Perfectionism, depression and anxiety in chronic fatigue syndrome: A systematic review
| Autor: | Nita Baker, Louise O'Rourke, MG Cherry, Amelia Wright, Peter Fisher |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Cross-Cultural Comparison Male Maladaptive perfectionism Adolescent Anxiety medicine.disease_cause Young Adult 03 medical and health sciences 0302 clinical medicine Chronic fatigue syndrome Humans Medicine Longitudinal Studies 030212 general & internal medicine Risk factor Depression (differential diagnoses) Aged Fatigue Syndrome Chronic Cognitive Symptoms Depression business.industry Perfectionism (psychology) Middle Aged medicine.disease Mental health Psychiatry and Mental health Clinical Psychology Female Perfectionism medicine.symptom business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | JOURNAL OF PSYCHOSOMATIC RESEARCH |
| Popis: | High levels of depression and anxiety are experienced alongside Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME). Psychological causal and maintenance factors are not well-understood. Perfectionism is a multifactorial, transdiagnostic risk factor for various physical and mental health conditions. This systematic review assesses the association between perfectionism and depression and/or anxiety in people with CFS/ME.Systematic literature searches used a combination of terms for 'perfectionism', 'depression', 'anxiety' and 'CFS/ME'. Peer-reviewed English-language papers reporting quantitative data regarding the relationship between perfectionism and depression and/or anxiety in adults (aged 18-65 years) with a clinical diagnosis of CFS/ME were included. Screening, selection and assessment of risk of bias was completed independently by two authors. Bivariate and multivariate associations between perfectionism and anxiety and depression were extracted. Data were synthesised narratively.Seven studies, reported in eight papers, were included. Seven examined the relationship between perfectionism and depression. Moderate-strong significant positive associations were found between depression and maladaptive perfectionism (r = 0.42 to .48, p .01), and its component factors of concern over mistakes (r = 0.40 to .60, p .01) and doubts about actions (r = 0.51 to .60, p .01). Methodological limitations included sample size justification and selection, psychometric measures, and control of potential confounders.Maladaptive perfectionism is consistently associated with depression in patients with CFS/ME. The relationship between perfectionism and anxiety is under-researched. Corroboration is required from longitudinal, cross-cultural studies. Clinical understanding may be increased through examining the interplay between maladaptive perfectionism, depression and anxiety and the physical and cognitive symptoms of CFS/ME. |
| Databáze: | OpenAIRE |
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