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Perceived Social Problem Solving, Perfectionism, and Mindful Awareness in Clinical Depression: An Exploratory Study

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Abstract

Perfectionism, problem solving, and mindfulness have all been variously implicated in the experience and treatment outcomes for depression. Maladaptive perfectionism represents a cognitive set that is believed to exacerbate the symptoms of depression, whereas social problem solving is believed to play a role in potentially buffering the effects of perfectionism on depressive symptomatology. Little is currently known about the role of mindfulness during a current depressive episode, however a number of studies have shown that mindfulness-based interventions significantly reduce relapse rates in depression. The current study examined the role of social problem solving, adaptive and maladaptive perfectionism, and mindful awareness during a current depressive episode. Participants were 141 inpatients experiencing a clinical depressive episode. No support was found for social problem solving buffering the effects of maladaptive perfectionism on depression severity. Results suggest that mindful awareness mediates the negative association between social problem solving and depression severity and the positive association between maladaptive perfectionism and depression severity. Mindful awareness contributed the greatest amount of variance to depression symptom severity.

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References

  • Ashby, J. S., & Rice, K. G. (2002). Perfectionism, dysfunctional attitudes, and self-esteem: A structural equation analysis. Journal of Counseling and Development, 80, 197–203.

    Google Scholar 

  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.

    Article  Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.

    Article  PubMed  Google Scholar 

  • Baron, R. M., & 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, 1173–1182.

    Article  PubMed  CAS  Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.

    Article  PubMed  Google Scholar 

  • Chang, E. (2002). Examining the link between perfectionism and psychological maladjustment: Social problem solving as a buffer. Cognitive Therapy and Research, 26(5), 581–595.

    Article  Google Scholar 

  • Dixon, W. (2000). Problem-solving appraisal and depression: Evidence for a recovery model. Journal of Counseling and Development, 78, 87–91.

    Google Scholar 

  • D’Zurilla, T. J., & Nezu, A. (1999). Problem-Solving Therapy. New York: Springer Publishing Company.

    Google Scholar 

  • D’Zurilla, T. J., Nezu, A., & Maydeu-Olivares, A. (2002). Manual for the social problem solving inventory-revised. New York: Multi-Health Systems.

    Google Scholar 

  • Elliott, T. R., Herrick, S. M., MacNair, R. R., & Harkins, S. W. (1994). Personality correlates of self-appraised problem solving ability: Problem orientation and trait affectivity. Journal of Personality Assessment, 63(3), 489–505.

    Article  Google Scholar 

  • Enns, M. W., & Cox, B. J. (1999). Perfectionism and depression symptom severity in major depressive disorder. Behaviour Research and Therapy, 37, 783–794.

    Article  PubMed  CAS  Google Scholar 

  • Enns, M. W., Cox, B. J., & Clara, I. (2002). Adaptive and maladaptive perfectionism: Developmental origins and association with depression proneness. Personality and Individual Differences, 33, 921–935.

    Article  Google Scholar 

  • Flett, G. L., Madorsky, D., Hewitt, P. L., & Heisel, M. J. (2002). Perfectionism cognitions, rumination, and psychological distress. Journal of Rational-Emotive & Cognitive-Behaviour Therapy, 20(1), 33–47.

    Article  Google Scholar 

  • Heppner, P. P., Reeder, B. L., & Larson, L. M. (1983). Cognitive variables associated with personal problem-solving appraisal: Implications for counseling. Journal of Counseling Psychology, 30(4), 537–545.

    Article  Google Scholar 

  • Hewitt, P. L., & Flett, G. L. (1991a). Dimensions of perfectionism in unipolar depression. Journal of Abnormal Psychology, 100(1), 98–101.

    Article  CAS  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go there you are: Mindfulness meditation in everyday life. New York: Hyperion.

    Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.

    Article  Google Scholar 

  • Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioural Medicine, 8, 163–190.

    Article  CAS  Google Scholar 

  • Kawamura, K. Y., Hunt, S. L., Frost, R. O., & Martin Dibartolo, P. (2001). Perfectionism, anxiety, and depression: Are the relationships independent? Cognitive Therapy and Research, 25(3), 291–301.

    Article  Google Scholar 

  • Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge-eating disorder. Journal of Health Psychology, 4, 357–363.

    Article  Google Scholar 

  • Linehan, M. M. (1993). Cognitive-behavioural treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.

    Google Scholar 

  • Mackinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104.

    Article  PubMed  Google Scholar 

  • Nezu, A. (1985). Differences in psychological distress between effective and ineffective problem solvers. Journal of Counseling Psychology, 32(1), 135–138.

    Article  Google Scholar 

  • Nezu, A. (1986). Negative life stress and anxiety: Problem solving as a mediator variable. Psychological reports, 58, 279–283.

    PubMed  CAS  Google Scholar 

  • Nezu, A. (1987). A problem-solving formulation of depression: A literature review and proposal of a pluralistic model. Clinical Psychology Review, 7, 121–144.

    Article  Google Scholar 

  • Periasamy, S., & Ashby, J. S. (2002). Multidimensional perfectionism and locus of control: Adaptive vs. maladaptive perfectionism. Journal for College Student Psychotherapy, 17(2), 75–86.

    Article  Google Scholar 

  • Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualisation of and treatment for generalised anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioural models. Clinical Psychology: Science and Practice, 9, 54–68.

    Article  Google Scholar 

  • Schwartz, J. M. (1996). Brain Lock. New York: Harper Collins.

    Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.

    Google Scholar 

  • Slaney, R. B., Ashby, J. S., & Trippi, J. (1995). Perfectionism: Its measurement and career relevance. Journal of Career Assessment, 3, 279–297.

    Article  Google Scholar 

  • Slaney, R. B., Rice, K. G., Mobley, M., Trippi, J., & Ashby, J. S. (2001). The revised almost perfect scale. Measurement and Evaluation in Counseling and Development, 34, 130–145.

    Google Scholar 

  • Stumpf, H., & Parker, W. D. (2000). A hierarchical structural analysis of perfectionism and its relation to other personality characteristics. Personality and Individual Differences, 28, 837–852.

    Article  Google Scholar 

  • Teasdale, J. D. (1999). Metacognition, mindfulness and the modification of mood disorders. Clinical Psychology and Psychotherapy, 6, 146–155.

    Article  Google Scholar 

  • Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, J. M., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 272–287.

    Article  Google Scholar 

  • Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623.

    Article  PubMed  CAS  Google Scholar 

  • Watkins, E., & Baracaia, S. (2002). Rumination and social problem-solving in depression. Behaviour Research and Therapy, 40, 1179–1189.

    Article  PubMed  Google Scholar 

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Correspondence to Geoffrey Argus.

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Argus, G., Thompson, M. Perceived Social Problem Solving, Perfectionism, and Mindful Awareness in Clinical Depression: An Exploratory Study. Cogn Ther Res 32, 745–757 (2008). https://doi.org/10.1007/s10608-006-9102-1

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  • DOI: https://doi.org/10.1007/s10608-006-9102-1

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