Perfectionism and neurotic conditions in psychiatry and neurology residents

Authors

DOI:

https://doi.org/10.33910/2686-9527-2024-6-2-169-180

Keywords:

perfectionism, neurotic conditions, anxiety, depression, medical residents

Abstract

Introduction. Perfectionism is associated with psychological distress and its prevalence and levels are shown to be increasing among young population. Psychiatry and neurology residents are exposed to student-specific challenges, general occupational distress and risks, and specialty-specific challenges. This may make them susceptible to negative psycho-emotional states. The article studies perfectionism and neurotic conditions in psychiatry and neurology residents.

Materials and Methods. The sample included 100 psychiatry and neurology residents aged 22–29 (М = 25; SD = 1.3). The respondents were divided into three groups with high (n = 37), medium (n = 33) and low (n = 30) levels of perfectionism. Perfectionism and neurotic conditions were measured using Three-Factor Perfectionism Inventory (N. G. Garanian, А. B. Kholmogorova) and Clinical Questionnaire for Detection and Evaluation of Neurotic Conditions (K. K. Yakhin, D. M. Mendelevich). Mann–Whitney U test and Spearman’s correlation analysis were used for mathematical and statistical data processing.

Results. Residents with high level of perfectionism have significantly higher levels of neurotic conditions than residents with medium (p≤0.001) and low (p<0.001) levels of perfectionism. In residents with low level of perfectionism, socially prescribed perfectionism is associated with anxiety, asthenia and the hysterical reaction type, while self-oriented perfectionism is associated with lower levels of anxiety and the hysterical reaction type. In residents with medium level of perfectionism, perfectionistic cognitive style is associated with higher level of neurotic depression, while self-oriented perfectionism is associated with lower level of neurotic depression. In residents with high level of perfectionism, the following significant associations were observed: of general level of perfectionism, with anxiety and obsessive-phobic disorders; of perfectionistic cognitive style and self-oriented perfectionism, with anxiety; of self-oriented perfectionism with the hysterical reaction type and obsessive-phobic disorders.

Conclusions. The research results can be used in developing psychological intervention and prevention programs for psychiatry and neurology residents.

References

ЛИТЕРАТУРА

Бодагова, Е. А., Говорин, Н. В. (2013) Психическое здоровье врачей разного профиля. Социальная и клиническая психиатрия, т. 23, № 1, с. 21–26. EDN: OKNIIZ

Бонкало, Т. И., Полякова, О. Б. (2020) Эмоциональное истощение как фактор возникновения и развития невротических состояний медицинских работников. Проблемы социальной гигиены, здравоохранения и истории медицины, т. 28, № S2, с. 1208–1214. https://doi.org/10.32687/0869-866X-2020-28-s2-1208-1214

Гао, Л., Киселева, Л. Б., Наследов, А. Д., Шаманов, А. Н. (2017) Позитивные и негативные аспекты перфекционистских установок студентов. Вестник Санкт-Петербургского университета. Психология и педагогика, т. 7, № 2, с. 115–127. https://doi.org/10.21638/11701/spbu16.2017.201

Гаранян, Н. Г., Холмогорова, А. Б., Юдеева, Т. Ю. (2018) Факторная структура и психометрические показатели опросника перфекционизма: разработка трехфакторной версии. Консультативная психология и психотерапия, т. 26, № 3, с. 8–32. https://doi.org/10.17759/cpp.2018260302

Матюшкина, Е. Я., Рой, А. П., Рахманина, А. А., Холмогорова, А. Б. (2020) Профессиональный стресс и профессиональное выгорание у медицинских работников. Современная зарубежная психология, т. 9, № 1, с. 39–49. https://doi.org/10.17759/jmfp.2020090104

Суроегина, А. Ю., Холмогорова, А. Б. (2023) Профессиональное выгорание медицинских работников до, во время и после пандемии. Современная зарубежная психология, т. 12, № 2, с. 64–73. https://doi.org/10.17759/jmfp.2023120206

Холмогорова, А. Б., Гаранян, Н. Г., Цацулин, Т. О. (2019) Динамика показателей перфекционизма и симптомов эмоционального неблагополучия в российской студенческой популяции за последние десять лет: когортное исследование. Культурно-историческая психология, т. 15, № 3, с. 41–50. https://doi.org/10.17759/chp.2019150305

Холмогорова, А. Б., Рахманина, А. А., Суроегина, А. Ю. и др. (2021) Психическое здоровье и профессиональное выгорание врачей-ординаторов во время пандемии COVID-19: ситуационные и психологические факторы. Консультативная психология и психотерапия, т. 29, № 2, с. 9–47. https://doi.org/10.17759/cpp.2021290202

Холмогорова, А. Б., Суботич, М. И., Корх, М. П. и др. (2020) Дезадаптивные личностные черты и психопатологическая симптоматика у лиц с первой попыткой суицида и хроническим суицидальным поведением. Консультативная психология и психотерапия, т. 28, № 1, с. 63–86. https://doi.org/10.17759/cpp.2020280105

Яхин, К. К., Менделевич, Д. М. (1978) Клинический опросник для выявления и оценки невротических состояний. Казанский медицинский журнал, т. 59, № 4, с. 51–53. EDN: XVINKJ

Brennan-Wydra, E., Chung, H. W., Angoff, N. et al. (2021) Maladaptive perfectionism, impostor phenomenon, and suicidal ideation among medical students. Academic Psychiatry, vol. 45, no. 6, pp. 708–715. https://doi.org/10.1007/s40596-021-01503-1

Curran, T., Hill, A. P. (2019) Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, vol. 145, no. 4, pp. 410–429. https://doi.org/10.1037/bul0000138

Egan, S. J., Wade, T. D., Fitzallen, G. et al. (2022) A meta-synthesis of qualitative studies of the link between anxiety, depression and perfectionism: Implications for treatment. Behavioural and Cognitive Psychotherapy, vol. 50, no. 1, pp. 89–105. https://doi.org/10.1017/S1352465821000357

Flett, G. L., Hewitt, P. L., Nepon, T. et al. (2022) The destructiveness and public health significance of socially prescribed perfectionism: A review, analysis, and conceptual extension. Clinical Psychology Review, vol. 93, article 102130. https://doi.org/10.1016/j.cpr.2022.102130

Hewitt, P., Flett, G., Turnbull-Donovan, W., Mikail, S. F. (1991) The multidimensional perfectionism scale: Reliability, validity, and psychometric properties in psychiatric samples. Psychological Assessment, vol. 3, no. 3. pp. 464–468. https://doi.org/10.1037/1040-3590.3.3.464

Martin, S. R., Fortier, M. A., Heyming, T. W. et al. (2022) Perfectionism as a predictor of physician burnout. BMC Health Services Research, vol. 22, no. 1, article 1425. https://doi.org/10.1186/s12913-022-08785-7

Redden, S. A., Mueller, N. E., Cougle, J. R. (2023) The impact of obsessive-compulsive personality disorder in perfectionism. International Journal of Psychiatry in Clinical Practice, vol. 27, no. 1, pp. 18–24. https://doi.org/10.1080/13651501.2022.2069581

Sederlund, A. P., Burns, L. R., Rogers, W. (2020) Multidimensional models of perfectionism and procrastination: Seeking determinants of both. International Journal of Environmental Research and Public Health, vol. 17, no. 14, article 5099. https://doi.org/10.3390/ijerph17145099

Smith, M. M., Sherry, S. B., Ray, C. et al. (2021) Is perfectionism a vulnerability factor for depressive symptoms, a complication of depressive symptoms, or both? A meta-analytic test of 67 longitudinal studies. Clinical Psychology Review, vol. 84, article 101982. https://doi.org/10.1016/j.cpr.2021.101982

Stoeber, J. (2000) Frost multidimensional perfectionism scale. In: J. Maltby, C. A. Lewis, A. Hill (eds.). Commissioned reviews of 250 psychological tests. Vol. 1. Lampeter: Edwin Mellen Press, pp. 310–314.

Williams, B. M., Levinson, C. A. (2021) Intolerance of uncertainty and maladaptive perfectionism as maintenance factors for eating disorders and obsessive-compulsive disorder symptoms. European Eating Disorders Review, vol. 29, no. 1, pp. 101–111. https://doi.org/10.1002/erv.2807

REFERENCES

Bodagova, E. A., Govorin, N. V. (2013) Psikhicheskoe zdorov’e vrachej raznogo profilya [Mental health of various medical specialists]. Sotsial’naya i klinicheskaya psikhiatriya — Social and Clinical Psychiatry, vol. 23, no. 1, pp. 21–26. EDN: OKNIIZ (In Russian)

Boncalo, T. I., Polyakova, O. B. (2020) Emotsional’noe istoshchenie kak faktor vozniknoveniya i razvitiya nevroticheskikh sostoyanij meditsinskikh rabotnikov [Emotional exhaust as a factor of the origin and development of neurotic conditions of medical workers]. Problemy sotsial’noj gigieny, zdravookhraneniya i istorii meditsiny — The Problems of Social Hygiene, Public Health and History of Medicine, vol. 28, no. S2, pp. 1208–1214. https://doi.org/10.32687/0869-866X-2020-28-s2-1208-1214 (In Russian)

Brennan-Wydra, E., Chung, H. W., Angoff, N. et al. (2021) Maladaptive perfectionism, impostor phenomenon, and suicidal ideation among medical students. Academic Psychiatry, vol. 45, no. 6, pp. 708–715. https://doi.org/10.1007/s40596-021-01503-1 (In English)

Curran, T., Hill, A. P. (2019) Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, vol. 145, no. 4, pp. 410–429. https://doi.org/10.1037/bul0000138 (In English)

Egan, S. J., Wade, T. D., Fitzallen, G. et al. (2022) A meta-synthesis of qualitative studies of the link between anxiety, depression and perfectionism: Implications for treatment. Behavioural and Cognitive Psychotherapy, vol. 50, no. 1, pp. 89–105. https://doi.org/10.1017/S1352465821000357 (In English)

Flett, G. L., Hewitt, P. L., Nepon, T. et al. (2022) The destructiveness and public health significance of socially prescribed perfectionism: A review, analysis, and conceptual extension. Clinical Psychology Review, vol. 93, article 102130. https://doi.org/10.1016/j.cpr.2022.102130 (In English)

Gao, L., Kiseleva, L. B., Nasledov, A. D., Shamanov, A. N. (2017) Pozitivnye i negativnye aspekty perfektsionistskikh ustanovok studentov [Positive and negative aspects of students’ perfectionist attitudes]. Vestnik Sankt- Peterburgskogo universiteta. Psikhologiya i pedagogika — Vestnik of Saint Petersburg University. Psychology and Education, vol. 7, no. 2, pp. 115–127. https://doi.org/10.21638/11701/spbu16.2017.201 (In Russian)

Garanyan, N. G., Kholmogorova, А. B., Yudeeva, Т. Yu. (2018) Faktornaya struktura i psikhometricheskie pokazateli oprosnika perfektsionizma: razrabotka trekhfaktornoj versii [Factor structure and psychometric properties of perfectionism inventory: Developing 3-factor version]. Konsul’tativnaya psikhologiya i psikhoterapiya — Counseling Psychology and Psychotherapy, vol. 26, no. 3, pp. 8–32. https://doi.org/10.17759/cpp.2018260302 (In Russian)

Hewitt, P., Flett, G., Turnbull-Donovan, W., Mikail, S. F. (1991) The multidimensional perfectionism scale: Reliability, validity, and psychometric properties in psychiatric samples. Psychological Assessment, vol. 3, no. 3, pp. 464–468. https://doi.org/10.1037/1040-3590.3.3.464 (In English)

Kholmogorova, A. B., Garanyan, N. G., Tsatsulin, T. O. (2019) Dinamika pokazatelej perfektsionizma i simptomov emotsional’nogo neblagopoluchiya v rossijskoj studencheskoj populyatsii za poslednie desyat’ let: kogortnoe issledovanie [Dynamics of indicators of perfectionism and symptoms of emotional distress in the Russian student population over the past ten years: Сohort study]. Kul’turno-istoricheskaya psikhologiya — Cultural-Historical Psychology, vol. 15, no. 3, pp. 41–50. https://doi.org/10.17759/chp.2019150305 (In Russian)

Kholmogorova, A. B., Rakhmanina, A. A., Suroegina, A. Yu. et al. (2021) Psikhicheskoe zdorov’e i professional’noe vygoranie vrachej-ordinatorov vo vremya pandemii COVID-19: situatsionnye i psikhologicheskie faktory [Mental health and professional burnout among residents during the COVID-19 pandemic: Situational and psychological factors]. Konsul’tativnaya psikhologiya i psikhoterapiya — Counseling Psychology and Psychotherapy, vol. 29, no. 2, pp. 9–47. https://doi.org/10.17759/cpp.2021290202 (In Russian)

Kholmogorova, A. B., Subotich, M. I., Korkh, M. P. et al. (2020) Dezadaptivnye lichnostnye cherty i psikhopatologicheskaya simptomatika u lits s pervoj popytkoj suitsida i khronicheskim suitsidal’nym povedeniem [Maladaptive personality traits and psychopathological symptoms in individuals with the first suicidal attempt and with chronic suicidal behavior]. Konsul’tativnaya psikhologiya i psikhoterapiya — Counseling Psychology and Psychotherapy, vol. 28, no. 1, pp. 63–86. https://doi.org/10.17759/cpp.2020280105 (In Russian)

Martin, S. R., Fortier, M. A., Heyming, T. W. et al. (2022) Perfectionism as a predictor of physician burnout. BMC Health Services Research, vol. 22, no. 1, article 1425. https://doi.org/10.1186/s12913-022-08785-7 (In English)

Matyushkina, E. Ya., Roy, A. P., Rakhmanina, A. A., Kholmogorova, A. B. (2020) Professional’nyj stress i professional’noe vygoranie u meditsinskikh rabotnikov [Occupational stress and burnout among healthcare professionals]. Sovremennaya zarubezhnaya psikhologiya — Journal of Modern Foreign Psychology, vol. 9, no. 1, pp. 39–49. https://doi.org/10.17759/jmfp.2020090104 (In Russian)

Redden, S. A., Mueller, N. E., Cougle, J. R. (2023) The impact of obsessive-compulsive personality disorder in perfectionism. International Journal of Psychiatry in Clinical Practice, vol. 27, no. 1, pp. 18–24. https://doi.org/10.1080/13651501.2022.2069581 (In English)

Sederlund, A. P., Burns, L. R., Rogers, W. (2020) Multidimensional models of perfectionism and procrastination: Seeking determinants of both. International Journal of Environmental Research and Public Health, vol. 17, no. 14, article 5099. https://doi.org/10.3390/ijerph17145099 (In English)

Smith, M. M., Sherry, S. B., Ray, C. et al. (2021) Is perfectionism a vulnerability factor for depressive symptoms, a complication of depressive symptoms, or both? A meta-analytic test of 67 longitudinal studies. Clinical Psychology Review, vol. 84, article 101982. https://doi.org/10.1016/j.cpr.2021.101982 (In English)

Stoeber, J. (2000) Frost multidimensional perfectionism scale. In: J. Maltby, C. A. Lewis, A. Hill (eds.). Commissioned reviews of 250 psychological tests. Vol. 1. Lampeter: Edwin Mellen Press, pp. 310–314. (In English)

Suroegina, A. Yu., Kholmogorova, A. B. (2023) Professional’noe vygoranie meditsinskikh rabotnikov do, vo vremya i posle pandemii [Professional burnout of medical workers before, during and after the pandemic]. Sovremennaya zarubezhnaya psikhologiya — Journal of Modern Foreign Psychology, vol. 12, no. 2, pp. 64–73. https://doi.org/10.17759/jmfp.2023120206 (In Russian)

Williams, B. M., Levinson, C. A. (2021) Intolerance of uncertainty and maladaptive perfectionism as maintenance factors for eating disorders and obsessive-compulsive disorder symptoms. European Eating Disorders Review, vol. 29, no. 1, pp. 101–111. https://doi.org/10.1002/erv.2807 (In English)

Yakhin, K. K., Mendelevich, D. M. (1978) Klinicheskij oprosnik dlya vyyavleniya i otsenki nevroticheskikh sostoyanij [Clinical questionnaire for the identification and assessment of neurotic conditions]. Kazanskij meditsinskij zhurnal — Kazan Medical Journal, vol. 59, no. 4, pp. 51–53. EDN: XVINKJ (In Russian)

Published

2024-07-31

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