The Multidimensional Perfectionism Cognitions Inventory–English (MPCI-E): Reliability, validity, and relationships with positive and negative affect

The Multidimensional Perfectionism Cognitions Inventory (MPCI; Kobori & Tanno, 2004) is a promising new instrument developed in Japan to assess perfectionism cognitions regarding personal standards, pursuit of perfection, and concern over mistakes. The present study examined reliability and validity of the English version of the MPCI, the MPCI-E (Kobori, 2006), in a sample of 371 native English speakers. A confirmatory factor analysis confirmed the MPCI-E’s three-factorial oblique structure. Moreover, correlations with measures of dispositional perfectionism and past-week positive and negative affect provided first evidence of the MPCI-E’s convergent and differential validity. Finally, hierarchical multiple regressions indicated that the MPCI-E showed incremental validity in explaining variance in positive and negative affect above variance explained by dispositional perfectionism. Overall, the findings provide first evidence for the reliability and validity of the MPCI-E as a multidimensional measure of perfectionism cognitions that has the potential to further our understanding of positive and negative cognitions in perfectionism

Perfectionism cognitions are multidimensional: A reply to Flett and Hewitt (2014)

We reply to Flett and Hewitt’s (2014) commentary on our findings (Stoeber, Kobori, & Brown, 2014) focusing on the multidimensionality of the Perfectionism Cognitions Inventory (PCI) and the question of whether the Multidimensional Perfectionism Cognitions Inventory (MPCI) represents an alternative to the PCI. In addition, we reiterate the importance of considering suppression effects when examining different dimensions of perfectionism and, in concluding, invite researchers to join forces to further advance the assessment of multidimensional perfectionism cognitions

I do not know what else to do: caregivers’ perspective on reassurance seeking in OCD

Excessive Reassurance Seeking (ERS) is an under-researched and poorly understood behavior that resembles the compulsive behaviors that are typically seen in OCD. ERS can be complex, persistent, extensive, debilitating and may dominate people’s interactions. In addition to resembling compulsive checking in OCD it may also have the effect of transferring responsibility to others. Caregivers are frequently asked to take part in a range of rituals as part of the OCD sufferer’s problem, often seeing it as a way of supporting the sufferer. We are still in the early stages of understanding the factors that elicit and maintain these responses in caregivers. The present investigation considered the interpersonal components of ERS by applying an in-depth analysis using qualitative methods in the context of an interview of caregivers who provide reassurance to OCD sufferers. Ten interviews were conducted and analysed using thematic analysis. Seven overarching themes were identified as important in the experience of being asked for and providing reassurance. These concern factors such as how people seek reassurance, how they process it, why other people give it and so on. A particularly pervasive theme was caregivers’ experience of frustration in the face of ERS. Clinical implications of the findings are discussed

Examining Mutual Suppression Effects in the Assessment of Perfectionism Cognitions

Perfectionism cognitions capture automatic perfectionistic thoughts and have explained variance in psychological adjustment and maladjustment beyond trait perfectionism. The aim of the present research was to investigate whether a multidimensional assessment of perfectionism cognitions has advantages over a unidimensional assessment. To this aim, we examined in a sample of 324 university students how the Perfectionism Cognitions Inventory (PCI) and the Multidimensional Perfectionism Cognitions Inventory (MPCI) explained variance in positive affect, negative affect, and depressive symptoms when factor or subscale scores were used as predictors compared to total scores. Results showed that a multidimensional assessment (PCI factor scores, MPCI subscale scores) explained more variance than a unidimensional assessment (PCI and MPCI total scores) because, when the different dimensions were entered simultaneously as predictors, perfectionistic strivings cognitions and perfectionistic concerns cognitions acted as mutual suppressors thereby increasing each others’ predictive validity. With this, the present findings provide evidence that?regardless of whether the PCI or the MPCI is used?a multidimensional assessment of perfectionism cognitions has advantages over a unidimensional assessment in explaining variance in psychological adjustment and maladjustment

Carer's perception of and reaction to reassurance seeking in obsessive compulsive disorder

The purpose of the present study is to explore the experience of being asked for reassurance from the perspective of carers of OCD sufferers, and to examine its relationship to sufferers’ reassurance seeking by a direct comparison with data obtained from the person they normally offer reassurance to. Forty-two individuals with OCD and their carers completed alternate versions of the Reassurance Seeking Questionnaire. Result suggest that carers report most commonly providing reassurance when asked to do so, and the frequency of their reassurance provision is associated with how carefully sufferers seek reassurance, rather than their OCD symptom severity. The carer's perspectives on the impact of reassurance provision was accurate; both sufferers and carers perceive that reassurance works only temporarily, but even if the anxiety-relieving effect of reassurance decreases in the medium term, it is likely to be perceived as beneficial because carers accurately perceived that sufferers would feel much worse if they refuse to provide reassurance. The present study is the first to quantitatively investigate carer’s experiences of reassurance provision, and elucidate why carers feel the need to provide it

Perfectionism and self-conscious emotions in British and Japanese students: Predicting pride and embarrassment after success and failure

Regarding self-conscious emotions, studies have shown that different forms of perfectionism show different relationships with pride, shame, and embarrassment depending on success and failure. What is unknown is whether these relationships also show cultural variations. Therefore, we conducted a study investigating how self-oriented and socially prescribed perfectionism predicted pride and embarrassment after success and failure comparing 363 British and 352 Japanese students. Students were asked to respond to a set of scenarios where they imagined achieving either perfect (success) or flawed results (failure). In both British and Japanese students, self-oriented perfectionism positively predicted pride after success and embarrassment after failure whereas socially prescribed perfectionism predicted embarrassment after success and failure. Moreover, in Japanese students, socially prescribed perfectionism positively predicted pride after success and self-oriented perfectionism negatively predicted pride after failure. The findings have implications for our understanding of perfectionism indicating that the perfectionism–pride relationship not only varies between perfectionism dimensions, but may also show cultural variations

Infliximab 治療中のクローン病にStreptococcus intermedius による肝膿瘍と膿胸を合併した1例

症例は31歳女性．クローン病再燃に対して抗TNF-α抗体製剤であるInfliximab治療中に，Streptococcus intermediusによる肝膿瘍と膿胸を発症し，治療に難渋するも抗菌薬治療，経皮経肝膿瘍ドレナージにて軽快した．Infliximab投与は，易感染性により様々な感染症を合併する可能性があるが，肝膿瘍の合併は非常にまれながら診断・治療の遅れが重篤になりやすく注意が必要である