The Effect of Perfectionism and Unconditional Self-acceptance on Depression



The study examined the relationships between perfectionism, unconditional self-acceptance and depression. The non-clinical sample comprised 134 participants, each of whom completed a battery of questionnaires, including the Unconditional Self-Acceptance Questionnaire (USAQ), the Center for Epidemiological Studies Depression Inventory (CES-D) and several measures of perfectionism. Significant levels of association were found between all measures, and support was provided for the concept of perfectionism as having a neutral core, distinguishable from its consequences, and for the theory that it is the negative consequences of perfectionism, rather than perfectionism per se, that lead to depression. Path Analysis provided support for the mediator model proposed by Flett et al. [Flett, G. L., Besser, A., Davis, R. A., Hewitt, P. L. (2003). Journal of Rational-Emotive & Cognitive-Behavior Therapy, 21, 119–138], in which unconditional self-acceptance mediates the effect of socially prescribed perfectionism on depression, and for a more generic model, in which the core construct of perfectionism can have negative consequences, which lead to low levels of unconditional self-acceptance, and thence to depression. Finally, a distinction was drawn between developmental and operational models of perfectionism.


perfectionism MPS PQ unconditional self-acceptance USAQ self-esteem depression CES-D 


  1. Ashby J. S., Rice K. G. (2002). Perfectionism, dysfunctional attitudes, and self-esteem: A structural equations analysis. Journal of Counseling and Development 80: 197–203Google Scholar
  2. Baron R. M., Kenny D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology 51(6):1173–1182PubMedCrossRefGoogle Scholar
  3. Bentler P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin 107: 238–246PubMedCrossRefGoogle Scholar
  4. Bentler P. M., Bonett D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin 88: 588–606CrossRefGoogle Scholar
  5. Bieling P. J., Israeli A. L., Antony M. M. (2004). Is perfectionism good, bad, or both? Examining models of the perfectionism construct. Personality and Individual Differences 36: 1373–1385CrossRefGoogle Scholar
  6. Blatt S. J., Zuroff D. C., Bondi C. M., Sanislow C. A., Pilkonis P. A. (1998). When and how perfectionism impedes the brief treatment of depression: further analyses of the National Institute of Mental Health treatment of depression collaborative research program. Journal of Counseling and Clinical Psychology 66(2): 423–428CrossRefGoogle Scholar
  7. Brown J. D. (1998). The self. New York: McGraw-HillGoogle Scholar
  8. Chamberlain J. M., Haaga D. A. F. (2001). Unconditional self-acceptance and responses to negative feedback. Journal of Rational-Emotive & Cognitive-Behavior Therapy 19(3): 163–176CrossRefGoogle Scholar
  9. Cox B. J., Enns M. W., Clara I. P. (2002). The multidimensional structure of perfectionism in clinically distressed and college student samples. Psychological Assessment 14(3): 365–373PubMedCrossRefGoogle Scholar
  10. Dunkley D. M., Blankstein K. R., Halsall J., Williams M., Winkworth G. (2000). The relation between perfectionism and distress: Hassles, coping, and perceived social support as mediators and moderators. Journal of Counseling Psychology 47(4): 437–453CrossRefGoogle Scholar
  11. Ellis A. (2003). The relationship of rational-emotive behavior therapy (REBT) to social psychology. Journal of Rational-Emotive & Cognitive-Behavior Therapy 21(1): 5–20CrossRefGoogle Scholar
  12. Enns M. W., Cox B. J. (2002). The nature and assessment of perfectionism: A critical analysis. In: Flett G. L., Hewitt P. L. (Eds.) Perfectionism: Theory, research and treatment. Washington DC: American Psychological Association (pp 33–62)CrossRefGoogle Scholar
  13. Flett G. L., Hewitt P. L. (2002). Perfectionism and maladjustment: An overview of theoretical, definitional, and treatment issues. In: Flett G. L., Hewitt P. L. (Eds.) Perfectionism: Theory, research and treatment. Washington DC: American Psychological Association (pp 5–31)CrossRefGoogle Scholar
  14. Flett G. L., Besser A., Davis R. A., Hewitt P. L. (2003). Dimensions of perfectionism, unconditional self-acceptance, and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy 21: 119–138CrossRefGoogle Scholar
  15. Flett G. L., Hewitt P. L., Oliver J. M., MacDonald S. (2002). Perfectionism in children and their parents: A developmental analysis. In: Flett G. L., Hewitt P. L. (Eds.) Perfectionism: Theory, research and treatment. Washington DC: American Psychological Association (pp 89–132)CrossRefGoogle Scholar
  16. Frost R. O., Steketee G. (1997). Perfectionism in obsessive-compulsive disorder patients. Behaviour Research and Therapy 35(4): 291–296PubMedCrossRefGoogle Scholar
  17. Frost R. O., Heimberg R. G., Holt C. S., Mattia J. I., Neubauer A. L. (1993) A comparison of two measures of perfectionism. Personality and Individual Differences 14: 119–126CrossRefGoogle Scholar
  18. Frost R. O., Marten P., Lahart C., Rosenblate R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research 14(5): 449–464CrossRefGoogle Scholar
  19. Garner D. M., Olmstead M. P., Polivy J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders 2:15–34Google Scholar
  20. Grimm L. G., Yarnold P. R. (1997). Reading and understanding multivariate statistics. Washington DC: American Psychological AssociationGoogle Scholar
  21. Hewitt P. L., Flett G. L. (1991a). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology 60(3): 456–470CrossRefGoogle Scholar
  22. Hewitt P. L., Flett G. L. (1991b). Dimensions of perfectionism in unipolar depression. Journal of Abnormal Psychology 100(1): 98–101CrossRefGoogle Scholar
  23. Hewitt P. L., Flett G. L. (1993). Dimensions of perfectionism, daily stress and depression: A test of the specific vulnerability hypothesis. Journal of Abnormal Psychology 102(1): 58–65PubMedCrossRefGoogle Scholar
  24. Hewitt P. L., Flett G. L., Ediger E. (1996). Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis. Journal of Abnormal Psychology 105(2): 276–280PubMedCrossRefGoogle Scholar
  25. Hill R. W., Huelsman T. J., Furr R. M., Kibler J., Vicente B. B., Kennedy C. (2004). A new measure of perfectionism: The Perfectionism Inventory. Journal of Personality Assessment 82(1): 80–91PubMedCrossRefGoogle Scholar
  26. Horney K. (1950). Neurosis and Human Growth: the struggle towards self-realization. New York: W. W. Norton & CoGoogle Scholar
  27. Jöreskog K. G., Sörbom D. (1993) LISREL 8 user’s reference guide. Chicago: Scientific Software InternationalGoogle Scholar
  28. Lynd-Stevenson R. M., Hearne C. M. (1999). Perfectionism and depressive affect: The pros and cons of being a perfectionist. Personality and Individual Differences 26: 549–562CrossRefGoogle Scholar
  29. Pacht, A. R. (1984). Reflections on perfectionism. American Psychologist, 39, 386–390. CrossRefGoogle Scholar
  30. Preusser K. J., Rice K. G., Ashby J. S. (1994). The role of self-esteem in mediating the perfectionism-depression connection. Journal of College Student Development 35: 88–93 (Copy provided in personal communication from K. G. Rice)Google Scholar
  31. Radloff L. S. (1977). The CES-D Scale: A self-report measure depression scale for research in the general population. Applied Psychological Measurement 1: 385–401Google Scholar
  32. Rhéaume J., Freeston M. H., Dugas M. J., Letarte H., Ladouceur R. (1995a). Perfectionism, responsibility and obsessive-compulsive symptoms. Behaviour Research and Therapy 33(7): 785–794CrossRefGoogle Scholar
  33. Rhéaume, J., Freeston, M. H., & Ladouceur, R. (1995b). Functional and dysfunctional perfectionism: Construct validity of a new instrument. Paper presented at the World Congress of Behavioural and Cognitive Therapies. Copenhagen, Denmark, July 1995Google Scholar
  34. Rhéaume J., Ladouceur R., Freeston M. H. (2000). The prediction of obsessive-compulsive tendencies: Does perfectionism play a significant role? Personality and Individual Differences 28: 583–592CrossRefGoogle Scholar
  35. Rice, K. G., Ashby, J. S., & Slaney, R. B. (1988). Self-esteem as a mediator between perfectionism and depression: A structural equations analysis. Journal of Counseling Psychology, 45(3), 304–314.CrossRefGoogle Scholar
  36. Rogers C. R. (1996). Client-centred therapy. Bury St Edmunds: St Edmundsbury PressGoogle Scholar
  37. White C., Schweitzer R. (2000). The role of personality in the development and perpetuation of chronic fatigue syndrome. Journal of Psychosomatic Research 48: 515–524PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  1. 1.University of WarwickCoventryUK

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