A randomised controlled trial of group cognitive behavioural therapy for perfectionism

Behaviour Research and Therapy
Alicia K HandleyClare S Rees

Abstract

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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Citations

Jan 25, 2016·Journal of Behavior Therapy and Experimental Psychiatry·Joel A HowellSarah J Egan
Aug 24, 2018·European Eating Disorders Review : the Journal of the Eating Disorders Association·Cheri A LevinsonCynthia M Bulik
Dec 7, 2018·Journal of Personality·Anna M Bardone-ConeAlexandra J Miller
Mar 8, 2019·Anxiety, Stress, and Coping·Joel A HowellSarah J Egan
Aug 2, 2017·The British Journal of Clinical Psychology·Eva J Vekas, Tracey D Wade
Oct 24, 2017·European Eating Disorders Review : the Journal of the Eating Disorders Association·Cheri A LevinsonCynthia M Bulik
Nov 22, 2020·European Eating Disorders Review : the Journal of the Eating Disorders Association·Brenna M Williams, Cheri A Levinson
Feb 18, 2021·The International Journal of Eating Disorders·Katherine Robinson, Tracey D Wade
Sep 1, 2021·Journal of American College Health : J of ACH·Evan Alexander Iliakis, Sara Rose Masland

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