title: Perfectionism, anxiety, and depressive distress: evidence for the mediating role of negative automatic thoughts and anxiety sensitivity.
abstract: OBJECTIVE
  This study assessed a mediational model in which negative automatic thoughts and anxiety sensitivity were hypothesized to mediate the relationship between perfectionism cognitions and depressive and anxiety symptoms.
  
  
  METHODS
  Participants were undergraduate students from an urban Canadian university. The data were collected from July 2009 to August 2010.
  
  
  METHODS
  In a cross-sectional evaluation, 992 undergraduate participants completed questionnaires that assessed perfectionism cognitions, negative automatic thinking, anxiety sensitivity, and anxiety and depressive symptoms.
  
  
  RESULTS
  Mediational analysis confirmed the role of anxiety sensitivity and negative automatic thoughts in mediating the association between perfectionistic cognitions, anxiety symptoms, and depressive distress. Furthermore, in line with previous studies, nearly a third of students displayed an elevated prevalence of anxiety and depressive symptoms.
  
  
  CONCLUSIONS
  This study further clarified the associations and mediating relationships among mood states associated with perfectionism.
authors.affiliation: a School of Kinesiology and Health Science , York University , Toronto , Ontario , Canada.
authors.forename: Meysam
authors.initials: M
authors.lastname: Pirbaglou
authors.forename: Robert
authors.initials: R
authors.lastname: Cribbie
authors.forename: Jane
authors.initials: J
authors.lastname: Irvine
authors.forename: Natasha
authors.initials: N
authors.lastname: Radhu
authors.forename: Khushboo
authors.initials: K
authors.lastname: Vora
authors.forename: Paul
authors.initials: P
authors.lastname: Ritvo
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006380:Helplessness, Learned; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D010551:Personality; D015995:Prevalence; D012649:Self Concept; D013334:Students / Q000523:psychology*; D014495:Universities