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Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

The Relationship Between Socially Prescribed Perfectionism and Somatization Symptoms: Parallel Mediating Effects of Worry and Rumination

Korean Journal of Health Psychology / Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2026, v.31 no.2, pp.457-476
https://doi.org/10.17315/kjhp.2026.31.2.005
Soomin Sun
Hyejeen Lee

Abstract

This study examined the role of worry and rumination, both forms of perseverative cognition, as parallel mediators in the relationship between socially prescribed perfectionism and somatization symptoms. A total of 545 adults completed online self-report questionnaires assessing socially prescribed perfectionism, worry, rumination, and somatization symptoms. The results showed a positive association between socially prescribed perfectionism and both worry and rumination, as well as an increase in somatization symptoms. Additionally, the relationship between socially prescribed perfectionism and somatization symptoms was fully mediated in parallel by worry and rumination. These findings indicate that individuals with high socially prescribed perfectionism, which involves a strong desire to meet others' expectations or external standards, tend to experience more worry and engage in rumination more frequently. Consequently, these patterns of perseverative cognition are linked to increased somatization symptoms, such as headaches, fatigue, and sleep difficulties. The results highlight the significance of addressing perseverative cognition in interventions for somatization among those with high levels of socially prescribed perfectionism. The study also discusses its implications and limitations.

keywords
socially prescribed perfectionism, perseverative cognition, worry, rumination, somatization symptoms.
Received
2025-09-09
Revised
2025-11-11
Accepted
2025-01-22
Published
2026-03-30

Korean Journal of Health Psychology