Background and objectives

Perfectionism is associated with the development and maintenance of anxiety, mood, and eating disorders. Cognitive behaviour therapy (CBT) results in significant reductions in perfectionism and psychological symptoms however, the majority of studies have not examined clinical samples or impact on diagnostic status and comorbidity.

Methods

Forty participants with elevated perfectionism, of whom 80% had a range of psychological disorders, were randomised to CBT for perfectionism or waitlist control.

Results

The treatment group reported significant large effect size reductions in perfectionism measures of personal standards and concern over mistakes (d = 1.1–1.6), dichotomous thinking (d = 1.2), and medium effect size reductions in depression (d = 0.55) and increases in quality of life (d = 0.73), which were maintained at 4 month follow-up. The participants in the treatment group were significantly less likely to present with comorbid psychological disorders at post-treatment than the control group.

Limitations

The sample size was small, and there was no control condition at follow-up.

Conclusions

Findings lend further support for CBT for perfectionism as an efficacious transdiagnostic treatment for perfectionism and related psychopathology.

中文翻译：

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一项针对完美主义的引导式自助认知行为疗法的试点随机对照试验：对诊断状态和合并症的影响

背景和目标

完美主义与焦虑、情绪和饮食失调的发展和维持有关。认知行为疗法 (CBT) 可显着减少完美主义和心理症状，然而，大多数研究并未检查临床样本或对诊断状态和合并症的影响。

方法

40 名完美主义升高的参与者（其中 80% 患有一系列心理障碍）被随机分配到 CBT 以进行完美主义或候补名单控制。

结果

治疗组报告称，在完美主义测量个人标准和对错误的关注（d  = 1.1-1.6）、二分思维（d  = 1.2）和抑郁症的中等效应量减少（d  = 0.55）和对错误的担忧方面显着大幅减少生活质量 ( d  = 0.73)，在 4 个月的随访中保持不变。与对照组相比，治疗组的参与者在治疗后出现合并心理障碍的可能性显着降低。

限制

样本量小，随访无对照条件。

结论

研究结果进一步支持完美主义的 CBT 作为完美主义和相关精神病理学的有效跨诊断治疗。