Association between perfectionism and life satisfaction among a sample of the Lebanese population: The indirect role of social phobia and validation of the Arabic version of the Social Phobia Inventory.
Sfeir, Michel; Saliba, Gisele; Akel, Marwanet al.
2022 • In Perspectives in Psychiatric Care, 58 (4), p. 2513 - 2523
Lebanon; Life satisfaction; anxiety; perfectionism; social phobia; Adult; Humans; Personal Satisfaction; Cross-Sectional Studies; Psychometrics/methods; Reproducibility of Results; Phobia, Social; Perfectionism; Psychometrics; Psychiatric Mental Health; General Medicine; Pshychiatric Mental Health
Abstract :
[en] [en] PURPOSE: To assess the psychometric properties of the Social Phobia Inventory (SPIN), and evaluate the indirect effect of social phobia between perfectionism and life satisfaction (LS).
METHODS: A cross-sectional study enrolled 683 Lebanese adults (April-May 2021).
RESULTS: The confirmatory factor analysis results confirmed the one-factor solution of the SPIN items (Cronbach's alpha = 0.92). Social phobia had an indirect effect in the association between rigid, self-critical, and narcissistic perfectionism and life satisfaction.
PRACTICE IMPLICATIONS: The study results confirm the psychometric properties of the SPIN to assess social phobia and constitute a preliminary database of the variables that interplay with LS in the Lebanese population. Future studies should suggest clinical tools and techniques to cope with anxiety or reduce perfectionism to enhance LS.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Sfeir, Michel ; Université de Mons - UMONS > Faculté de Psychologie et des Sciences de l'Education > Service de Psychologie clinique ; Faculty of Social and Political Sciences (SSP), Institute of Psychology (IP), University of Lausanne, Lausanne, Switzerland
Saliba, Gisele; Faculty of Arts and Science, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
Akel, Marwan; School of Pharmacy, Lebanese International University, Beirut, Lebanon
Hallit, Souheil ; Psychology Department, College of Humanities, Effat University, Jeddah, 21478, Saudi Arabia ; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon ; Department of Research, Psychiatric Hospital of the Cross, P.O. Box 60096, Jal Eddib, Lebanon
Obeid, Sahar; Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon
Language :
English
Title :
Association between perfectionism and life satisfaction among a sample of the Lebanese population: The indirect role of social phobia and validation of the Arabic version of the Social Phobia Inventory.
Abbott, P., & Sapsford, R. (2006). Life-satisfaction in post-Soviet Russia and Ukraine. Journal of happiness studies, 7(2), 251–287.
Abdallah, T. (1998). The Satisfaction with Life Scale (SWLS): Psychometric properties in an Arabic-speaking sample. International Journal of Adolescence and Youth, 7(2), 113–119.
Abi Doumit, C., Haddad, C., Sacre, H., Salameh, P., Akel, M., Obeid, S., Akiki, M., Mattar, E., Hilal, N., Hallit, S., & Soufia, M. (2019). Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study. PLoS One, 14(9), e0222172. https://doi.org/10.1371/journal.pone.0222172
Alden, L. E., Bieling, P. J., & Wallace, S. T. (1994). Perfectionism in an interpersonal context: A self-regulation analysis of dysphoria and social anxiety. Cognitive Therapy and Research, 18(4), 297–316.
An, H.-Y., Chen, W., Wang, C.-W., Yang, H.-F., Huang, W.-T., & Fan, S.-Y. (2020). The relationships between physical activity and life satisfaction and happiness among young, middle-aged, and older adults. International Journal of Environmental Research and Public Health, 17(13), 4817.
Argyle, M. (2013). The psychology of happiness. Routledge.
Berkanovic, E. (1980). The effect of inadequate language translation on Hispanics' responses to health surveys. American Journal of Public Health, 70(12), 1273–1276.
Bieling, P. J., & Alden, L. E. (1997). The consequences of perfectionism for patients with social phobia. British Journal of Clinical Psychology, 36(3), 387–395.
Bieling, P. J., Israeli, A. L., & Antony, M. M. (2004). Is perfectionism good, bad, or both? Examining models of the perfectionism construct. Personality and Individual Differences, 36(6), 1373–1385.
Bravo, M.-A., González Betanzos, F., Castillo Navarro, A., & Padrós Blázquez, F. (2017). Evidence of validity of the Spanish version of the Social Phobia Inventory (SPIN). Universitas Psychologica, 16(2), 152–163.
Bursac, Z., Gauss, C. H., Williams, D. K., & Hosmer, D. W. (2008). Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine, 3(1), 1–8.
Byrne, B. M. (2013). Structural equation modeling with Mplus: Basic concepts, applications, and programming. Routledge.
Carleton, R. N., Collimore, K. C., Asmundson, G. J., McCabe, R. E., Rowa, K., & Antony, M. M. (2010). SPINning factors: factor analytic evaluation of the Social Phobia Inventory in clinical and nonclinical undergraduate samples. Journal of Anxiety Disorders, 24(1), 94–101. https://doi.org/10.1016/j.janxdis.2009.09.003
Chai, L., Yang, W., Zhang, J., Chen, S., Hennessy, D. A., & Liu, Y. (2020). Relationship between perfectionism and depression among Chinese college students with self-esteem as a mediator. Omega, 80(3), 490–503. https://doi.org/10.1177/0030222819849746
Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464–504.
Cheng, P., Dolsen, M., Girz, L., Rudowski, M., Chang, E., & Deldin, P. (2015). Understanding perfectionism and depression in an adult clinical population: Is outcome expectancy relevant to psychological functioning? Personality and Individual Differences, 75, 64–67.
Cho, Y., Choi, Y., Kim, S., & Hong, S. (2018). Factor structure and other psychometric properties of the social phobia inventory in Korean samples. Measurement and Evaluation in Counseling and Development, 51(4), 263–280.
Connor, K. M., Davidson, J. R., Churchill, L. E., Sherwood, A., Foa, E., & Weisler, R. H. (2000). Psychometric properties of the Social Phobia Inventory (SPIN). New self-rating scale. British Journal of Psychiatry, 176, 379–386. https://doi.org/10.1192/bjp.176.4.379
Davidson, J. R., Miner, C. M., De Veaugh-Geiss, J., Tupler, L. A., Colket, J. T., & Potts, N. L. (1997). The Brief Social Phobia Scale: A psychometric evaluation. Psychological Medicine, 27(1), 161–166. https://doi.org/10.1017/s0033291796004217
Davidson, J. R., Potts, N. L., Richichi, E. A., Ford, S. M., Krishnan, K. R., Smith, R. D., & Wilson, W. (1991). The Brief Social Phobia Scale. Journal of Clinical Psychiatry, 52(Suppl), 48–51. https://doi.org/10.1037/t07672-000
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The life satisfaction scale. Journal of Personality Assessment, 49(1), 71–75.
Diener, E., & Tay, L. (2017). A scientific review of the remarkable benefits of happiness for successful and healthy living. Happiness: Transforming the development landscape, 90–117.
Dobos, B., & Pikó, B. (2018). The role of perfectionism, social phobia, self-efficacy and life satisfaction in the background of trait anxiety. Psychiatria Hungarica: A Magyar Pszichiatriai Tarsasag tudomanyos folyoirata, 33(4), 347–358.
Dobos, B., Urban, R., Kenny, D., & Piko, B. F. (2021). The mediating role of social phobia between perfectionism and low life satisfaction among young women. The European Journal of Counselling Psychology, 9(1), 1–6.
Dryman, M. T., Gardner, S., Weeks, J. W., & Heimberg, R. G. (2016). Social anxiety disorder and quality of life: How fears of negative and positive evaluation relate to specific domains of life satisfaction. Journal of Anxiety Disorders, 38, 1–8. https://doi.org/10.1016/j.janxdis.2015.12.003
Dymecka, J., Gerymski, R., Machnik-Czerwik, A., Derbis, R., & Bidzan, M. (2021). Fear of COVID-19 and life satisfaction: The role of the health-related hardiness and sense of coherence. Frontiers in Psychiatry, 12, 712103. https://doi.org/10.3389/fpsyt.2021.712103
Egan, S. J., Wade, T. D., & Shafran, R. (2011). Perfectionism as a transdiagnostic process: a clinical review. Clinical Psychology Review, 31(2), 203–212. https://doi.org/10.1016/j.cpr.2010.04.009
Enkvist, A., Ekstrom, H., & Elmstahl, S. (2012). What factors affect life satisfaction (LS) among the oldest-old? Archives of Gerontology and Geriatrics, 54(1), 140–145. https://doi.org/10.1016/j.archger.2011.03.013
Enns, M. W., Cox, B. J., Sareen, J., & Freeman, P. (2001). Adaptive and maladaptive perfectionism in medical students: A longitudinal investigation. Medical Education, 35(11), 1034–1042. https://doi.org/10.1046/j.1365-2923.2001.01044.x
El Othman, R., Touma, E., El Othman, R., Haddad, C., Hallit, R., Obeid, S., Salameh, P., & Hallit, S. (2021). COVID-19 pandemic and mental health in Lebanon: a cross-sectional study. International Journal of Psychiatry in Clinical Practice, 25(2), 152–163. https://doi.org/10.1080/13651501.2021.1879159
Fares, K., Haddad, C., Malaeb, D., Sacre, H., Akel, M., Salameh, P., Obeid, S., & Hallit, S. (2022). Social anxiety and its correlates among Lebanese adults: Role of self-esteem, depression, alcohol use disorder, alexithymia, and work fatigue. The Primary Care Companion for CNS Disorders, 24(1):20m02902. https://doi.org/10.4088/PCC.20m02902
Flett, G. L., & Hewitt, P. L. (2002). Perfectionism and maladjustment: An overview of theoretical, definitional, and treatment issues. American Psychological Association.
Gaskin, J. (2016). “Name of tab”, Stats Tools Package. http://statwiki.kolobkreations.com
Gjersing, L., Caplehorn, J. R., & Clausen, T. (2010). Cross-cultural adaptation of research instruments: Language, setting, time and statistical considerations. BMC Medical Research Methodology, 10(1), 1–10.
Glatzer, W., von Below, S., & Stoffregen, M. (2004). Social indicators research series. Springer.
Gopalkrishnan, N. (2018). Cultural diversity and mental health: Considerations for policy and practice. Frontiers in Public Health, 6, 179. https://doi.org/10.3389/fpubh.2018.00179
Gori, A., Giannini, M., Socci, S., Luca, M., Dewey, D. E., Schuldberg, D., & Craparo, G. (2013). Assessing social anxiety disorder: Psychometric properties of the Italian Social Phobia Inventory (I-SPIN). Clinical Neuropsychiatry, 10(1):37.
Hair, J. F., Jr., Hult, G. T. M., Ringle, C., & Sarstedt, M. (2016). A primer on partial least squares structural equation modeling (PLS-SEM). Sage Publications.
Hajure, M., & Abdu, Z. (2020). Social phobia and its impact on quality of life among regular undergraduate students of Mettu University, Mettu, Ethiopia. Adolescent Health, Medicine and Therapeutics, 11, 79–87. https://doi.org/10.2147/AHMT.S254002
Hallit, S., Obeid, S., Haddad, C., Hallit, R., Akel, M., Haddad, G., Soufia, M., Khansa, W., Khoury, R., Kheir, N., Abi Elias Hallit, C., Sacre, H., & Salameh, P. (2020). Construction of the Lebanese Anxiety Scale (LAS-10): A new scale to assess anxiety in adult patients. International Journal of Psychiatry in Clinical Practice, 24(3), 270–277. https://doi.org/10.1080/13651501.2020.1744662
Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Publications.
Johnson, H. S., Inderbitzen-Nolan, H. M., & Anderson, E. R. (2006). The Social Phobia Inventory: Validity and reliability in an adolescent community sample. Psychological Assessment, 18(3), 269–277.
Jovanovic, V., Lazic, M., & Gavrilov-Jerkovic, V. (2020). Measuring life satisfaction among psychiatric patients: Measurement invariance and validity of the Satisfaction with Life Scale. Clinical Psychology & Psychotherapy, 27(3), 378–383. https://doi.org/10.1002/cpp.2434
Juster, H. R., Heimberg, R. G., Frost, R. O., Holt, C. S., Mattia, J. I., & Faccenda, K. (1996). Social phobia and perfectionism. Personality and Individual Differences, 21(3), 403–410.
Kearns, H., Forbes, A., & Gardiner, M. (2007). A cognitive behavioural coaching intervention for the treatment of perfectionism and self-handicapping in a nonclinical population. Behaviour Change, 24(3), 157–172.
Land, K. C., Michalos, A. C., & Sirgy, M. J. (2011). Handbook of social indicators and quality of life research. Springer Science & Business Media.
Lee, H., & Singh, G. K. (2020). Inequalities in Life Expectancy and All-cause Mortality in the United States by levels of happiness and life satisfaction: A longitudinal study. International Journal of MCH and AIDS, 9(3), 305–315. https://doi.org/10.21106/ijma.392
Letamendi, A. M., Chavira, D. A., & Stein, M. B. (2009). Issues in the assessment of social phobia: A review. Israel Journal of Psychiatry and Related Sciences, 46(1), 13–24. https://www.ncbi.nlm.nih.gov/pubmed/19728569
Levinson, C. A., Rodebaugh, T. L., Shumaker, E. A., Menatti, A. R., Weeks, J. W., White, E. K., Heimberg, R. G., Warren, C. S., Blanco, C., Schneier, F., & Liebowitz, M. R. (2015). Perception matters for clinical perfectionism and social anxiety. Journal of Anxiety Disorders, 29, 61–71. https://doi.org/10.1016/j.janxdis.2014.11.002
Liu, B., Floud, S., Pirie, K., Green, J., Peto, R., Beral, V., & Collaborators, M. W. S. (2016). Does happiness itself directly affect mortality? The prospective UK Million Women Study. The Lancet, 387(10021), 874–881.
Marsh, H. W., Hau, K.-T., & Wen, Z. (2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler's (1999) findings. Structural Equation Modeling, 11(3), 320–341.
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36(4), 455–470. https://doi.org/10.1016/s0005-7967(97)10031-6
McIntyre, R., Smith, P., & Rimes, K. A. (2018). The role of self-criticism in common mental health difficulties in students: A systematic review of prospective studies. Mental Health & Prevention, 10, 13–27.
Melki, I., Beydoun, H., Khogali, M., Tamim, H., & Yunis, K. (2004). Household crowding index: A correlate of socioeconomic status and inter-pregnancy spacing in an urban setting. Journal of Epidemiology & Community Health, 58(6), 476–480.
Merhy, G., Azzi, V., Salameh, P., Obeid, S., & Hallit, S. (2021). Anxiety among Lebanese adolescents: Scale validation and correlates. BMC Pediatrics, 21(1), 288. https://doi.org/10.1186/s12887-021-02763-4
Meule, A., & Voderholzer, U. (2020). Life satisfaction in persons with mental disorders. Quality of Life Research, 29(11), 3043–3052. https://doi.org/10.1007/s11136-020-02556-9
Mishra, P., Pandey, C. M., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Annals of Cardiac Anaesthesia, 22(1), 67–72.
Mörtberg, E., & Jansson Fröjmark, M. (2019). Psychometric evaluation of the social phobia inventory and the mini-social phobia inventory in a Swedish university student sample. Psychological Reports, 122(1), 323–339.
Mundfrom, D. J., Shaw, D. G., & Ke, T. L. (2005). Minimum sample size recommendations for conducting factor analyses. International Journal of Testing, 5(2), 159–168.
Nepon, T., Flett, G. L., Hewitt, P. L., & Molnar, D. S. (2011). Perfectionism, negative social feedback, and interpersonal rumination in depression and social anxiety. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 43(4):297.
Obeid, S., Akel, M., Haddad, C., Fares, K., Sacre, H., Salameh, P., & Hallit, S. (2019). Factors associated with alexithymia among the Lebanese population: results of a cross-sectional study. BMC Psychology, 7(1), 80. https://doi.org/10.1186/s40359-019-0353-5
Obeid, S., Akel, M., Haddad, C., Fares, K., Sacre, H., Salameh, P., & Hallit, S. (2020). Factors associated with alcohol use disorder: The role of depression, anxiety, stress, alexithymia and work fatigue - A population study in Lebanon. BMC Public Health, 20(1):245. https://doi.org/10.1186/s12889-020-8345-1
Obeid, S., Lahoud, N., Haddad, C., Sacre, H., Akel, M., Fares, K., Salameh, P., & Hallit, S. (2020). Factors associated with depression among the Lebanese population: Results of a cross-sectional study. Perspectives in Psychiatric Care, 56(4), 956–967. https://doi.org/10.1111/ppc.12518
Obeid, S., Lahoud, N., Haddad, C., Sacre, H., Fares, K., Akel, M., Salameh, P., & Hallit, S. (2020). Factors associated with anxiety among the Lebanese population: The role of alexithymia, self-esteem, alcohol use disorders, emotional intelligence and stress and burnout. International Journal of Psychiatry in Clinical Practice, 24(2), 151–162. https://doi.org/10.1080/13651501.2020.1723641
Pereira, A. T., Cabacos, C., Araujo, A., Amaral, A. P., Carvalho, F., & Macedo, A. (2022). COVID-19 psychological impact: The role of perfectionism. Personality and Individual Differences, 184, 111160. https://doi.org/10.1016/j.paid.2021.111160
Radomsky, A. S., Ashbaugh, A. R., Saxe, M. L., Ouimet, A. J., Golden, E. R., Lavoie, S. L., & O'Connor, K. P. (2006). Psychometric properties of the French and English versions of the Social Phobia Inventory. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 38(4), 354–360.
Rahme, C., Akel, M., Obeid, S., & Hallit, S. (2021). Cyberchondria severity and quality of life among Lebanese adults: The mediating role of fear of COVID-19, depression, anxiety, stress and obsessive-compulsive behavior-a structural equation model approach. BMC Psychology, 9(1), 169. https://doi.org/10.1186/s40359-021-00674-8
Rayan, A., & Fawaz, M. (2018). Cultural misconceptions and public stigma against mental illness among Lebanese university students. Perspectives in Psychiatric Care, 54(2), 258–265. https://doi.org/10.1111/ppc.12232
Rudolph, S. G., Flett, G. L., & Hewitt, P. L. (2007). Perfectionism and deficits in cognitive emotion regulation. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 25(4), 343–357.
Samaranayake, C. B., Arroll, B., & Fernando, A. T., 3rd (2014). Sleep disorders, depression, anxiety and satisfaction with life among young adults: A survey of university students in Auckland, New Zealand. New Zealand Medical Journal, 127(1399), 13–22. https://www.ncbi.nlm.nih.gov/pubmed/25145302
Seo, E. H., Kim, S. G., Kim, S. H., Kim, J. H., Park, J. H., & Yoon, H. J. (2018). Life satisfaction and happiness associated with depressive symptoms among university students: A cross-sectional study in Korea. Annals of General Psychiatry, 17, 52. https://doi.org/10.1186/s12991-018-0223-1
Sfeir, M., Akel, M., Hallit, S., & Obeid, S. (2022). Factors associated with general well-being among Lebanese adults: The role of emotional intelligence, fear of COVID, healthy lifestyle, coping strategies (avoidance and approach). Current Psychology, 1-10. https://doi.org/10.1007/s12144-021-02549-y
Smith, M. M., Saklofske, D. H., Stoeber, J., & Sherry, S. B. (2016). The big three perfectionism scale: A new measure of perfectionism. Journal of Psychoeducational Assessment, 34(7), 670–687.
Sosic, Z., Gieler, U., & Stangier, U. (2008). Screening for social phobia in medical in-and outpatients with the German version of the Social Phobia Inventory (SPIN). Journal of Anxiety Disorders, 22(5), 849–859.
Stein, M. B., & Kean, Y. M. (2000). Disability and quality of life in social phobia: epidemiologic findings. American Journal of Psychiatry, 157(10), 1606–1613.
Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. Lancet, 385(9968), 640–648. https://doi.org/10.1016/S0140-6736(13)61489-0
Ten Kate, J., de Koster, W., & van der Waal, J. (2017). The effect of religiosity on life satisfaction in a secularized context: Assessing the relevance of believing and belonging. Review of Religious Research, 59(2), 135–155.
Tillfors, M., & Furmark, T. (2007). Social phobia in Swedish university students: Prevalence, subgroups and avoidant behavior. Social Psychiatry and Psychiatric Epidemiology, 42(1), 79–86. https://doi.org/10.1007/s00127-006-0143-2
Tonge, N. A., Lim, M. H., Piccirillo, M. L., Fernandez, K. C., Langer, J. K., & Rodebaugh, T. L. (2020). Interpersonal problems in social anxiety disorder across different relational contexts. Journal of Anxiety Disorders, 75, 102275. https://doi.org/10.1016/j.janxdis.2020.102275
Tsai, C.-F., Wang, S.-J., Juang, K.-D., & Fuh, J.-L. (2009). Use of the Chinese (Taiwan) version of the Social Phobia Inventory (SPIN) among early adolescents in rural areas: Reliability and validity study. Journal of the Chinese Medical Association, 72(8), 422–429.
Väänänen, J. (2015). Social phobia and depression in adolescence in general population (dissertation). School of Medicine of the University of Tampere.
Wang, Q., & Wu, H. (2021). Associations between maladaptive perfectionism and life satisfaction among Chinese undergraduate medical students: The mediating role of academic burnout and the moderating role of self-esteem. Frontiers in Psychology, 12, 774622. https://doi.org/10.3389/fpsyg.2021.774622
Werner, A. M., Tibubos, A. N., Rohrmann, S., & Reiss, N. (2019). The clinical trait self-criticism and its relation to psychopathology: A systematic review - Update. Journal of Affective Disorders, 246, 530–547. https://doi.org/10.1016/j.jad.2018.12.069
Williams, C. J., & Cropley, M. (2014). The relationship between perfectionism and engagement in preventive health behaviours: the mediating role of self-concealment. Journal of Health Psychology, 19(10), 1211–1221. https://doi.org/10.1177/1359105313488971
Wong, N., Sarver, D. E., & Beidel, D. C. (2012). Quality of life impairments among adults with social phobia: The impact of subtype. Journal of Anxiety Disorders, 26(1), 50–57. https://doi.org/10.1016/j.janxdis.2011.08.012
Yazdanshenas Ghazwin, M., Kavian, M., Ahmadloo, M., Jarchi, A., Golchin Javadi, S., Latifi, S., Tavakoli, S. A., & Ghajarzadeh, M. (2016). The association between life satisfaction and the extent of depression, anxiety and stress among Iranian Nurses: A multicenter survey. Iranian Journal of Psychiatry, 11(2), 120–127. https://www.ncbi.nlm.nih.gov/pubmed/27437009
Zakhour, M., Haddad, C., Sacre, H., Fares, K., Akel, M., Obeid, S., Salameh, P., & Hallit, S. (2021). Suicidal ideation among Lebanese adults: Scale validation and correlates. BMC Psychiatry, 21(1):100. https://doi.org/10.1186/s12888-021-03111-7