A person-centred test of multidimensional perfectionism and health in people with chronic fatigue syndrome versus healthy controls, 2021, Sirois et al

A person-centred test of multidimensional perfectionism and health in people with chronic fatigue syndrome versus healthy controls

Fuschia M. Sirois, Loren Toussaint, Jameson K. Hirsch, Niko Kohls, Martin Offenbacher

Abstract:

Theory and evidence suggests that person-centred models may be especially relevant for elucidating the role of perfectionism in health and well-being in those with chronic health conditions. This may be particularly true for conditions, such as chronic fatigue syndrome (CFS), in which perfectionism is known to play a prominent role in health outcomes. Yet to date no research has taken a person-centred approach to examine how within-person combinations of perfectionistic strivings and perfectionistic concerns are linked to vulnerability for poor health in CFS. The current study compared matched samples of people with CFS and healthy controls (N = 163 each) on measures of stress, depression, and health problems. Consistent with the Stress and Coping Cyclical Amplification Model of Perfectionism in Illness and the tripartite model of perfectionism, within-person combinations of high perfectionistic concerns and strivings had the poorest health profile compared to other within-person combinations, but only among those with CFS. In addition, the perfectionism was indirectly associated with health through stress in those with CFS only. Findings add to a growing evidence base on the utility of person-centred models for understanding the health risks of perfectionism in the context of chronic illness.

https://www.sciencedirect.com/science/article/abs/pii/S019188692100413X




Doesn't seem to be on Sci-Hub. These people seem to be very interested in perfectionism & all that stuff about maladaptive response & other associated items.

Why can't they just leave us alone.

Here are a few related publications these people have contributed in the past.

Fuschia M. Sirois:
"Perfectionism and maladaptive coping styles in patients with chronic fatigue syndrome, irritable bowel syndrome and fibromyalgia/arthritis and in healthy controls." (2014)
https://eprints.whiterose.ac.uk/91790/1/Sirois & Molnar Psychosomatics and Psychotherapy FINAL pub.pdf

Loren Toussaint:
"Implications of forgiveness enhancement in patients with fibromyalgia and chronic fatigue syndrome"
https://pubmed.ncbi.nlm.nih.gov/20658426/

"A Randomized, Controlled Trial of Wholistic Hybrid Derived From Eye Movement Desensitization and Reprocessing and Emotional Freedom Technique (WHEE) for Self-Treatment of Pain, Depression, and Anxiety in Chronic Pain Patients"
"WHEE?"
https://journals.sagepub.com/doi/10.1177/2156587216659400


In addition, Ashok Gupta has him as "Lead Researcher" in his crowdfunding efforts for a NLP study.
https://www.guptaprogram.com/crowdfunding/

Niko Kohls:
"Effectiveness of distant healing for patients with chronic fatigue syndrome: a randomised controlled partially blinded trial (EUHEALS)"
https://pubmed.ncbi.nlm.nih.gov/18277062/

He also apparently sat on the Scientific Advisory Board of the European Rolfing Association. The relevant page is gone, but here's a wayback from last year:
https://web.archive.org/web/2020102...tific-research/scientific-advisory-board-era/

Of course the other two pop up in related areas, doing all sorts of wonderful things with funding. I wouldn't have linked all this other stuff, but I've never heard of any of these people & figured I'd throw it in to this sandwich for context. Typical incestuous tendrils where this one reviewed that one's paper, etc, etc, a group of like-minded colleagues doing real harm who never had the opportunity to work together before. I'm so happy for them.

The perfectionist in me wishes they'd continue working on 'distant healing' by going as far away as possible, where they can all go Rolf themselves (WHEE!).

 

But I recovered from my perfectionism; why am I still ill??

 

Amen to that!

Perfect example of the hammer/nail issue.

 

Who has the energy to be the least bit perfectionistic?
By god, we should all be exemplars of fitness by now.

 

"Why can't they just leave us alone." Indeed, @Three Chord Monty

 

LOL. I saw it in Google search alerts and decided against posting it, what an absurd waste of time and resources. I frankly can't even make sense of what it is they think they are arguing here. Even many of the words don't even seem to make any sense, what the hell even is a patient-centred model? It's as if a paper shredder had a meeting with a list of "biopsychosocial" buzzwords and this came out of it.

These people make a very strong case to seriously change medical training, no self-respecting expert trained competently would ever waste their time on such nonsense, they are completely lost.

 

"Implications of forgiveness enhancement in patients with fibromyalgia and chronic fatigue syndrome"

How about implications of health enhancement instead?


I guess in order to recover, I'm supposed to forgive the BPS person who said I have a type A personality, and that's why I have ME.

In my experience, Type A personality used in everyday terms means an aggressive, competitive, a....

Maybe others think being called a Type A person is perfectly nice.

Definition of Type A:

https://en.wikipedia.org/wiki/Type_A_and_Type_B_personality_theory

 

Multidimensional perfectionism. Where do they come up with this shit?

 

A psych told me health problems including somatisation and heart disease are caused by Type D personality. It’s almost as if they’re making it up as they go along.

 

.....perfect!

 

Does anyone understand how this differs from unidimensional perfectionism? What dimensions are they talking about?

 

@rvallee was of course right to skip this garbage, but I'll always want to make a note of this sort of thing.

Actually I'm tempted to actually try to put something together, a review, perhaps, of some of the worst, most offensive, insulting, degrading, unethical, incompetent nonsense that's come out as a way of characterizing the illness & those who suffer from it. This one might just make the top 25 worst ever. But it might not, which is saying something.

 

I think that people may be confusing the effects of the illness on ability to do things properly with perfectionism. The decline in ability to do things, the attempts to compensate for this with greater effort, and the frustration could appear like perfectionism.

I notice that I tend to become frustrated with my own performance in various activities of daily life when I'm exhausted. I don't think this should be described as perfectionism. The person experiencing this may be much more aware of their poor performance than of the fact that they are exhausted and unable to function well for this reason.

This is contrary to theories which claim that patients tend to focus excessively on symptoms, their limitations and exaggerate ("catastrophize"). I think that there is a lot of downplaying of symptoms and disability instead, and depicting things more positively than they actually are. This happens for two reasons: because people don't have the capacity to cope with the entirety of their difficult situation and so only allow themselves to see parts of it, and second because people become used living with constant symptoms and limitations which become their new normal.

 

Can we be sure that "multidimensional" is not also intended to apply to "health"? Perhaps we do have multidimensional health.

 

Who are these people who dream this stuff up? It's incomprehensible to me.

 

Probably people who did not keep up with the times in their views of Eysenck.