Full title: Self-esteem mediates the relationship between maladaptive perfectionism and depression in chronic fatigue syndrome.
Authors: Kempke S, Luyten P, Van Houdenhove B, Goossens L, Bekaert P, Van Wambeke P.
Source Department of Psychology, University of Leuven, Tiensestraat 102, 3000, Leuven, Belgium, firstname.lastname@example.org.
Publication: Clin Rheumatol.
Publication date: 2011 May 17. [Epub ahead of print]
Patients with chronic fatigue syndrome (CFS) often experience depression which may negatively affect prognosis and treatment outcome. Research has shown that depression in CFS is associated with maladaptive or self-critical perfectionism. However, currently, little is known about factors that may explain this relationship, but studies in nonclinical samples suggest that low self-esteem may be an important mediator of this relationship.
The present study therefore examined whether self-esteem mediated the cross-sectional association between maladaptive perfectionism and severity of depression in 192 patients meeting Centres for Disease Control and Prevention criteria for CFS. Patients completed self-report measures of maladaptive perfectionism, self-esteem, depression, and fatigue. Regression analyses and more direct tests of indirect effects (i.e., the Sobel test and bootstrapping) were used to test for mediation.
Congruent with expectations, we found that self-esteem fully mediated the relationship between maladaptive perfectionism and depression in CFS. Findings from this study suggest that self-esteem may explain the link between maladaptive perfectionism and depression in CFS, which may have important implications for the treatment and prevention of depression in these patients.
PMID: 21584732 [PubMed - as supplied by publisher]
View this abstract in PubMed.