ArticleFrontiers in psychiatry2025
The mediating role of feelings of hopelessness and repetitive negative thinking in the relationship between perfectionism and depressive symptoms among medical students with suicidal ideation.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Perfectionism and depressive symptoms are among psychological concerns in medical students with suicidal ideation. While studies suggest a link between perfectionism and depression, the role of mediating mechanisms remains unclear. Objective: This study aimed to examine the mediating role of hopelessness and repetitive negative thinking in the relationship between perfectionism and depressive symptoms among Iranian medical students. Methods: The research employed a descriptive-correlational design using structural equation modeling (SEM). The study population comprised all medical students in Tehran in 2024, from which 355 individuals were selected through purposive sampling. Data were collected using the Beck Scale for Suicidal Ideation (BSSI), Tehran Multidimensional Perfectionism Scale (TMPS), Beck Depression Inventory (BDI-II), Repetitive Negative Thinking Questionnaire (RNTQ), and the Beck Hopelessness Scale (BHS). The data were analyzed using structural equation modeling. Results: The results indicated that the proposed model demonstrated an excellent fit, and perfectionism was significantly and directly associated with depressive symptoms (p < 0.01). Additionally, perfectionism indirectly predicted depressive symptoms (p < 0.001) through hopelessness (β = 0.35) and repetitive negative thinking (β = 0.37). Together, perfectionism, hopelessness, and repetitive negative thinking accounted for 58% of the variance in depressive symptoms (R² = 0.58). Conclusions: These findings suggest that perfectionism contributes to an increase in depressive symptoms both directly and indirectly, by intensifying feelings of hopelessness and repetitive negative thinking.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.