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. 2014 May;23(2):136-43.

Dimensions of Perfectionism in Children and Adolescents with Obsessive-compulsive Disorder

Noam Soreni  1 , David Streiner  2 , Randi McCabe  3 , Carrie Bullard  4 , Richard Swinson  3 , Alessia Greco  5 , Paulo Pires  2 , Peter Szatmari  6
Affiliations

Dimensions of Perfectionism in Children and Adolescents with Obsessive-compulsive Disorder

Noam Soreni et al. J Can Acad Child Adolesc Psychiatry. 2014 May.

Abstract
in English, French

Objective: To measure the association of perfectionism with obsessive-compulsive and depressive symptoms in children and adolescents with obsessive-compulsive disorder (OCD).

Method: Sample consisted of 94 youth (44 boys, 49 girls; mean age = 13.2 y, SD = 2.5 y) with a DSM-IV diagnosis of OCD. Perfectionism beliefs were measured with both the Adaptive/Maladaptive Perfectionism Scale (AMPS) and a 14-item version of the Child and Adolescents Perfectionism Scale (CAPS-14). Using a hierarchical linear-regression model, we measured the association of perfectionist beliefs with severity of OCD and depressive symptoms.

Results: Both AMPS and CAPS-14 scores were associated with the severity of OCD symptoms in our sample. In addition, CAPS-14 scores were associated with the severity of depressive symptoms, even when OCD symptoms were taken into account.

Conclusions: Our findings lend further support to the hypothesis that perfectionism in youth with OCD is associated with variation in the severity of OCD and depressive symptoms.

Objectif: Mesurer l’association du perfectionnisme avec les symptômes obsessionnels-compulsifs et dépressifs chez les enfants et les adolescents souffrant du trouble obsessionnel-compulsif (TOC).

Méthode: L’échantillon consistait en 94 adolescents (44 garçons, 49 filles; âge moyen = 13,2 ans, ET = 2,5 ans) ayant reçu un diagnostic de TOVC du DSMIV. Les croyances perfectionnistes ont été mesurées à l’aide de l’échelle de perfectionnisme adapté/mésadapté (AMPS) et d’une version en 14 items de l’échelle de perfectionnisme des enfants et des adolescents (CAPS-14). Un modèle hiérarchique de régression linéaire a servi à mesurer l’association des croyances perfectionnistes avec la gravité du TOC et des symptômes dépressifs.

Résultats: Les scores à l’AMPS et à la CAPS-14 étaient associés à la gravité des symptômes du TOC dans notre échantillon. En outre, les scores à la CAPS-14 étaient associés à la gravité des symptômes dépressifs, même quand les symptômes du TOC étaient pris en compte.

Conclusions: Nos résultats renforcent l’hypothèse selon laquelle le perfectionnisme chez les adolescents souffrant du TOC est associé à une variation de la gravité du TOC et des symptômes dépressifs.

Keywords: adolescents; children; depression; obsessive-compulsive disorder; perfectionism.

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