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The aim of the present study was to further clarify the basic mechanism   through which maladaptive perfectionism leads to depression, using the   rational-emotive behavior therapy (REBT) framework. Previous studies have   shown that depression is not associated with high personal standards, but   rather with the tendency to evaluate one’s self-worth based on the attainment   of these standards, i.e. conditional self-acceptance. The goal of this study   was to investigate for the first time the mediating role of frustration   intolerance beliefs in this relationship, beyond and above the contribution   of unconditional self-acceptance (USA) beliefs. The sample consisted of 321   undergraduate students. Consistent with REBT theory, the structural equation   modeling showed that both frustration intolerance and USA mediated the   relationship between maladaptive perfectionism and dysphoria, with   frustration intolerance beliefs being the stronger mediator. There was no   evidence that maladaptive perfectionism influenced dysphoria independently of   its effect on frustration intolerance and USA

Frustration intolerance and unconditional self-acceptance as mediators of the relationship between perfectionism and depression