Understanding the role of perfectionism in contributing to internalizing symptoms in youth with juvenile idiopathic arthritis.
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| Title: | Understanding the role of perfectionism in contributing to internalizing symptoms in youth with juvenile idiopathic arthritis. |
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| Authors: | Brandelli, Yvonne N1,2 (AUTHOR), Mackinnon, Sean P1 (AUTHOR), Chambers, Christine T1,2,3 (AUTHOR), Parker, Jennifer A2 (AUTHOR), Huber, Adam M3,4 (AUTHOR), Stinson, Jennifer N5,6 (AUTHOR), Johnson, Shannon A1 (AUTHOR), Wilson, Jennifer P7 (AUTHOR) |
| Source: | Journal of Pediatric Psychology. Feb2025, Vol. 50 Issue 2, p175-186. 12p. |
| Subject Terms: | *Anxiety, *Internalizing behavior, *Defense mechanisms (Psychology), *Mental depression, *Teenagers, Perfectionism (Personality trait), Juvenile idiopathic arthritis, Self-report inventories |
| Abstract: | Objective Youth with juvenile idiopathic arthritis (JIA) experience elevated rates of internalizing symptoms, although more research is required to understand this phenomenon. Perfectionism, a multidimensional personality trait that involves dimensions such as striving for flawlessness (self-oriented perfectionism) and feeling that others demand perfection (socially-prescribed perfectionism), is a well-known risk factor for internalizing symptoms that has received minimal attention in pediatric populations. Preregistered hypotheses explored the relationships between youth and parent perfectionism and symptoms of depression and anxiety in youth with JIA, as mediated by (a) youth/parent negative self-evaluations and (b) youth self-concealment. Methods One hundred fifty-six dyads comprised of youth (13–18 years) with JIA and a caregiver completed online questionnaires about trait perfectionism, negative self-evaluations (i.e. pain catastrophizing and fear of pain), self-concealment, and internalizing symptoms. Results Positive relationships were observed between parent/youth self-oriented perfectionism and negative self-evaluations, youth self-oriented perfectionism and internalizing symptoms, and youth negative self-evaluations and internalizing symptoms. Parent self-oriented perfectionism was negatively related to youth depression symptoms. Indirect effects were observed for youth self-oriented perfectionism predicting anxiety and depression symptoms through pain catastrophizing (a1b1 = 0.13 and 0.12, 95% CI [.03,.24 and.03,.22], respectively). Exploratory mediations suggested youth socially-prescribed perfectionism might predict internalizing symptoms directly and indirectly through self-concealment. Conclusion Youth and parent perfectionism are implicated in the internalizing symptoms of youth with JIA and may manifest through youth negative self-evaluations (e.g. catastrophic thoughts) and self-concealment. While future research is needed, screening for perfectionistic tendencies in this population may help guide assessment, prevention, and treatment efforts. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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| Abstract: | Objective Youth with juvenile idiopathic arthritis (JIA) experience elevated rates of internalizing symptoms, although more research is required to understand this phenomenon. Perfectionism, a multidimensional personality trait that involves dimensions such as striving for flawlessness (self-oriented perfectionism) and feeling that others demand perfection (socially-prescribed perfectionism), is a well-known risk factor for internalizing symptoms that has received minimal attention in pediatric populations. Preregistered hypotheses explored the relationships between youth and parent perfectionism and symptoms of depression and anxiety in youth with JIA, as mediated by (a) youth/parent negative self-evaluations and (b) youth self-concealment. Methods One hundred fifty-six dyads comprised of youth (13–18 years) with JIA and a caregiver completed online questionnaires about trait perfectionism, negative self-evaluations (i.e. pain catastrophizing and fear of pain), self-concealment, and internalizing symptoms. Results Positive relationships were observed between parent/youth self-oriented perfectionism and negative self-evaluations, youth self-oriented perfectionism and internalizing symptoms, and youth negative self-evaluations and internalizing symptoms. Parent self-oriented perfectionism was negatively related to youth depression symptoms. Indirect effects were observed for youth self-oriented perfectionism predicting anxiety and depression symptoms through pain catastrophizing (a1b1 = 0.13 and 0.12, 95% CI [.03,.24 and.03,.22], respectively). Exploratory mediations suggested youth socially-prescribed perfectionism might predict internalizing symptoms directly and indirectly through self-concealment. Conclusion Youth and parent perfectionism are implicated in the internalizing symptoms of youth with JIA and may manifest through youth negative self-evaluations (e.g. catastrophic thoughts) and self-concealment. While future research is needed, screening for perfectionistic tendencies in this population may help guide assessment, prevention, and treatment efforts. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01468693 |
| DOI: | 10.1093/jpepsy/jsae100 |
