# Exploring the Expression and Perceived Relational Correlates of Perfectionism in Higher Education: A Multicenter Study

**Authors:** Anna Marchetti, Anna De Benedictis, Elena Sandri, Valentina Micheluzzi, Michela Piredda, Maria Grazia De Marinis

PMC · DOI: 10.3390/healthcare14060727 · Healthcare · 2026-03-12

## TL;DR

This study explores how perfectionism manifests in university students, finding it is mostly self-directed and linked to lower trust and higher self-criticism.

## Contribution

The study identifies specific dimensions of perfectionism and their relational correlates in university settings, suggesting targeted interventions for student well-being.

## Key findings

- Self-oriented perfectionism was the most prominent dimension among university students.
- Socially prescribed perfectionism was linked to lower perceived trust and higher self-criticism.
- Higher socially prescribed perfectionism was observed in women, younger students, and in more evaluative academic contexts.

## Abstract

What are the main findings?
Perfectionism was mainly self-directed, with lower levels of perceived external expectations and demands toward others.Maladaptive perfectionism-related beliefs co-occurred with lower perceived trust/acceptance and stronger failure-based self-criticism, and the perceived external-pressure dimension showed the strongest links with Roots variables.

Perfectionism was mainly self-directed, with lower levels of perceived external expectations and demands toward others.

Maladaptive perfectionism-related beliefs co-occurred with lower perceived trust/acceptance and stronger failure-based self-criticism, and the perceived external-pressure dimension showed the strongest links with Roots variables.

What are the implications of the main findings?
University screening and prevention should go beyond a single overall score and prioritize perceived external evaluative pressure and self-critical responses to mistakes.Interventions may benefit from targeting tolerance of imperfection and adaptive mistake appraisal, using scalable delivery formats when appropriate.

University screening and prevention should go beyond a single overall score and prioritize perceived external evaluative pressure and self-critical responses to mistakes.

Interventions may benefit from targeting tolerance of imperfection and adaptive mistake appraisal, using scalable delivery formats when appropriate.

Background: Perfectionism is a multidimensional disposition marked by exceptionally high standards and self-worth contingent on flawless performance. In university settings, academic demands may amplify perfectionistic pressure, with maladaptive outcomes most consistently linked to socially prescribed expectations and self-critical failure processing. This study profiled perfectionism dimensions in Italian university students and examined their associations with perceived relational and self-related correlates (Roots). Methods: A multicenter cross-sectional study was conducted with Italian university students. Participants completed two validated tools: the 14-item Multidimensional Perfectionism Scale—Revised (MPS-R) and the 16-item Roots questionnaire. Descriptive statistics, Spearman correlations, and non-parametric group comparisons were performed. Results: Self-oriented perfectionism was the most prominent dimension, while socially prescribed perfectionism (SPP) was comparatively lower but showed the clearest links with vulnerability-related correlates. Lower perceived parental and interpersonal trust was associated with stronger failure-based self-appraisals and perceived excessive demands from others. Higher SPP was observed among women and younger students and in more evaluative study contexts. Conclusions: Perfectionism in this sample was predominantly self-directed, yet risk-relevant profiles were characterized by SPP and self-critical failure processing in conjunction with lower perceived trust/acceptance. These findings support screening approaches that move beyond global scores and inform prevention strategies targeting fear of mistakes, contingent self-worth, and perceived evaluative pressure to promote student well-being. Longitudinal and intervention studies are needed to test temporal pathways and scalable, targeted prevention strategies.

## Full-text entities

- **Species:** Homo sapiens (human, species) [taxon 9606]

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## References

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Source: https://tomesphere.com/paper/PMC13026897