Background:Meta-analyses show an association between perfectionism and depression and anxiety (negative affect), and that therapy for perfectionism impacts positively on negative affect. No systematic reviews have focused on qualitative studies of perfectionism.Aims:Our aim was to perform a systematic, meta-synthesis of qualitative literature to (i) help inform our understanding of how perfectionism is associated with negative affect, so that we can (ii) inform future development of treatment for perfectionism in young people and to make it more effective.Method:Included in the meta-synthesis were 37 qualitative studies.Results:Six themes related to perfectionism were found: (1) the association with negative affect, (2) self-worth dependent on achievement, (3) cognitive and behavioural maintaining factors, (4) the expectations of others, (5) effective elements of interventions, and (6) barriers to treatment.Conclusions:The qualitative literature supports the notion of perfectionism as an important construct to consider in reducing negative affect. While cognitive behavioural therapy for perfectionism holds promise as a treatment to target negative affect, there was a paucity of qualitative research, particularly related to young people. A greater understanding of the views of young people are required to help tailor more effective interventions for perfectionism that can impact negative affect in this group.

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对焦虑、抑郁和完美主义之间联系的定性研究的综合综合：对治疗的影响

背景：荟萃分析显示完美主义与抑郁和焦虑（消极情绪）之间存在关联，完美主义疗法对消极情绪产生积极影响。没有系统评价集中于完美主义的定性研究。目的：我们的目标是对定性文献进行系统的元综合，以（i）帮助我们了解完美主义如何与负面情绪相关联，以便我们能够（ii ) 为年轻人完美主义治疗的未来发展提供信息，并使其更有效。方法：荟萃综合包括 37 项定性研究。结果：发现了与完美主义相关的六个主题：（1）与负面情绪的关联， (2) 自我价值取决于成就，(3) 认知和行为维持因素，(4) 他人的期望，(5) 干预的有效要素，以及 (6) 治疗障碍。结论：定性文献支持完美主义的概念，将其作为减少负面影响的重要结构。虽然完美主义的认知行为疗法有望作为一种针对负面影响的治疗方法，但缺乏定性研究，尤其是与年轻人有关的研究。需要更深入地了解年轻人的观点，以帮助针对完美主义制定更有效的干预措施，从而影响该群体的负面影响。虽然完美主义的认知行为疗法有望作为一种针对负面影响的治疗方法，但缺乏定性研究，尤其是与年轻人有关的研究。需要更深入地了解年轻人的观点，以帮助针对完美主义制定更有效的干预措施，从而影响该群体的负面影响。虽然完美主义的认知行为疗法有望作为一种针对负面影响的治疗方法，但缺乏定性研究，尤其是与年轻人有关的研究。需要更深入地了解年轻人的观点，以帮助针对完美主义制定更有效的干预措施，从而影响该群体的负面影响。