Selective attention in perfectionism: Dissociating valence from perfectionism-relevance
Abstract
Background and objectives Maladaptive perfectionism has been identified as a predisposing and perpetuating factor for a range of disorders, including eating, anxiety, and mood disorders. An influential model of perfectionism, put forward by Shafran, Cooper, and Fairburn (2002), proposes that high perfectionism reflects an attentional bias that operates to afford greater attention to negative information than to positive information, when this information is perfectionism-relevant. The present study is the first to experimentally test this hypothesis..Method The present study assessed the type of stimuli that high perfectionists (n = 31) preferentially attend to compared to low perfectionists (n = 25) within a non-clinical population. Using an attentional probe task, we compared high and low perfectionist attentional responding to stimulus words that differed in terms of their emotional valence (positive vs. negative) and perfectionism-relevance (perfectionism-relevant vs. -irrelevant).Results Analysis revealed that, unlike low perfectionists, high perfectionists displayed greater attentional preference to negative than to positive information, but only for perfectionism-relevant stimuli..Limitations The implications must be considered within the limitations of the present study. The present study did not assess clinical participants, as such conclusions cannot be made regarding attentional bias that characterize clinical disorders in which perfectionism is identified as a predisposing and perpetuating factor.Conclusions Theoretically, the attentional dot-probe task lends weight to the cognitive-behavioral model of clinical perfectionism, which proposed a biased attentional processing of negative perfectionism relevant stimuli within perfectionism. This conclusion was previously based on clinical impressions, whereas the present study used an objective performance measure. Clinically, therapists should take this attentional bias into account when planning treatments that involve targeting perfectionism..
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Other experimental studies using attention and interpretation bias paradigms have found support for the cognitive behavioural model of perfectionism.
“Other experimental studies using attention and interpretation bias paradigms have also found support for the cognitive behavioural model of perfectionism (Howell et al., 2016, 2019; Tonta et al., 2019).”
From Coming of age: A reflection of the first 21 years of cognitive behaviour therapy for perfectionism (2023) · cites this paper as Howell et al., 2016
Cites
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007) · Behavior Research Methods · doi:10.3758/bf03193146 · Cited by 65,971 · see citing works
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523 · see citing works
Telling more than we can know: Verbal reports on mental processes.
Nisbett, R. E., & Wilson, T. D. (1977) · Psychological Review · doi:10.1037/0033-295x.84.3.231 · Cited by 11,317 · see citing works
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998) · Psychological Assessment · doi:10.1037/1040-3590.10.2.176 · Cited by 4,874 · see citing works
The dimensions of perfectionism
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990) · Cognitive Therapy and Research · doi:10.1007/bf01172967 · Cited by 4,279 · see citing works
Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.1.1 · Cited by 3,721 · see citing works
Hewitt, P. L., & Flett, G. L. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.60.3.456 · Cited by 3,378 · cited 1× · see citing works
“Specifically, in this study, Kobori and Tanno (2012) screened 243 undergraduate students on the self-oriented perfectionism subscale of the Hewitt and Flett Multidimensional Perfectionism scale (HMPS; Hewitt & Flett, 1991).”
BackgroundCognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00088-8 · Cited by 3,374 · see citing works
Attentional bias in emotional disorders
MacLeod, C., Mathews, A., & Tata, P. (1986) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.95.1.15 · Cited by 3,152 · see citing works
Self-citationBrysbaert, M., & New, B. (2009) · Behavior Research Methods · doi:10.3758/brm.41.4.977 · Cited by 2,821 · see citing works
Mediators and Moderators of Treatment Effects in Randomized Clinical Trials
Kraemer, H. C., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.10.877 · Cited by 2,562 · see citing works
Attentional bias in emotional disorders.
MacLeod, C., Mathews, A., & Tata, P. R. (1986) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.95.1.15 · Cited by 2,553 · see citing works
A Comparison of Two Measures of Perfectionism
Frost, R. O., Heimberg, R. G., Holt, C. S., Mattia, J. I., & Neubauer, A. L. (1993) · Personality and Individual Differences · doi:10.1016/0191-8869(93)90181-2 · Cited by 1,194 · see citing works
Clinical perfectionism: A cognitive behavioural analysis
Shafran, R., Cooper, Z., & Fairburn, C. G. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00059-6 · Cited by 984 · see citing works
(2004) · Cited by 964 · see citing works
Perfectionism as a transdiagnostic process: A clinical review
Egan, S. J., Wade, T. D., & Shafran, R. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.04.009 · Cited by 961 · see citing works
Use of the Extreme Groups Approach: A Critical Reexamination and New Recommendations.
Preacher, K. J., Rucker, D. D., MacCallum, R. C., & Nicewander, W. A. (2005) · Psychological Methods · doi:10.1037/1082-989x.10.2.178 · Cited by 732 · see citing works
A meta-analysis of the magnitude of biased attention in depression
Peckham, A. D., McHugh, R. K., & Otto, M. W. (2010) · Depression and Anxiety · doi:10.1002/da.20755 · Cited by 647 · see citing works
Cognitive Bias Modification Approaches to Anxiety
MacLeod, C., & Mathews, A. (2012) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032511-143052 · Cited by 601 · see citing works
A rational look at the emotional Stroop phenomenon: a generic slowdown, not a Stroop effect
Algom, D., Chajut, E., & Lev, S. (2004) · Journal of Experimental Psychology General · doi:10.1037/0096-3445.133.3.323 · Cited by 565 · see citing works
Generalized Linear Mixed Models
Stroup, W. W. (2016) · CRC Press eBooks · doi:10.1201/b13151 · Cited by 445 · see citing works
Hollender, M. H. (1965) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(65)80016-5 · Cited by 308 · see citing works
Can psychological interventions reduce perfectionism? A systematic review and meta-analysis
Lloyd, S., Schmidt, U., Khondoker, M., & Tchanturia, K. (2015) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465814000162 · Cited by 209 · see citing works
Cognitive-Behavioral Treatment for Perfectionism
Egan, S. J., & Shafran, R. (2017) · The Psychology of Perfectionism · doi:10.4324/9781315536255-19 · Cited by 181 · see citing works
Self-citationRiley, C., Lee, M., Cooper, Z., Fairburn, C. G., & Shafran, R. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.12.003 · Cited by 142 · see citing works
Grafton, B., & MacLeod, C. (2014) · Cognition & Emotion · doi:10.1080/02699931.2014.881326 · Cited by 138 · see citing works
Steele, A. L., & Wade, T. D. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.09.006 · Cited by 126 · see citing works
Egan, S. J., van Noort, E., Chee, A., Kane, R. T., Hoiles, K. J., Shafran, R., & Wade, T. D. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.09.009 · Cited by 101 · see citing works
A Randomised Controlled Trial of Group Cognitive Behavioural Therapy for Perfectionism
Handley, A. K., Egan, S. J., Kane, R. T., & Rees, C. S. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.02.006 · Cited by 99 · see citing works
Attenuation of attention bias in obsessive–compulsive disorder
Amir, N., Najmi, S., & Morrison, A. S. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.10.020 · Cited by 93 · see citing works
Patterns of Reassurance Seeking and Reassurance-Related Behaviours in OCD and Anxiety Disorders
Kobori, O., & Salkovskis, P. M. (2012) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465812000665 · Cited by 91 · see citing works
Egan, S. J., Shafran, R., Lee, M., Fairburn, C. G., Cooper, Z., Doll, H. A., Palmer, R. L., & Watson, H. J. (2016) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465814000629 · Cited by 90 · see citing works
Overcoming perfectionism: A self-help guide using cognitive behavioural techniques
Shafran, R., Egan, S. J., & Wade, T. D. (2010) · Cited by 89 · see citing works
Perfectionism as an Explanatory Construct in Comorbidity of Axis I Disorders
Bieling, P., Summerfeldt, L. J., Israeli, A. L., & Antony, M. M. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000022112.27186.98 · Cited by 74 · see citing works
Cognitive avoidance and attentional bias: Causal relationships
Lavy, E. H., & van den Hout, M. (1994) · Cognitive Therapy and Research · doi:10.1007/bf02357223 · Cited by 73 · see citing works
A preliminary evaluation of cognitive‐behaviour therapy for clinical perfectionism: A case series
Glover, D. S., Brown, G. P., Fairburn, C. G., & Shafran, R. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466506x117388 · Cited by 69 · see citing works
Biased interpretation in perfectionism and its modification
Yiend, J., Savulich, G., Coughtrey, A., & Shafran, R. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.10.004 · Cited by 59 · see citing works
The structure and reliability of the Clinical Perfectionism Questionnaire
Dickie, L., Surgenor, L. J., Wilson, M., & McDowall, J. (2012) · Personality and Individual Differences · doi:10.1016/j.paid.2012.02.003 · Cited by 56 · see citing works
Steele, A. L., Waite, S., Egan, S. J., Finnigan, J., Handley, A. K., & Wade, T. D. (2012) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465812000628 · Cited by 56 · see citing works
Cognition in Clinical Psychology: Measures, Methods or Models?
MacLeod, C. (1993) · Behaviour Change · doi:10.1017/s0813483900005519 · Cited by 53 · see citing works
Cognitive Behavioural Treatment of Perfectionism: A Single Case Experimental Design Series
Egan, S. J., & Hine, P. (2008) · Behaviour Change · doi:10.1375/bech.25.4.245 · Cited by 52 · see citing works
The transdiagnostic process of perfectionism = El proceso transdiagnóstico del perfeccionismo
Egan, S. J., Wade, T. D., & Shafran, R. (2012) · Revista de Psicopatología y Psicología Clínica · doi:10.5944/rppc.vol.17.num.3.2012.11844 · Cited by 45 · see citing works
The transdiagnostic process of perfectionism
Egan, S. J., Wade, T. D., & Shafran, R. (2012) · eSpace (Curtin University) · Cited by 35 · see citing works
Grafton, B., Watkins, E. R., & MacLeod, C. (2012) · Journal of Cognitive Psychology · doi:10.1080/20445911.2011.578066 · Cited by 30 · see citing works
Perfectionism, efficiency, and response bias in proof-reading performance: Extension and replication
Stoeber, J. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.10.021 · Cited by 21 · see citing works
Kobori, O., & Tanno, Y. (2012) · Japanese Psychological Research · doi:10.1111/j.1468-5884.2012.00514.x · Cited by 12 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
An examination of emotion dysregulation in maladaptive perfectionism
Malivoire, B. L., Kuo, J. R., & Antony, M. M. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.04.006 · Cited by 70 · see citing works
Grafton, B., Teng, S. S. W., & MacLeod, C. (2021) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.103805 · Cited by 36 · see citing works
Coming of age: A reflection of the first 21 years of cognitive behaviour therapy for perfectionism
Shafran, R., Egan, S. J., & Wade, T. D. (2023) · Behaviour Research and Therapy · doi:10.1016/j.brat.2023.104258 · Cited by 30 · see citing works
Tonta, K. E., Boyes, M. E., Howell, J. A., McEvoy, P. M., Johnson, A. R., & Hasking, P. A. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23315 · Cited by 21 · see citing works
Internet-delivered cognitive behavioural therapy for perfectionism: Targeting dysmorphic concern
Johnson, S., Egan, S. J., Andersson, G., Carlbring, P., Shafran, R., & Wade, T. D. (2019) · Body Image · doi:10.1016/j.bodyim.2019.05.002 · Cited by 19 · see citing works
Tonta, K. E., Howell, J. A., Hasking, P. A., Boyes, M. E., & Clarke, P. J. F. (2019) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2019.02.009 · Cited by 15 · see citing works
Tonta, K. E., Howell, J. A., Boyes, M. E., McEvoy, P. M., & Hasking, P. A. (2023) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2023.101856 · Cited by 8 · see citing works
Biased interpretation in perfectionistic concerns: an experimental investigation
Howell, J. A., McEvoy, P. M., Grafton, B., Macleod, C., Kane, R. T., Anderson, R. A., & Egan, S. J. (2019) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2019.1586888 · Cited by 7 · see citing works
Cludius, B., Landmann, S., Külz, A.-K., Takano, K., Moritz, S., & Jelinek, L. (2022) · PLoS ONE · doi:10.1371/journal.pone.0270184 · Cited by 9 · see citing works
Johnson, S., Williamson, P., & Wade, T. D. (2019) · Australian Psychologist · doi:10.1111/ap.12423 · Cited by 7 · see citing works
Jahani, H. J. G., Ehsanikenari, A., & Sharif, A. S. (2018) · Emerging Science Journal · doi:10.28991/esj-2018-01158 · Cited by 7 · see citing works
Revisión teórica sobre el perfil cognitivo del perfeccionismo desadaptativo
Chemisquy, S. N. (2018) · Apuntes Universitarios · doi:10.17162/au.v8i1.177 · Cited by 6 · see citing works
Attentional Bias for Imperfect Pictures in Perfectionism: An Eye-Movement Study
Li, J., Liu, X., Yu, B., Tang, W., & Liu, X. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.566482 · Cited by 5 · see citing works
Aktepe, İ., & TOLAN, Ö. Ç. (2021) · Kalem Uluslararasi Egitim ve Insan Bilimleri Dergisi · doi:10.23863/kalem.2021.198
徐, 俊. (2022) · Advances in Social Sciences · doi:10.12677/ass.2022.113125
Revisión teórica sobre el perfil cognitivo del perfeccionismo desadaptativo.
Chemisquy, S. N. (2018) · Apuntes Universitarios · doi:10.17162/au.v8i1.163
黄, 文. (2025) · Advances in Social Sciences · doi:10.12677/ass.2025.143195
- Authors
- Howell, J. A., McEvoy, P. M., Grafton, B., Macleod, C., Kane, R. T., Anderson, R. A., & Egan, S. J.
- Affiliations
- Curtin University (AU)
- The University of Western Australia (AU)
- Corresponding author
- Howell, Joel A.
- ORCID
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 51
- Pages
- 100-108
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2233987656
- Cited by
- 20
- References
- 45
- Citations by year
- 2025: 1 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 3
- FWCI
- 3.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- Funders
- Australian Research Council (DP140104448, DP140103713)
- Romanian National Authority for Scientific Research (PNII-ID-PCCE-2011-2-0045)
- CNCS
- UEFISCDI
- Topics
- Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- maladaptive perfectionism, attentional bias, emotional valence, negative information processing
- MeSH terms
- Adolescent, Adult, Analysis of Variance, Anxiety, Attention, Depression, Dissociative Disorders, Female, Humans, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Bias, Young Adult
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