Self-esteem mediates the relationship between maladaptive perfectionism and depression in chronic fatigue syndrome
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Stefan Kempke & Patrick Luyten & Boudewijn Van Houdenhove & Lutgarde Goossens & Patrick Bekaert & Peter Van Wambeke
- چاپ و سال / کشور: 2011
Description
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 selfcritical 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 selfesteem 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.
Clin Rheumatol Received: 18 March 2011 / Revised: 13 April 2011 / Accepted: 29 April 2011
