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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.
Authors: Brandelli, Yvonne N (AUTHOR), Mackinnon, Sean P (AUTHOR), Chambers, Christine T (AUTHOR), Parker, Jennifer A (AUTHOR), Huber, Adam M (AUTHOR), Stinson, Jennifer N (AUTHOR), Johnson, Shannon A (AUTHOR), Wilson, Jennifer P (AUTHOR)
Source: Journal of Pediatric Psychology. Feb2025, Vol. 50 Issue 2, p175-186. 12p.
Subjects: Perfectionism (Personality trait), Juvenile idiopathic arthritis, Anxiety, Internalizing behavior, Defense mechanisms (Psychology), Mental depression, Self-report inventories, Teenagers
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]
Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Understanding the role of perfectionism in contributing to internalizing symptoms in youth with juvenile idiopathic arthritis.
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  Data: <searchLink fieldCode="AR" term="%22Brandelli%2C+Yvonne+N%22">Brandelli, Yvonne N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mackinnon%2C+Sean+P%22">Mackinnon, Sean P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chambers%2C+Christine+T%22">Chambers, Christine T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Parker%2C+Jennifer+A%22">Parker, Jennifer A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huber%2C+Adam+M%22">Huber, Adam M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stinson%2C+Jennifer+N%22">Stinson, Jennifer N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Johnson%2C+Shannon+A%22">Johnson, Shannon A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilson%2C+Jennifer+P%22">Wilson, Jennifer P</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Feb2025, Vol. 50 Issue 2, p175-186. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Perfectionism+%28Personality+trait%29%22">Perfectionism (Personality trait)</searchLink><br /><searchLink fieldCode="DE" term="%22Juvenile+idiopathic+arthritis%22">Juvenile idiopathic arthritis</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Internalizing+behavior%22">Internalizing behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Defense+mechanisms+%28Psychology%29%22">Defense mechanisms (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Self-report+inventories%22">Self-report inventories</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers%22">Teenagers</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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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  Label:
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  Data: <i>Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1093/jpepsy/jsae100
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 175
    Subjects:
      – SubjectFull: Perfectionism (Personality trait)
        Type: general
      – SubjectFull: Juvenile idiopathic arthritis
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Internalizing behavior
        Type: general
      – SubjectFull: Defense mechanisms (Psychology)
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Self-report inventories
        Type: general
      – SubjectFull: Teenagers
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      – TitleFull: Understanding the role of perfectionism in contributing to internalizing symptoms in youth with juvenile idiopathic arthritis.
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              M: 02
              Text: Feb2025
              Type: published
              Y: 2025
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