title: Perfectionism dimensions and dependency in relation to personality vulnerability and psychosocial adjustment in patients with coronary artery disease.
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.
authors.affiliation: 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. david.dunkley@mail.mcgill.ca
authors.forename: David M
authors.initials: DM
authors.lastname: Dunkley
authors.forename: Deborah
authors.initials: D
authors.lastname: Schwartzman
authors.forename: Karl J
authors.initials: KJ
authors.lastname: Looper
authors.forename: John J
authors.initials: JJ
authors.lastname: Sigal
authors.forename: Andrena
authors.initials: A
authors.lastname: Pierre
authors.forename: Mark A
authors.initials: MA
authors.lastname: Kotowycz
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D003327:Coronary Disease / Q000523:psychology*; D003858:Dependency, Psychological; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D010551:Personality; D011792:Quebec; D012647:Self-Assessment
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