Behavsci 14 00187
Behavsci 14 00187
sciences
Brief Report
How Are Different Perfectionism Traits Related to Mental Health
in Students?
Paweł Larionow
Keywords: concern over mistakes; doubts about actions; Frost Multidimensional Perfectionism
Scale; parental criticism; parental expectations; perfectionism; personal standards; stress; students;
well-being
mediator and well-being was a dependent variable in a mediation model with multiple
predictors. The suggestion that controlling for the common variance of perfectionism
traits in the statistical analysis approach is beneficial was indicated in previous reports by
Piotrowski and Bojanowska [4]. Hence, this statistical approach expressed in a mediation
model with multiple predictors was also applied in this study. Additionally, not only
ill-being indicators (i.e., stress) but also positive psychological mental health indicators (i.e.,
well-being) were taken into account. Based on Karademas’s [15] ideas about common and
specific predictors of well-being and ill-being, this study aimed to explore whether and
which perfectionism traits are uniquely related to either well-being or stress, indicating
their specific predictive role, or whether they are related to both of them, indicating their
common and simultaneous roles in well-being promotion and ill-being protection. This
may help in the optimization of psychological interventions in the higher education context,
suggesting parsimonious and effective psychological targets [16].
The aim of this study was (1) to explore and clarify associations of perfectionism
traits with stress and well-being, and (2) to examine the mediation role of stress in the
relationship between perfectionism traits and well-being among young people. Based on
past studies on Frost et al.’s multidimensional model of perfectionism [1,14] as well as on
the Polish validation study of the FMPS [4], I expected that the Personal Standards subscale
would be associated with lower stress and higher well-being, whereas other perfectionism
dimensions (i.e., Concern over Mistakes, Doubts about Actions, Parental Expectations,
and Parental Criticism) would be associated with higher stress and lower well-being. I
also predicted that stress would be a statistically significant mediator in the relationship
between perfectionism dimensions and well-being (in a mediation model with multiple
predictors).
2.2. Participants
The participants were 253 social science students (207 females and 46 males) at the
Kazimierz Wielki University (Bydgoszcz, Poland). The participants’ ages ranged from 18
to 30 years, with a mean age of 20.74 years (SD = 2.18). A total of 227 (89.72%) students
obtained secondary education, and 26 (10.28%) students had a higher education degree.
Among the participants, 131 (51.78%) were single and 122 (48.22%) were in relationships.
In terms of residence, 97 (38.34%) lived in villages, 37 (14.62%) in small towns (up to
20,000 inhabitants), 31 (12.25%) in medium-sized towns (from 20,000 to 100,000), and
88 (34.78%) in large cities (above 100,000). Among the respondents, 176 (69.57%) were just
studying, and 77 (30.43%) combined studying and working.
2.3. Measures
1. The Frost Multidimensional Perfectionism Scale (FMPS) [3] was used for assessing per-
fectionism. The Polish version of the FMPS [4] has 29 items and five subscales:
(1) Concern over Mistakes (nine items, e.g., “I should be upset if I make a mistake”),
(2) Doubts about Actions (four items, e.g., “Even when I do something very carefully,
I often feel that it is not quite right”), (3) Parental Expectations (five items, e.g., “My
parents set very high standards for me”), (4) Parental Criticism (four items, e.g., “My
parents never tried to understand my mistakes”), and (5) Personal Standards (seven items,
Behav. Sci. 2024, 14, 187 4 of 9
e.g., “It is important to me that I am thoroughly competent in everything I do”). The FMPS
uses a 5-point response scale from 1 (“strongly disagree”) to 5 (“strongly agree”). Higher
scores indicate higher levels of perfectionism dimensions.
2. The Perceived Stress Scale (PSS-10) [17] was used for assessing perceived stress. The
Polish version of the PSS-10 [18] has 10 items (e.g., “In the last month, how often have you
been upset because of something that happened unexpectedly?”), with a 5-point response
scale from 0 (“never”) to 4 (“very often”). Higher scores indicate higher levels of
perceived stress.
3. The Warwick–Edinburgh Mental Well-being Scale (WEMWBS) [19] was used for assessing
well-being. The Polish version of the WEMWBS [20] has 14 items (e.g., “I’ve been feeling
optimistic about the future”), with a 5-point response scale from 1 (“none of the time”) to
5 (“all of the time”). Higher scores indicate higher levels of well-being.
3. Results
Descriptive statistics and internal consistency reliability for the study variables are
presented in Table 1. All measures had acceptable to good internal consistency reliability,
with Cronbach’s alpha from 0.69 to 0.91.
Table 1. Descriptive statistics and internal consistency reliability for the variables (n = 253).
Table 2 presents Pearson correlations between the variables. All perfectionism traits
were positively interrelated (r from 0.23 to 0.77, p < 0.001). All perfectionism traits (except
Personal Standards) were positively associated with stress (r from 0.24 to 0.54, p < 0.001)
and negatively with well-being (r from −0.33 to −0.52, p < 0.001).
95% CI p
Type Effect Estimate SE Beta z
Lower Upper
Personal Standards ⇒ Stress ⇒
Indirect 0.1 0.05 −0.02 0.24 0.06 2 0.045
Well-being
Concern over Mistakes ⇒ Stress ⇒
−0.24 0.05 −0.35 −0.13 −0.22 −4.79 <0.001
Well-being
Doubts about Actions ⇒ Stress ⇒
−0.46 0.11 −0.69 −0.23 −0.17 −4.06 <0.001
Well-being
Parental Expectations ⇒ Stress ⇒
0.14 0.07 −0.01 0.31 0.09 1.92 0.055
Well-being
Parental Criticism ⇒ Stress ⇒
−0.15 0.1 −0.38 0.06 −0.07 −1.48 0.14
Well-being
Component Personal Standards ⇒ Stress −0.13 0.07 −0.30 0.03 −0.11 −2.03 0.042
Stress ⇒ Well-being −0.78 0.07 −0.93 −0.63 −0.56 −10.96 <0.001
Concern over Mistakes ⇒ Stress 0.3 0.06 0.18 0.42 0.4 5.33 <0.001
Doubts about Actions ⇒ Stress 0.59 0.13 0.3 0.87 0.31 4.37 <0.001
Parental Expectations ⇒ Stress −0.18 0.09 −0.39 0.02 −0.16 −1.95 0.051
Parental Criticism ⇒ Stress 0.19 0.13 −0.08 0.47 0.12 1.49 0.136
Direct Personal Standards ⇒ Well-being 0.23 0.07 0.09 0.38 0.15 3.17 0.002
Concern over Mistakes ⇒ Well-being −0.18 0.07 −0.32 −0.05 −0.17 −2.69 0.007
Doubts about Actions ⇒ Well-being −0.07 0.16 −0.41 0.25 −0.03 −0.42 0.675
Parental Expectations ⇒ Well-being 0 0.11 −0.24 0.25 0 0 1
Parental Criticism ⇒ Well-being −0.40 0.14 −0.72 −0.09 −0.19 −2.81 0.005
Total Personal Standards ⇒ Well-being 0.34 0.09 0.16 0.53 0.21 3.78 <0.001
Concern over Mistakes ⇒ Well-being −0.42 0.08 −0.58 −0.25 −0.39 −5.35 <0.001
Doubts about Actions ⇒ Well-being −0.52 0.18 −0.96 −0.12 −0.20 −2.83 0.005
Parental Expectations ⇒ Well-being 0.14 0.13 −0.17 0.46 0.09 1.1 0.27
Parental Criticism ⇒ Well-being −0.54 0.17 −0.93 −0.14 −0.26 −3.16 0.002
Note. Betas are completely standardized effect sizes.
Out of five perfectionism traits acting as the predictors in the multiple regression
analysis, four were statistically significant predictors of well-being (see Table 3, the total
effects, which represent the results of the multiple regression without the mediator in
the model; F(5,247) = 30.61, p < 0.001, R2 = 0.38, adjusted R2 = 0.37). Personal Standards
(beta = 0.21) were a statistically significant positive predictor of well-being, whereas Con-
cern over Mistakes (beta = −0.39), Doubts about Actions (beta = −0.20), and Parental
Criticism (beta = −0.26) were statistically significant negative predictors of well-being.
Controlling for other perfectionism traits, Parental Expectations were not a statistically
significant predictor of well-being (beta = 0.09, p = 0.270).
As for links with stress, controlling for other perfectionism traits, Parental Expectations
(beta = −0.16) and Parental Criticism (beta = 0.12) were not statistically significantly associ-
ated with stress. Conversely, Concern over Mistakes (beta = 0.40) and Doubts about Actions
(beta = 0.31) were statistically significantly positively associated with stress, whereas Per-
sonal Standards (beta = −0.11) were statistically significantly negatively associated with it
(see Table 3, the component; F(5,247) = 29.16, p < 0.001, R2 = 0.37, adjusted R2 = 0.36).
Controlling for stress (see Table 3, the direct effects, which represent the results
of the multiple regression with the mediator in the model; F(6,246) = 56.94, p < 0.001,
R2 = 0.58, adjusted R2 = 0.57), the Personal Standards (beta = 0.15) dimension was a
statistically significant positive predictor of well-being, whereas Concern over Mistakes
(beta = −0.17) and Parental Criticism (beta = −0.19) were statistically significant nega-
tive predictors of well-being. Controlling for stress, Doubts about Actions (beta = −0.03,
p = 0.675) and Parental Expectations (beta = 0.00, p = 1.000) were not statistically significant
predictors of well-being.
The mediation analysis revealed that there were three statistically significant indirect
effects (paths) in the association between perfectionism traits and well-being via stress
as the mediator (see Table 3, the indirect effects). The Personal Standards subscale was
Behav. Sci. 2024, 14, 187 6 of 9
associated with higher levels of well-being via decreasing stress levels (p = 0.045), whereas
Concern over Mistakes (p < 0.001) and Doubts about Actions (p < 0.001) were associated
with lower levels of well-being via increased stress levels. Stress did not mediate the
relationship between Parental Expectations and well-being (p = 0.055) or between Parental
Criticism and well-being (p = 0.140).
4. Discussion
This brief report study aimed to explore and clarify unique associations of perfec-
tionism traits with stress and well-being, and to examine the mediation role of stress in
the relationship between perfectionism traits and well-being among students. Overall,
the results supported the utility of Frost et al.’s multidimensional five-factor model of
perfectionism [3,4].
4.1. The Relationship between Perfectionism Traits and Stress, and Well-Being
In bivariate correlational analysis, all perfectionism traits were positively interrelated,
which is in line with previous studies [3,4,21]. The majority of perfectionism traits were
positively associated with stress and negatively with well-being, except the Personal Stan-
dards subscale, which was not associated with stress and well-being. In a more beneficial
statistical approach when controlling for the common variance of perfectionism traits in the
regression analysis, Personal Standards (beta = 0.21) were a statistically significant positive
predictor of well-being, whereas Concern over Mistakes (beta = −0.39), Doubts about
Actions (beta = −0.20), and Parental Criticism (beta = −0.26) were statistically significant
negative predictors of well-being, with Concern over Mistakes being the strongest predictor.
In contrast, Parental Expectations (beta = 0.09) were not a statistically significant predictor
of well-being.
As for links with stress (controlling for other perfectionism traits), Parental Expec-
tations and Parental Criticism were not statistically significantly associated with stress,
whereas other perfectionism traits were statistically significantly associated with it. In a
more comprehensive regression model with all perfectionism traits and controlling for
stress, Personal Standards (beta = 0.15) remained a statistically significant positive predic-
tor of well-being, whereas Concern over Mistakes (beta = −0.17) and Parental Criticism
(beta = −0.19) remained statistically significant negative predictors of well-being. Doubts
about Actions and Parental Expectations were considered statistically insignificant predic-
tors of well-being. Overall, these results indicated that Parental Criticism and Concern over
Mistakes were the most impactful perfectionism traits associated with a decrease in well-
being, whereas Personal Standards seemed to be associated with an increase in well-being.
Given that previous studies have shown that maladaptive perfectionism traits (i.e., Concern
over Mistakes, Doubts about Actions, Parental Expectations, and Parental Criticism) were
positively related to depression, whereas Personal Standards were negatively related to
it [22], these maladaptive perfectionism traits could lead to adverse effects for mental health
and decrease well-being via increasing depression levels. Previous reports also indicated
that perfectionistic concerns were associated with higher academic burnout partially via
repetitive negative thinking, whereas perfectionistic strivings were directly associated with
lower academic burnout [13]. In summation, this current study supported the conclusions
presented in past work regarding the negative role of perfectionistic concerns for mental
health in students and provided new insights on the positive role of the Personal Standards
dimension, which was associated with lower stress and higher well-being in this dataset.
In this study, control for the common variance of perfectionism traits in statistical
analyses (suggested by Piotrowski and Bojanowska [4]) made it possible to reveal the
specific role of individual perfectionism traits in well-being and ill-being. Specifically, the
positive role of Personal Standards was shown in regression models, whereas in a bivariate
correlational analysis, the Personal Standards scores were not correlated with well-being
and ill-being. Therefore, the common variance of perfectionism traits is recommended to be
Behav. Sci. 2024, 14, 187 7 of 9
4.2. The Relationship between Perfectionism Traits and Well-Being via Stress
Considering the mediation analysis results, stress statistically significantly mediated
the relationships between three perfectionism traits and well-being. Concern over Mis-
takes and Doubts about Actions were associated with higher stress, which consecutively
enhanced lower well-being. In contrast, Personal Standards were associated with lower
stress, which sequentially enhanced higher well-being. These results are in line with Wang
and Wu’s report [14], which showed that maladaptive perfectionism traits (expressed in
a composite score of Concern over Mistakes, Parental Expectations, and Doubts about
Actions subscales) were associated with lower life satisfaction via higher academic burnout.
Overall, as maladaptive perfectionism traits were associated with higher perceived stress,
their negative role in mental and somatic health could be expressed through enhancing the
physiological activation resulting from the development of chronic stress [23]. Thus, the
assessment of maladaptive perfectionism traits, accompanied by stress, could be beneficial
when providing psychological interventions for students with high levels of maladaptive
perfectionism traits.
The mediation analysis results also indicated that Parental Expectations and Parental
Criticism were not indirectly associated with well-being via stress. It seems that these
two perfectionism traits are associated with lower well-being not through increasing the
perceived stress levels but through other psychological mechanisms (for example, see
van Houtum et al. [24]). In this study, a relatively homogeneous group of students aged
18–30 was recruited; therefore, in this group of young adults, the role of Parental Expecta-
tions and Parental Criticism could be less important than in younger people (or adolescents).
Hence, more diverse samples would be beneficial in future work.
5. Conclusions
In this study, among the five perfectionism traits, common and specific predictors of
well-being and ill-being (i.e., stress) were indicated, and a potential mechanism linking
perfectionism traits with well-being via stress was examined. This was implemented by
controlling for the common variance of perfectionism traits in statistical analysis.
Considering the results of all conducted analyses, Personal Standards were associated
with higher well-being and lower stress, whereas Concern over Mistakes and Doubts
about Actions were associated with lower well-being and higher stress. Moreover, in the
mediation analysis, these three perfectionism traits were associated with well-being via
Behav. Sci. 2024, 14, 187 8 of 9
stress. Parental Expectations and Parental Criticism in general were not associated with
stress, and Parental Criticism was associated with lower well-being. Therefore, Personal
Standards, Concern over Mistakes, and Doubts about Actions seem to be parsimonious
psychological targets, whereas Parental Expectations and Parental Criticism seem to be less
important targets within psychological interventions.
The results also supported the utility of Frost et al.’s multidimensional five-factor
model of perfectionism, with the five perfectionism traits showing specific links with stress
and well-being. Therefore, assessing the specific role of individual perfectionism traits
seems to be important, chiefly in order to provide effective and parsimonious psychother-
apeutic approaches for people struggling with high levels of maladaptive perfectionism
traits. This study showed that integrating well-being and ill-being indicators simulta-
neously allowed for a comprehensive understanding of the specific role of individual
perfectionism traits in the mental health outcomes of students. Hence, this approach seems
advantageous for the theory and practice of perfectionism.
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