Abstract
The present study sought to illuminate self-criticism and personal standards dimensions of perfectionism and dependency as
specific cognitive-personality vulnerability factors that might contribute to a better understanding of numerous psychosocial
problem areas that are relevant to coronary artery disease (CAD). One hundred and twenty-three patients diagnosed with clinically
significant CAD completed self-report questionnaires. Zero-order correlations and factor analysis results revealed that self-criticism
was primarily related to personality vulnerability (aggression/anger/hostility, Type D negative affectivity) and psychosocial
maladjustment (depressive symptoms, worry, avoidant coping, support dissatisfaction), whereas personal standards was primarily
related to adaptive coping (problem-focused coping, positive reinterpretation) and dependency was primarily related to worry.
Hierarchical regression results demonstrated the incremental utility of self-criticism, personal standards, and dependency
in relation to (mal)adjustment over and above aggression/anger/hostility, negative affectivity, and social inhibition. Continued
efforts to understand the role of perfectionism dimensions and dependency in CAD appear warranted.
specific cognitive-personality vulnerability factors that might contribute to a better understanding of numerous psychosocial
problem areas that are relevant to coronary artery disease (CAD). One hundred and twenty-three patients diagnosed with clinically
significant CAD completed self-report questionnaires. Zero-order correlations and factor analysis results revealed that self-criticism
was primarily related to personality vulnerability (aggression/anger/hostility, Type D negative affectivity) and psychosocial
maladjustment (depressive symptoms, worry, avoidant coping, support dissatisfaction), whereas personal standards was primarily
related to adaptive coping (problem-focused coping, positive reinterpretation) and dependency was primarily related to worry.
Hierarchical regression results demonstrated the incremental utility of self-criticism, personal standards, and dependency
in relation to (mal)adjustment over and above aggression/anger/hostility, negative affectivity, and social inhibition. Continued
efforts to understand the role of perfectionism dimensions and dependency in CAD appear warranted.
- Content Type Journal Article
- Pages 1-13
- DOI 10.1007/s10880-011-9271-2
- Authors
- David M. Dunkley, Department of Psychiatry, Institute of Community and Family Psychiatry, Lady Davis Institute, SMBD Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, QC H3T 1E4, Canada
- Deborah Schwartzman, Department of Psychiatry, Institute of Community and Family Psychiatry, Lady Davis Institute, SMBD Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, QC H3T 1E4, Canada
- Karl J. Looper, Department of Psychiatry, Institute of Community and Family Psychiatry, Lady Davis Institute, SMBD Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, QC H3T 1E4, Canada
- John J. Sigal, Department of Psychiatry, Institute of Community and Family Psychiatry, Lady Davis Institute, SMBD Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, QC H3T 1E4, Canada
- Andrena Pierre, Department of Psychiatry, Institute of Community and Family Psychiatry, Lady Davis Institute, SMBD Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, QC H3T 1E4, Canada
- Mark A. Kotowycz, Division of Cardiology, SMBD Jewish General Hospital, Montreal, QC, Canada
- Journal Journal of Clinical Psychology in Medical Settings
- Online ISSN 1573-3572
- Print ISSN 1068-9583