Mediating role of referential thinking in the relationship between perfectionism and obsessive-compulsive disorder among gifted students
Social Determinants of Health,
Vol. 9 (2023),
1 January 2023
https://doi.org/10.22037/sdh.v9i1.40072
Abstract
Background: Obsessive-compulsive disorder (OCD) is a prevalent condition of psychological dysfunction in students and causes anxiety in them. The present study aimed to investigate the mediating role of referential thinking in the relationship between perfectionism and OCD among gifted students.
Methods: The statistical population of this descriptive correlation study included all gifted high school students in Tehran in 2020. Multistage random cluster sampling was employed to select 110 students (55 males and 55 females), and structural equation modeling was used for data analysis. The research instruments included the Perseverative Thinking Questionnaire (PTQ), Frost Multidimensional Perfectionism Scale (FMPS), and Maudsley Obsessive-Compulsive Inventory (MOCI).
Results: Referential thinking mediated the relationship between perfectionism and OCD in an indirect, negatively significant manner (P<0.001). Perfectionism and referential thinking were directly and significantly correlated; however, referential thinking had a significant negative relationship with OCD (P<0.001). According to the results, perfectionism predicted 11% of the variance in referential thinking, while perfectionism and referential thinking together predicted 17% of the variance in OCD. Moreover, the findings did not reveal a significant direct relationship between perfectionism and OCD.
Conclusion: Perfectionism and referential thinking contribute to the alleviation of OCD in gifted high school students. Intellectually gifted students can adopt creative coping techniques, which can mitigate the adverse effects of OCD, as they have high levels of creativity, self-awareness, and sensitivity.
- Referential thinking
- Perfectionism
- Obsessive-compulsive disorder
- Students
How to Cite
References
Beckmann E, Minnaert A. Non-cognitive Characteristics of Gifted Students with Learning Disabilities: An In-depth Systematic Review. Frontiers in Psychology. 2018;9.
Jooyani M, Hosseininasab SD, Panahali A. A Comparative Study on the Effectiveness of Metacognitive and Problem-Solving Training on the Awareness of Teaching – Learning Strategies of High School Gifted Male Students in Ardabil. Iranian Journal of Learning & Memory. 2021;4(13):20-8.
Papadopoulos D. Parenting the Exceptional Social-Emotional Needs of Gifted and Talented Children: What Do We Know? Children (Basel). 2021;8(11). doi: 10.3390/children8110953. PubMed PMID: 34828666; PubMed Central PMCID: PMC8624036.
Iri H, Hassanzadeh R, Asadi J. Investigating and Comparing the Relationship between Academic Buoyancy, Learning Styles, and School Bonding among Students at Mizan and Public Schools. Iranian Journal of Learning & Memory. 2021;4(14):48-56.
Nazeer A, Latif F, Mondal A, Azeem MW, Greydanus DE. Obsessive-compulsive disorder in children and adolescents: epidemiology, diagnosis and management. Transl Pediatr. 2020;9(Suppl 1):S76-s93. doi: 10.21037/tp.2019.10.02. PubMed PMID: 32206586; PubMed Central PMCID: PMC7082239.
Jaisoorya TS, Janardhan Reddy YC, Nair BS, Rani A, Menon PG, Revamma M, et al. Prevalence and correlates of obsessive-compulsive disorder and subthreshold obsessive-compulsive disorder among college students in Kerala, India. Indian J Psychiatry. 2017;59(1):56-62. doi: 10.4103/0019-5545.204438. PubMed PMID: 28529361; PubMed Central PMCID: PMC5419013.
Stein DJ, Costa DLC, Lochner C, Miguel EC, Reddy YCJ, Shavitt RG, et al. Obsessive-compulsive disorder. Nat Rev Dis Primers. 2019;5(1):52. doi: 10.1038/s41572-019-0102-3. PubMed PMID: 31371720; PubMed Central PMCID: PMC7370844.
Wong SF, Lim V, Black MJ, Grisham JR. The impact of modifying obsessive-compulsive beliefs about perfectionism. J Behav Ther Exp Psychiatry. 2021;73:101675. doi: 10.1016/j.jbtep.2021.101675. PubMed PMID: 34293510.
Pérez-Vigil A, Fernández de la Cruz L, Brander G, Isomura K, Jangmo A, Feldman I, et al. Association of Obsessive-Compulsive Disorder With Objective Indicators of Educational Attainment: A Nationwide Register-Based Sibling Control Study. JAMA Psychiatry. 2018;75(1):47-55. doi: 10.1001/jamapsychiatry.2017.3523. PubMed PMID: 29141084; PubMed Central PMCID: PMC5833536.
Pozza A, Albert U, Dèttore D. Perfectionism and Intolerance of Uncertainty are Predictors of OCD Symptoms in Children and Early Adolescents: A Prospective, Cohort, One-Year, Follow-Up Study. Clin Neuropsychiatry. 2019;16(1):53-61. PubMed PMID: 34908939; PubMed Central PMCID: PMC8650182.
Feizollahi Z, Asadzadeh H, Mousavi SR. Prediction of Symptoms of Psychosomatic Disorders in University Students Based on Perfectionism Mediated by Smartphone Addiction. Caspian Journal of Health Research. 2022;7(3):151-158. doi: 10.32598/CJHR.7.3.421.1.7.
Thomas M, Bigatti S. Perfectionism, impostor phenomenon, and mental health in medicine: a literature review. Int J Med Educ. 2020;11:201-13. doi: 10.5116/ijme.5f54.c8f8. PubMed PMID: 32996466; PubMed Central PMCID: PMC7882132.
Soreni N, Streiner D, McCabe R, Bullard C, Swinson R, Greco A, et al. Dimensions of Perfectionism in Children and Adolescents with Obsessive-compulsive Disorder. J Can Acad Child Adolesc Psychiatry. 2014;23(2):136-43. PubMed PMID: 24872829; PubMed Central PMCID: PMC4032082.
Sadri SK, Anderson RA, McEvoy PM, Kane RT, Egan SJ. A Pilot Investigation of Cognitive Behavioural Therapy for Clinical Perfectionism in Obsessive Compulsive Disorder. Behav Cogn Psychother. 2017;45(3):312-20. doi: 10.1017/s1352465816000618. PubMed PMID: 28137336.
Nazari N. Perfectionism and mental health problems: Limitations and directions for future research. World J Clin Cases. 2022;10(14):4709-12. doi: 10.12998/wjcc.v10.i14.4709. PubMed PMID: 35663083; PubMed Central PMCID: PMC9125265.
Eley DS, Bansal V, Leung J. Perfectionism as a mediator of psychological distress: Implications for addressing underlying vulnerabilities to the mental health of medical students. Med Teach. 2020;42(11):1301-7. doi: 10.1080/0142159x.2020.1805101. PubMed PMID: 32805157.
Kong W, Wang H, Zhang J, Shen D, Feng D. Perfectionism and Psychological Distress among Chinese Judges: Do Age and Gender Make a Difference? Iran J Public Health. 2021;50(11):2219-28. doi: 10.18502/ijph.v50i11.7576. PubMed PMID: 35223596; PubMed Central PMCID: PMC8826323.
Colori S. Understanding Referential Thinking. Schizophr Bull. 2017;43(4):685-6. doi: 10.1093/schbul/sbv005. PubMed PMID: 25681762; PubMed Central PMCID: PMC5472136.
Jones Arango E, Costello S, Grové C. A Scoping Review of Different Ways of Thinking in Children. Behav Sci (Basel). 2018;8(12). doi: 10.3390/bs8120115. PubMed PMID: 30558304; PubMed Central PMCID: PMC6316142.
Macedo A, Marques M, Pereira A. Perfectionism and psychological distress: a review of the cognitive factors review. International Journal of Clinical Neurosciences and Mental Health. 2014;1. doi: 10.21035/ijcnmh.2014.1.6.
Sharma P, Rosário MC, Ferrão YA, Albertella L, Miguel EC, Fontenelle LF. The impact of generalized anxiety disorder in obsessive-compulsive disorder patients. Psychiatry Res. 2021;300:113898. doi: 10.1016/j.psychres.2021.113898. PubMed PMID: 33812219.
Citkowska-Kisielewska A, Rutkowski K, Sobański JA, Dembińska E, Mielimąka M. Anxiety symptoms in obsessive-compulsive disorder and generalized anxiety disorder. Psychiatr Pol. 2019;53(4):845-64. doi: 10.12740/pp/105378. PubMed PMID: 31760413.
Richter PMA, Ramos RT. Obsessive-Compulsive Disorder. Continuum (Minneap Minn). 2018;24(3, behavioral neurology and psychiatry):828-44. doi: 10.1212/con.0000000000000603. PubMed PMID: 29851880.
Vigne P, Simões BFT, de Menezes GB, Fortes PP, Dias RV, Laurito LD, et al. The relationship between obsessive-compulsive disorder and anxiety disorders: A question of diagnostic boundaries or simply severity of symptoms? Compr Psychiatry. 2019;94:152116. doi: 10.1016/j.comppsych.2019.152116. PubMed PMID: 31421287.
Kaczkurkin AN, Mu W, Gallagher T, Lieblich S, Tyler J, Foa EB. The Association of Obsessive-Compulsive Disorder, Anxiety Disorders, and Posttraumatic Stress Disorder with Impairment Related to Eating Pathology. J Obsessive Compuls Relat Disord. 2021;31. doi: 10.1016/j.jocrd.2021.100685. PubMed PMID: 34660185; PubMed Central PMCID: PMC8513719.
Thompson B. Ten commandments of structural equation modeling. Reading and understanding MORE multivariate statistics. Washington, DC, US: American Psychological Association; 2000. p. 261-83.
Ehring T, Zetsche U, Weidacker K, Wahl K, Schönfeld S, Ehlers A. The Perseverative Thinking Questionnaire (PTQ): validation of a content-independent measure of repetitive negative thinking. J Behav Ther Exp Psychiatry. 2011;42(2):225-32. doi: 10.1016/j.jbtep.2010.12.003. PubMed PMID: 21315886; PubMed Central PMCID: PMC3042595.
Kami M, Moloodi R, Mazidi M, Ehring T, Mansoori AK, Nodooshan MB, et al. Measuring repetitive thinking in Iran: Psychometric properties of Persian version of Perseverative Thinking Questionnaire. Personality and Individual Differences. 2019;148:101-9. doi: 10.1016/j.paid.2019.05.012.
Frost RO, Heimberg RG, Holt CS, Mattia JI, Neubauer AL. A comparison of two measures of perfectionism. Personality and Individual Differences. 1993;14(1):119-26. doi: 10.1016/0191-8869(93)90181-2.
Akhavan Abiri F, Shairi MR, Gholami Fesharaki M. The investigation of psychometric properties of Frost Multidimensional Perfectionism Scale (FMPS). Shenakht. 2019;6(1):87-106. doi: 10.29252/shenakht.6.1.87.
Hodgson RJ, Rachman S. Obsessional-compulsive complaints. Behaviour Research and Therapy. 1977;15(5):389-95. doi: 10.1016/0005-7967(77)90042-0.
Assareh M, Rakhshani T, Kashfi M, Ayazi M. Status of Obsessive Compulsive Disorder Among Iranian College Students in Kermanshah, Iran. zums-jhehp. 2016;1(4):213-9. doi: 10.29252/jhehp.1.4.213.
Shirmohammad F, Kakavand A.R, Shams Esfandabad H. The relationship between perfectionism and generalized anxiety disorder with mediating role of perseverative thinking. Journal of Applied Psychology. 2016;10(2):107-23.
Macedo A, Soares MJ, Amaral AP, Nogueira V, Madeira N, Roque C, et al. Repetitive negative thinking mediates the association between perfectionism and psychological distress. Personality and Individual Differences. 2015;72:220-4. doi: https://doi.org/10.1016/j.paid.2014.08.024.
Jooyani M, Hosseininasab SD, Panahali A. The Effectiveness of Meta-Cognitive Education on Ten Teaching-Learning Strategies of Male Gifted Students in Ardabil's High Schools. Iranian Journal of Learning & Memory. 2019;2(7):71-80. doi: 10.22034/iepa.2020.218434.1148.
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