{"id":"https://openalex.org/W7225344237","doi":"https://doi.org/10.1002/jad.70306","title":"Perfectionistic Self\u2010Presentation, Somatic Symptoms, and Mental Health in Adolescents From a High\u2010Achieving School: The Moderating Role of Perceived Parental Alienation and Gender","display_name":"Perfectionistic Self\u2010Presentation, Somatic Symptoms, and Mental Health in Adolescents From a High\u2010Achieving School: The Moderating Role of Perceived Parental Alienation and Gender","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225344237","doi":"https://doi.org/10.1002/jad.70306","pmid":"https://pubmed.ncbi.nlm.nih.gov/42985894"},"language":"en","primary_location":{"id":"doi:10.1002/jad.70306","doi":"https://doi.org/10.1002/jad.70306","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jad.70306","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jad.70306","source":{"id":"https://openalex.org/S179289126","display_name":"Journal of Adolescence","issn_l":"0140-1971","issn":["0140-1971","1095-9254"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Adolescence","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jad.70306","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5158256743","display_name":"Alexis A. Anello","orcid":"https://orcid.org/0009-0006-0945-1934","observed_orcids":["https://orcid.org/0009-0006-0945-1934"]},"institutions":[{"id":"https://openalex.org/I67789559","display_name":"Liberty University","ror":"https://ror.org/00w4qrc49","country_code":"US","type":"education","lineage":["https://openalex.org/I67789559"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Alexis A. Anello","raw_affiliation_strings":["Liberty University College of Osteopathic Medicine Lynchburg Virginia USA"],"raw_orcid":"https://orcid.org/0009-0006-0945-1934","affiliations":[{"raw_affiliation_string":"Liberty University College of Osteopathic Medicine Lynchburg Virginia USA","institution_ids":["https://openalex.org/I67789559"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045301534","display_name":"Laura A. Wright","orcid":"https://orcid.org/0000-0002-4888-8999","observed_orcids":["https://orcid.org/0000-0002-4888-8999","https://orcid.org/0000-0003-3082-0184"]},"institutions":[{"id":"https://openalex.org/I4210146983","display_name":"Children's Healthcare of Atlanta","ror":"https://ror.org/050fhx250","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210146983"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura A. Wright","raw_affiliation_strings":["Division of Behavioral and Mental Health, Children's Healthcare of Atlanta Atlanta Georgia USA"],"raw_orcid":"https://orcid.org/0000-0002-4888-8999","affiliations":[{"raw_affiliation_string":"Division of Behavioral and Mental Health, Children's Healthcare of Atlanta Atlanta Georgia USA","institution_ids":["https://openalex.org/I4210146983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027979260","display_name":"Jenna B. Shapiro","orcid":"https://orcid.org/0000-0003-2369-540X","observed_orcids":["https://orcid.org/0000-0003-2369-540X"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]},{"id":"https://openalex.org/I1294278766","display_name":"Lurie Children's Hospital","ror":"https://ror.org/03a6zw892","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1294278766"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jenna B. Shapiro","raw_affiliation_strings":["The Pritzker Department of Psychiatry and Behavioral Health, Department of Psychiatry and Behavioral Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago Illinois USA"],"raw_orcid":"https://orcid.org/0000-0003-2369-540X","affiliations":[{"raw_affiliation_string":"The Pritzker Department of Psychiatry and Behavioral Health, Department of Psychiatry and Behavioral Sciences, Ann & Robert H. Lurie Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago Illinois USA","institution_ids":["https://openalex.org/I111979921","https://openalex.org/I1294278766"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083066925","display_name":"Kelsey N. Jervis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kelsey N. Jervis","raw_affiliation_strings":["The Cancer Center, Massachusetts General Hospital Boston Massachusetts USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Cancer Center, Massachusetts General Hospital Boston Massachusetts USA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160962236","display_name":"Alexandra G. Dennis","orcid":"https://orcid.org/0009-0005-2592-2006","observed_orcids":["https://orcid.org/0009-0005-2592-2006"]},"institutions":[{"id":"https://openalex.org/I189731429","display_name":"Wellesley College","ror":"https://ror.org/01srpnj69","country_code":"US","type":"education","lineage":["https://openalex.org/I189731429"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexandra G. Dennis","raw_affiliation_strings":["Wellesley College Wellesley Massachusetts USA"],"raw_orcid":"https://orcid.org/0009-0005-2592-2006","affiliations":[{"raw_affiliation_string":"Wellesley College Wellesley Massachusetts USA","institution_ids":["https://openalex.org/I189731429"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054025779","display_name":"Edin T. Randall","orcid":"https://orcid.org/0000-0001-5402-7215","observed_orcids":["https://orcid.org/0000-0001-5402-7215"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edin T. Randall","raw_affiliation_strings":["Department of Psychiatry and Behavioral Sciences Mayo Family Pediatric Pain Rehabilitation Center, Boston Children's Hospital and Harvard Medical School Boston Massachusetts USA"],"raw_orcid":"https://orcid.org/0000-0001-5402-7215","affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences Mayo Family Pediatric Pain Rehabilitation Center, Boston Children's Hospital and Harvard Medical School Boston Massachusetts USA","institution_ids":["https://openalex.org/I1288882113","https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5158256743"],"corresponding_institution_ids":["https://openalex.org/I67789559"],"apc_list":{"value":3150,"currency":"USD","value_usd":3150},"apc_paid":{"value":3150,"currency":"USD","value_usd":3150},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12258","display_name":"Perfectionism, Procrastination, Anxiety Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12258","display_name":"Perfectionism, Procrastination, Anxiety Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14085","display_name":"Student Stress and Coping","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/perfectionistic-self-presentation","display_name":"perfectionistic self-presentation","score":0.9419999718666077},{"id":"https://openalex.org/keywords/somatic-symptoms","display_name":"somatic symptoms","score":0.9649999737739563},{"id":"https://openalex.org/keywords/anxiety-symptoms","display_name":"anxiety symptoms","score":0.7670000195503235},{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.9980000257492065},{"id":"https://openalex.org/keywords/parental-alienation","display_name":"parental alienation","score":0.9290000200271606},{"id":"https://openalex.org/keywords/gender-differences","display_name":"gender differences","score":0.9319999814033508},{"id":"https://openalex.org/keywords/high-performing-schools","display_name":"high-performing schools","score":0.8960000276565552},{"id":"https://openalex.org/keywords/adolescent-mental-health","display_name":"adolescent mental health","score":0.7950000166893005},{"id":"https://openalex.org/keywords/psychosocial-stress","display_name":"psychosocial stress","score":0.7210000157356262},{"id":"https://openalex.org/keywords/perfectionism","display_name":"perfectionism","score":0.6060000061988831}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7993000149726868},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.6816999912261963},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6520000100135803},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.574999988079071},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5741999745368958},{"id":"https://openalex.org/C125370674","wikidata":"https://www.wikidata.org/wiki/Q1527480","display_name":"Stressor","level":2,"score":0.5221999883651733},{"id":"https://openalex.org/C2993280860","wikidata":"https://www.wikidata.org/wiki/Q12147","display_name":"Physical health","level":3,"score":0.478300005197525},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.4593999981880188},{"id":"https://openalex.org/C171773132","wikidata":"https://www.wikidata.org/wiki/Q2519156","display_name":"Alienation","level":2,"score":0.3946000039577484},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.382099986076355},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3273000121116638},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.319599986076355},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.31150001287460327},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.29260000586509705},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.2782000005245209},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2718999981880188},{"id":"https://openalex.org/C2778319590","wikidata":"https://www.wikidata.org/wiki/Q10981881","display_name":"Self-esteem","level":2,"score":0.2597000002861023}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/jad.70306","doi":"https://doi.org/10.1002/jad.70306","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jad.70306","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jad.70306","source":{"id":"https://openalex.org/S179289126","display_name":"Journal of Adolescence","issn_l":"0140-1971","issn":["0140-1971","1095-9254"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Adolescence","raw_type":"journal-article"},{"id":"pmid:42985894","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42985894","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of adolescence","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/jad.70306","doi":"https://doi.org/10.1002/jad.70306","is_oa":true,"landing_page_url":"https://doi.org/10.1002/jad.70306","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jad.70306","source":{"id":"https://openalex.org/S179289126","display_name":"Journal of Adolescence","issn_l":"0140-1971","issn":["0140-1971","1095-9254"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-d","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Adolescence","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225344237.pdf","grobid_xml":"https://content.openalex.org/works/W7225344237.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1954757392","https://openalex.org/W1994798697","https://openalex.org/W1997987450","https://openalex.org/W2013265615","https://openalex.org/W2013656874","https://openalex.org/W2017930909","https://openalex.org/W2028462361","https://openalex.org/W2038904012","https://openalex.org/W2040073285","https://openalex.org/W2040659979","https://openalex.org/W2045872377","https://openalex.org/W2063640179","https://openalex.org/W2063778566","https://openalex.org/W2094166596","https://openalex.org/W2096876890","https://openalex.org/W2098377267","https://openalex.org/W2101772681","https://openalex.org/W2104383601","https://openalex.org/W2121052089","https://openalex.org/W2125006167","https://openalex.org/W2137460738","https://openalex.org/W2144969659","https://openalex.org/W2149952497","https://openalex.org/W2157091034","https://openalex.org/W2166566711","https://openalex.org/W2297268436","https://openalex.org/W2322342493","https://openalex.org/W2778450436","https://openalex.org/W2809985197","https://openalex.org/W2898502767","https://openalex.org/W2964115245","https://openalex.org/W3038142846","https://openalex.org/W3193442700","https://openalex.org/W3209704123"],"related_works":["https://openalex.org/W7221360471","https://openalex.org/W1947080052","https://openalex.org/W4210293444","https://openalex.org/W2003046350","https://openalex.org/W3128131406","https://openalex.org/W2888369997","https://openalex.org/W2909400146","https://openalex.org/W158213398","https://openalex.org/W2107759751","https://openalex.org/W2108761695"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Adolescents":[1,134],"in":[2,36,113,135],"high-achieving":[3],"schools":[4],"(HAS)":[5],"are":[6],"considered":[7],"a":[8,97,111],"high-risk":[9],"group":[10],"due":[11],"to":[12,15,173],"unrelenting":[13],"pressures":[14],"excel.":[16],"Despite":[17],"being":[18],"at":[19],"risk":[20],"for":[21,207],"poorer":[22],"mental":[23],"health":[24,35],"outcomes,":[25],"few":[26],"studies":[27],"have":[28],"assessed":[29],"how":[30],"psychosocial":[31],"stressors":[32],"impact":[33],"physical":[34,62,221],"this":[37],"population.":[38],"There":[39],"is":[40],"evidence":[41],"that":[42,168,223],"youth":[43],"from":[44,105,110],"HAS":[45,112],"struggle":[46],"with":[47,150,161,185,203],"perfectionistic":[48,72,157,169],"demands":[49],"and":[50,61,76,79,87,122,129,154,179,188,218,220],"perceive":[51],"greater":[52,186],"parental":[53,85,195,215],"alienation,":[54,216],"both":[55],"of":[56,71,84,100,142,146,176,181,194,199],"which":[57],"may":[58],"influence":[59],"psychological":[60],"health.":[63],"This":[64,93],"study":[65,94],"examines":[66],"associations":[67,213],"between":[68,214],"three":[69],"domains":[70],"self-presentation,":[73],"somatic,":[74],"anxiety,":[75,155],"depressive":[77,152,189,205],"symptoms,":[78],"explores":[80],"the":[81,114,130,136],"moderating":[82],"role":[83],"alienation":[86],"gender":[88],"identity":[89],"on":[90],"these":[91],"relations.":[92],"also":[95],"presents":[96],"detailed":[98],"description":[99],"somatic":[101,143,163,177],"symptoms":[102,153,178,190,206],"among":[103],"adolescents":[104],"HAS.":[106],"METHODS:":[107],"=":[108],"1.01)":[109],"Northeastern":[115],"United":[116],"States":[117],"completed":[118],"self-report":[119],"measures.":[120],"Direct":[121],"moderated":[123],"effects":[124,166],"were":[125],"analyzed":[126],"using":[127],"SPSS":[128],"PROCESS":[131],"macro.":[132],"RESULTS:":[133],"current":[137],"sample":[138],"endorsed":[139],"high":[140],"levels":[141,175,193],"symptoms.":[144,164],"Nondisplay":[145],"imperfection":[147,182,200],"was":[148,159,171,183,201],"associated":[149,160,184,202],"more":[151,162,204],"while":[156],"self-promotion":[158,170],"Moderated":[165],"indicated":[167],"related":[172],"higher":[174],"nondisplay":[180,198],"anxiety":[187],"across":[191],"all":[192],"alienation.":[196],"Additionally,":[197],"females":[208],"only.":[209],"CONCLUSIONS:":[210],"Findings":[211],"highlight":[212],"perfectionism,":[217],"emotional":[219],"well-being":[222],"warrant":[224],"further":[225],"investigation.":[226]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-06T00:00:00"}