covert Narcissistic Personality Tendency and Disordered Eating Behaviors," Korean Journal of Clinical Psychology, 30, 3, pp. 663-679, 2011. DOI: https://doi.org/10.15842/kjcp.2011.30.3.003   DOI
24 M. H. Lee., K, M, Chae. "The Relationship between Negative Affect and Binge Eating Behavior-Focusing on the Mediating Effect of Difficulties with Emotional Regulation," Cognitive Behavior Therapy, 12, 2, pp. 129-144, 2012.
25 Sulkowski, M. L., Dempsey, J., & Dempsey, A. G. Effects of stress and coping on binge eating in female college students, Eating Behaviors, 12, 3, pp. 188-191, 2011. DOI: https://doi.org/10.1016/j.eatbeh.2011.04.006   DOI
26 Stice, E. Risk and maintenance factors for eating pathology: A meta-analytic review, Psychological Bulletin, 128, 5, 825, 2002. DOI: https://doi.org/10.1037//0033-2909.128.5.825   DOI
27 Arigo, D., Schumacher, L., & Martin, L. M. Upward appearance comparison and the development of eating pathology in college women, International Journal of Eating Disorders, vol. 47, no. 5, pp. 467-470, 2014. DOI: https://doi.org/10.1002/eat.22240   DOI
28 M, Y, Shin., J, Y, Lee. "The Relationship between perceived Sociocultural Influence for Appearance and Dietary Behaviors: Mediating Effects of Body Image and Cognitive Distortion," Cognitive Behavior Therapy, 12, 2, pp. 183-198, 2012.
29 Hewitt, P. L., & Flett, G. L. Dimensions of perfectionism in unipolar depression, Journal of Abnormal Psychology, 100, 1, pp. 98-101, 1991. DOI: https://doi.org/10.1037//0021-843x.100.1.98   DOI
30 Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. The dimensions of perfectionism. Cognitive Therapy and Research, 14, 5, pp. 449-468, 1990. DOI: https://doi.org/10.1007/bf01172967   DOI
31 Shafran, R., Cooper, Z., & Fairburn, C. G. Clinical perfectionism: A cognitive-behavioural analysis. Behaviour Research and Therapy, 40, 7, pp. 773-791, 2002. DOI: https://doi.org/10.1016/s0005-7967(01)00059-6   DOI
32 H, J, Park. "Validation of the Almost Perfect Scale-Revised," Korean Journal of Counseling and Psychotherapy, 21, 1, pp. 131-149, 2009. DOI: https://doi.org/10.1037/e611802009-001
33 S, M, Jeong., D, G, Lee. "Differences in Passive/Active Procrastination, Happiness, and Depression by the Clusters of Perfectionism in College Students," Korea Journal of Counseling, 14, 2, pp. 857-875, 2013. DOI: https://doi.org/10.15703/kjc.14.2.201304.857   DOI
34 Flett, G. L., Hewitt, P. L., Blankstein, K. R., & Mosher, S. W. Perfectionism and self-actualization, and personal adjustment, Journal of Social Behavior and Personality, 6, 5, 147, 1991. DOI: https://doi.org/10.1016/0191-8869(91)90132-u
35 Slaney, R., & Johnson, D. The almost perfect scale. Unpublished Manuscript, Pennsylvania State University, 1992 DOI: https://doi.org/10.1037/t02161-000
36 Y, H, Kim., S, G, Seo. "A Review of Perfectionism: Assessment and Treatment," The Korean Journal of Counseling and Psychotherapy, 20, 3, pp. 581-613, 2008.
37 Kawamura, K. Y., Frost, R. O., & Harmatz, M. G. The relationship of perceived parenting styles to perfectionism. Personality and Individual Differences, 32, 2, pp. 317-327, 2002. DOI: https://doi.org/10.1016/s0191-8869(01)00026-5   DOI
38 Blankstein, K. R., & Dunkley, D. M. Evaluative concerns, self-critical, and personal standards perfectionism: A structural equation modeling strategy. Perfectionism: Theory, research, and treatment, American Psychological Association, pp. 285-315, 2002. DOI: https://doi.org/10.1037/10458-012
39 Dunkley, D. M., Blankstein, K. R., Halsall, J., Williams, M., & Winkworth, G. The relation between perfectionism and distress: Hassles, coping, and perceived social support as mediators and moderators, Journal of Counseling Psychology, 47, 4, 437, 2000. DOI: https://doi.org/10.1037//0022-0167.47.4.437   DOI
40 Fairburn, C. G., Cooper, Z., & Shafran, R. Cognitive behaviour therapy for eating disorders: A"transdiagnostic" theory and treatment. Behaviour Research and Therapy, 41, 5, pp. 509-528, 2003. DOI: https://doi.org/10.1016/s0005-7967(02)00088-8   DOI
41 Brausch, A. M., & Decker, K. M. Self-esteem and social support as moderators of depression, body image, and disordered eating for suicidal ideation in adolescents, Journal of Abnormal Child Psychology, 42, 5, pp. 779-789, 2014. DOI: https://doi.org/10.1007/s10802-013-9822-0   DOI
42 Blatt, S. J., & Zuroff, D. C. Interpersonal relatedness and self-definition: Two prototypes for depression Clinical Psychology Review, 12, 5, pp. 527-562, 1992. DOI: https://doi.org/10.1016/0272-7358(92)90070-o   DOI
43 Kawamura, K. Y., & Frost, R. O. Self-concealment as a mediator in the relationship between perfectionism and psychological distress, Cognitive Therapy and Research, 28, 2, pp. 183-191, 2004. DOI: https://doi.org/10.1023/b:cotr.0000021539.48926.c1   DOI
44 J, E, Shin., D, G, Lee. "Socially-Prescribed Perfectionism and Psychological Maladjustment in High School Students : The Mediating Effects of Self-concealment," Korea Youth Studies, 22, 2, pp. 55-79, 2011.
45 Larson, D. G., Chastain, R. L., Hoyt, W. T., & Ayzenberg, R. Self-concealment: Integrative review and working model, Journal of Social and Clinical Psychology, 34, 8, pp. 705-774, 2015. DOI: https://doi.org/10.1521/jscp.2015.34.8.705   DOI
46 J, K, Heo. "The influence of socially-prescribed perfectionism, self-disclosure and self-concealment on depressive mood : testing the moderated mediation effect of social support," Yonsei University, Graduate School, Master's Thesis, 2014.
47 Greenland, K., Scourfield, J., Maxwell, N., Prior, L., & Scourfield, J. Theoretical antecedents of distress disclosure in a community sample of young People1, Journal of Applied Social Psychology, 39, 9, pp. 2045-2068, 2009. DOI: https://doi.org/10.1111/j.1559-1816.2009.00515.x   DOI
48 Y, K, Kim. "The Dimensionality of Clients' Perceptions of Counselor's Factors as Therapeutic Factors," Korean Journal of Counseling and Psychotherapy, 25, 2, pp. 203-226, 2013.
49 M, J, Kim., J, G, Kim., S, H, Yoo., N, O, Kim., E, J, Jung., A, R, Jo., I, S, Shin., T, H, Kim., H, M, Kim., H, A, Park. "Reconstruction of Media Fusion and Social order," Korea Information Society Development Institute, 2011.
50 S, J, Lim., A, Y, Noh. "The Effect of Adult Attachment on The Help Seeking Intention," Korea Journal of Counseling, 10, 3, pp. 1383-1396, 2009. DOI: https://doi.org/10.15703/kjc.10.3.200909.1383   DOI
51 Frost, R. O., & Steketee, G. Perfectionism in obsessive-compulsive disorder patients. Behaviour Research and Therapy, 35, 4, pp. 291-296, 1997.   DOI
52 H, I, Kwon., J, W, Kim., J, H, Kwoon. "MMPI-2 profiles of patients with Hwa-byung," The Korea Journal of Psychology: Female, 13, 3, pp. 379-395, 2008. DOI: https://doi.org/10.18205/kpa.2008.13.3.008
53 Richardson, C. M. E., & Rice, K. G. Self-critical perfectionism, daily stress, and discloaure of daily emotional events, Journal of Counseling Psychology, 62, 4, pp. 694-702, 2015. DOI: https://doi.org/10.1016/s0005-7967(96)00108-8   DOI
54 Masuda, A., Boone, M., & Timko, A. The role of psychological flexibility in the relationship between self-concealment and disordered eating, Eating Behaviors, 12, 2, pp. 131-135, 2011. DOI: https://doi.org/10.1016/j.eatbeh.2011.01.007   DOI
55 Farber, B. A., Berano, K. C., & Capobianco, J. A. Clients' perceptions of the process and consequences of self-disclosure in psychotherapy, Journal of Counseling Psychology, 51, 3, 340, 2004. DOI: https://doi.org/10.1037/0022-0167.51.3.340   DOI
56 K, H, Kim., Y, M, B. "The Effects of Alexithymia, Emotional Clarity on Adolescent's Somatization : Mediated Effects of Difficulties in Emotional Regulation," Korean Journal of Youth Studies, 21, 1, pp. 267-290, 2014.
57 Byrne, M. E., Eichen, D. M., Fitzsimmons-Craft, E. E., Taylor, C. B., & Wilfley, D. E. Perfectionism, emotion dysregulation, and affective disturbance in relation to clinical impairment in college-age women at high risk for or with eating disorders, Eating Behaviors, 23, pp. 131-136, 2016. DOI: https://doi.org/10.1016/j.eatbeh.2016.09.004   DOI
58 H, J, Lee., S, Y, Lee. "The Mediating Effects of Adult Attachment on the Multidimensional Perfectionism and Abnormal Eating Behaviors of Female university students," The Korea Journal of Developmental Psychology, 29, 1, pp. 83-99, 2016.
59 E, J, Son. "The relations among perfectionism, self-criticism, self-consciousness, body dissatisfaction and bulimic symptoms," Korea Journal of Psychology: General, 30, 1, pp. 165-183, 2011.
60 A, R, Jeon. 2012 [Internet] Available From: http://tvdaily.asiae.co.kr/read.php3?aid=1341367089352354016, (accessed January, 5, 2018)
61 Dakanalis, A., Timko, C. A., Zanetti, M. A., Rinaldi, L., Prunas, A., Carra, G., Riva, G., Clerici, M. Attachment insecurities, maladaptive perfectionism, and eating disorder symptoms: A latent mediated and moderated structural equation modeling analysis across diagnostic groups, Psychiatry Research, 215, 1, 176-1841 2014. DOI: https://doi.org/10.1016/j.psychres.2013.10.039   DOI
62 Keel, P. K., & Forney, K. J. Psychosocial risk factors for eating disorders, International Journal of Eating Disorders, 46, 5, pp. 433-439, 2013. DOI: https://doi.org/10.1002/eat.22094   DOI
63 J, I, Cho. "A Study of Two dimensionality of Depression," Korea University, Graduate School, Master's Thesis, 1996.
64 Blatt, S. J., D'Afflitti, J. P., & Quinlan, D. P. Depressive experiences questionnaire Yale University, school of medicine, Department of psychiatry, 1976. DOI: https://doi.org/10.1037/t02165-000
65 Heal Insurance Review & Assessment Service. "[Disordered Eating]Clinical tendency analysis," HIRA-Quickstat, 2, 2013.
66 E, H, Kim., C, Y, J. "Clustering by Female College students' Perfectionism and Attachment : Group Differences on Appearance Dissatisfaction, Appearance Orientation, Abnormal Eating Behaviors, Depression, and Life Satisfaction," The Korea Journal of Psychology: Female, 21, 1, pp. 41-64, 2016.
67 Southgate, L., Tchanturia, K., Collier, D., & Treasure, J. The development of the childhood retrospective perfectionism questionnaire (CHIRP) in an eating disorder sample, European Eating Disorders Review, 16, 6, pp. 451-462, 2008. DOI: https://doi.org/10.1002/erv.870   DOI
68 Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., Simonich, H. Perfectionism and eating disorders: Current status and future directions, Clinical Psychology Review, 27, 3, pp. 384-405, 2007. DOI: https://doi.org/10.1016/j.cpr.2006.12.005   DOI
69 Hewitt, P. L., & Flett, G. L. Dimensions of perfectionism, daily stress, and depression: A test of the specific vulnerability hypothesis, Journal of Abnormal Psychology, 102, 1, 58, 1993. DOI: https://doi.org/10.1037//0021-843x.102.1.58   DOI
70 Y, H, Seo., H, J, Lee. "The Impact that obesity stress can affect female university student's eating disorders, and multidimensional perfectionism," The Korean Society of Sports Science, 25, 2, pp. 249-266, 2016.
71 J, Y, Jang. "The relationships between self-concealment and emotional expressiveness, perceived social support and help-seeking attitudes," Ewah Womans University, Graduate School, Doctorate Thesis, 2000.
72 Garner, D. M., & Garfinkel, P. E. The eating attitudes test: An index of the symptoms of anorexia nervosa, Psychological Medicine, 9, 2, pp. 273-279, 1979. DOI: https://doi.org/10.1017/s0033291700030762   DOI
73 M, K, Lee., Y, H, Lee., S, H, Park., C, H, Sohn., Y, J, Cjung., S, K, Hong., B, K, Lee., P, L, Chang., A, R, Yoon. "A Standardization Study of The Korean Version of Eating Attitudes Test-26(KEAT-26) I : Reliability and Factor Analysis," Korean Society of Psychiatric and Physical Medicine, 6, 2, pp. 155-175, 1998.
74 E, H, Kim., S, Y, Lee. "Differentiation and Abnormal Eating Behavior among Female (under)Graduate Students : Moderated Mediational Effect of Psychological Acceptance through Ambivalence over Emotional Expressiveness," Korean Psychological Journal of School, 13, 1, pp. 181-204, 2016. DOI: https://doi.org/10.16983/kjsp.2016.13.1.181   DOI
75 Hu, L. T., & Bentler, P. M. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives, Structural equation modeling: a multidisciplinary Journal , 6, 1, 1-55, 1999. DOI: https://doi.org/10.1080/10705519909540118   DOI
76 Shrout, P. E., & Bolger, N. Mediation in experimental and nonexperimental studies: Newprocedures and recommendations, Psychological Methods, 7, 4, pp. 422-445, 2002. DOI: https://doi.org/10.1037//1082-989x.7.4.422   DOI
77 Dunkley, D. M., Sanislow, C. A., Grilo, C. M., & McGlashan, T. H. Self-criticism versus neuroticism in predicting depression and psychosocial impairment for 4 years in a clinical sample, Comprehensive Psychiatry, 50, 4, pp. 335-346, 2009. DOI: https://doi.org/10.1016/j.comppsych.2008.09.004   DOI
78 Hewitt, P. L., Flett, G. L., Sherry, S. B., Habke, M., Parkin, M., Lam, R. W., McMurtry, B., Ediger, E., Fairlie, P., Stein, M. B., The interpersonal expression of perfection: Perfectionistic self-presentation and psychological distress, Journal of Personality and Social Psychology, 84, 6, pp. 1303-1325, 2003. DOI: https://doi.org/10.1037/0022-3514.84.6.1303   DOI
79 Evans, L., & Wertheim, E. H. An examination of willingness to self-disclose in women with bulimic symptoms considering the context of disclosure and negative affect levels. International Journal of Eating Disorders, 31, 3, pp. 344-348, 2002. DOI: https://doi.org/10.1002/eat.10020   DOI
80 Dunkley, D. M., Blankstein, K. R., Masheb, R. M., & Grilo, C. M. Personal standards and fs dimensions of "clinical" perfectionism: A reply to shafran et al.(2002, 2003) and hewitt et al.(2003). Behaviour Research and Therapy, vol. 44, no. 1, pp. 63-84, 2006. DOI: https://doi.org/10.1016/j.brat.2004.12.004   DOI
81 Sarah E. Cruce, Travis J. Pashak, Paul J. Handal, David C. Munz, & Jeffrey D. Gfeller. Conscientious perfectionism, self-evaluative perfectionism, and the five-factor model of personality traits, Personality and Individual Differences, 53, 3, pp. 268-273, 2012. DOI: https://doi.org/10.1016/j.paid.2012.03.013   DOI
82 Goodwin, H., Arcelus, J., Geach, N., & Meyer, C. Perfectionism and eating psychopathology among dancers: The role of high standards and Self-criticism. European Eating Disorders Review, 22, 5, pp. 346-351, 2014. DOI: https://doi.org/10.1002/erv.2282   DOI
83 Shafran, R., Egan, S., & Wade, T. Overcoming perfectionism: A self-help guide using cognitive behavioural techniques. Hachette UK, 2010.
84 Luyten, P., Kempke, S., Van Wambeke, P., Claes, S., Blatt, S. J., & Van Houdenhove, B. Self-critical perfectionism, stress generation, and stress sensitivity in patients with chronic fatigue syndrome: Relationship with severity of depression. Psychiatry: Interpersonal & Biological Processes, 74, 1, pp. 21-30, 2011. DOI: https://doi.org/10.1521/psyc.2011.74.1.21   DOI
85 Stoeber, J., & Otto, K. Positive conceptions of perfectionism: Approaches, evidence, challenges. Personality and Social Psychology Review : An Official Journal of the Society for Personality and Social Psychology, Inc, 10, 4, pp. 295-319, 2006. DOI: https://doi.org/10.1207/s15327957pspr1004_2   DOI