A randomised controlled trial of group cognitive behavioural therapy for perfectionism
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Perfectionism is associated with symptoms of anxiety disorders, eating disorders and mood disorders. Treatments targeting perfectionism may reduce the symptoms of these disorders (Egan, Wade, & Shafran, 2011). This study is the first randomised controlled trial to investigate the efficacy of group cognitive behavioural therapy (CBT) for perfectionism. Forty-two participants with elevated perfectionism and a range of anxiety, eating and mood disorders were randomised to group CBT for perfectionism or a waitlist control. The treatment group reported significantly greater pre-post reductions in perfectionism, symptoms of depression, eating disorders, social anxiety, anxiety sensitivity and rumination, as well as significantly greater pre-post increases in self-esteem and quality of life compared to the waitlist control group. The impact of treatment on most of these outcomes was mediated by pre-post change in perfectionism (Concern over Mistakes). Treatment gains were reliable and clinically significant, and were maintained at 6-month follow-up. Findings support group CBT for perfectionism being an efficacious treatment for perfectionism and related psychopathology, as well as increasing self-esteem and quality of life.
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Overcoming Perfectionism: Protocol of a Randomized Controlled Trial of an Internet-Based Guided Self-Help Cognitive Behavioral Therapy InterventionKothari, R.; Egan, Sarah; Wade, T.; Andersson, G.; Shafran, R. (2016)Background: Perfectionism is elevated across, and increases risk for, a range of psychological disorders as well as having a direct negative effect on day-to-day function. A growing body of evidence shows that cognitive ...
Titov, N.; Dear, B.; Schwencke, G.; Andrews, G.; Johnston, L.; Craske, M.; McEvoy, Peter (2011)Disorder-specific cognitive behavioural therapy programs delivered over the internet (iCBT) with clinicianguidance are effective at treating specific anxiety disorders and depression. The present study examined the efficacy ...
Egan, Sarah Jane (2005)Perfectionism has long been recognized as a factor that is central to understanding psychological disorders, as it is significantly higher in the majority of psychological disorders compared to the general population. The ...