Perfectionism, Anxiety, and Depressive Distress: Evidence for the Mediating Role of Negative Automatic Thoughts and Anxiety Sensitivity
Open accessAbstract
OBJECTIVE: This study assessed a mediational model in which negative automatic thoughts and anxiety sensitivity were hypothesized to mediate the relationship between perfectionism cognitions and depressive and anxiety symptoms. PARTICIPANTS: Participants were undergraduate students from an urban Canadian university. The data were collected from July 2009 to August 2010. METHODS: In a cross-sectional evaluation, 992 undergraduate participants completed questionnaires that assessed perfectionism cognitions, negative automatic thinking, anxiety sensitivity, and anxiety and depressive symptoms. RESULTS: Mediational analysis confirmed the role of anxiety sensitivity and negative automatic thoughts in mediating the association between perfectionistic cognitions, anxiety symptoms, and depressive distress. Furthermore, in line with previous studies, nearly a third of students displayed an elevated prevalence of anxiety and depressive symptoms. CONCLUSIONS: This study further clarified the associations and mediating relationships among mood states associated with perfectionism.
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Negative self-referential thoughts constitute a risk factor for depression, anxiety, and eating disorders.
“and constitute a risk factor for depression, anxiety [89], and eating disorders [90]”
From Optimization of a Transdiagnostic Mobile Emotion Regulation Intervention for University Students: Protocol for a Microrandomized Trial (2023) · cites this paper as [89]
The COMMENT section reports that negative automatic thoughts mediated associations between perfectionistic cognitions and depression and anxiety symptoms. But the Limitations section says the cross-sectional mediation model cannot establish causal relationships, so calling these thoughts a risk factor overstates the evidence. The eating-disorders claim carries a separate citation and is not judged here. (LLM, conf=0.87)
Experimental — accuracy not yet measuredMany students experience maladaptive perfectionistic tendencies characterized by unrealistic expectations of oneself and problematic evaluations of self-worth and performance.
“many students experience maladaptive perfectionistic tendencies characterized by unrealistic expectations of oneself and problematic evaluations of self-worth and performance [89]”
From Optimization of a Transdiagnostic Mobile Emotion Regulation Intervention for University Students: Protocol for a Microrandomized Trial (2023) · cites this paper as [89]
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- Authors
- Pirbaglou, M., Cribbie, R., Irvine, J., Radhu, N., Vora, K., & Ritvo, P.
- Affiliations
- York University (CA)
- Centre for Addiction and Mental Health (CA)
- Venue
- Journal of American College Health
- Publisher
- Informa UK Limited
- Published
- 2013-10-23
- Volume
- 61
- Issue
- 8
- Pages
- 477-483
- ISSN
- 0164-4300 (ISSN-L)
- 0744-8481
- 1940-3208
- OpenAlex
- W2085926189
- Cited by
- 53
- References
- 44
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 9 · 2022: 5 · 2021: 3 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 8 · 2016: 5 · 2015: 3 · 2014: 1
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of American College Health (publishedVersion)
- PubMed (publishedVersion)
- YorkSpace (York University) (submittedVersion)
- 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 › Developmental and Educational Psychology › Student Stress and Coping
- Keywords
- perfectionism, negative automatic thoughts, anxiety sensitivity, anxiety symptoms, depressive symptoms, perfectionistic cognitions, mediation, university students, mood states
- MeSH terms
- Adolescent, Adult, Anxiety, Cross-Sectional Studies, Depression, Female, Helplessness, Learned, Humans, Male, Middle Aged, Ontario, Personality, Self Concept, Students, Universities, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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