Perfectionistic cognitions are thinking patterns that reflect excessive striving and are associated with emotional disorders in nonclinical samples. Despite literature connecting trait perfectionism with psychological disorders, much remains unknown about how perfectionistic cognitions relate to anxiety disorder symptoms in clinical populations. This is the first study to our knowledge that investigates how symptoms of anxiety and related symptoms are influenced by the frequency of perfectionistic cognitions when controlling for well documented correlates of anxiety. Perfectionistic cognitions, depressive symptoms, emotion regulation, anxiety sensitivity, and anxiety symptom severity were assessed prior to starting treatment in 356 treatment-seeking patients diagnosed with an anxiety or anxiety-related disorder at a specialty anxiety clinic. Perfectionistic cognitions were significantly correlated with all anxiety symptom measures as well as measures of depression, emotion regulation and anxiety sensitivity (range of rs =.22-.68). Hierarchical regression analyses revealed that when controlling for depressive symptoms, anxiety sensitivity, and emotion regulation, perfectionistic cognitions significantly and uniquely contribute to the variance of GAD (p <.01) and PTSD (p <.05) symptoms but not other anxiety-related symptoms (all ps >.05). Regardless of specific diagnoses, treatment-seeking individuals reporting frequent perfectionistic thoughts are more likely to report more severe symptoms of PTSD and GAD.

中文翻译：

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在寻求治疗的样本中完美主义认知对焦虑症症状的独特贡献

完美主义认知是反映过度努力并与非临床样本中的情绪障碍相关的思维模式。尽管有文献将特质完美主义与心理障碍联系起来，但关于完美主义认知如何与临床人群中的焦虑症症状相关，仍有很多未知。据我们所知，这是第一项研究在控制有据可查的焦虑相关因素时，焦虑症状和相关症状如何受到完美主义认知频率的影响。356 名在焦虑症专科诊所诊断为焦虑症或焦虑相关障碍的寻求治疗的患者在开始治疗前评估了完美主义认知、抑郁症状、情绪调节、焦虑敏感性和焦虑症状严重程度。完美主义认知与所有焦虑症状指标以及抑郁、情绪调节和焦虑敏感性指标显着相关（rs = .22-.68）。分层回归分析显示，当控制抑郁症状、焦虑敏感性和情绪调节时，完美主义认知对 GAD (p <.01) 和 PTSD (p <.05) 症状的方差有显着且独特的贡献，但与其他焦虑相关的症状无关症状（所有 ps >.05）。无论具体诊断如何，报告频繁完美主义思想的寻求治疗的个人更有可能报告更严重的 PTSD 和 GAD 症状。情绪调节和焦虑敏感性（rs = .22-.68 的范围）。分层回归分析显示，当控制抑郁症状、焦虑敏感性和情绪调节时，完美主义认知对 GAD (p <.01) 和 PTSD (p <.05) 症状的方差有显着且独特的贡献，但与其他焦虑相关的症状无关症状（所有 ps >.05）。无论具体诊断如何，报告频繁完美主义思想的寻求治疗的个人更有可能报告更严重的 PTSD 和 GAD 症状。情绪调节和焦虑敏感性（rs = .22-.68 的范围）。分层回归分析显示，当控制抑郁症状、焦虑敏感性和情绪调节时，完美主义认知对 GAD (p <.01) 和 PTSD (p <.05) 症状的方差有显着且独特的贡献，但与其他焦虑相关的症状无关症状（所有 ps >.05）。无论具体诊断如何，报告频繁完美主义思想的寻求治疗的个人更有可能报告更严重的 PTSD 和 GAD 症状。05) 症状，但不包括其他焦虑相关症状（所有 ps >.05）。无论具体诊断如何，报告频繁完美主义思想的寻求治疗的个人更有可能报告更严重的 PTSD 和 GAD 症状。05) 症状，但不包括其他焦虑相关症状（所有 ps >.05）。无论具体诊断如何，报告频繁完美主义思想的寻求治疗的个人更有可能报告更严重的 PTSD 和 GAD 症状。