Is the devil in the detail? A randomised controlled trial of guided internet-based CBT for perfectionism
Autor: | Radha Kothari, Per Carlbring, Roz Shafran, Tracey D. Wade, Sarah J. Egan, Alexander Rozental, Gerhard Andersson, Hannah Allcott-Watson |
---|---|
Rok vydání: | 2017 |
Předmět: |
Adult
Male 050103 clinical psychology Adolescent medicine.medical_treatment Experimental and Cognitive Psychology medicine.disease_cause law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Internet based law Surveys and Questionnaires Intervention (counseling) medicine Humans 0501 psychology and cognitive sciences Trial registration Internet Cognitive Behavioral Therapy Depression 05 social sciences Multidimensional perfectionism Perfectionism (psychology) Middle Aged Moderation Anxiety Disorders 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Female Perfectionism Psychology Clinical psychology |
Zdroj: | Behaviour Research and Therapy. 95:99-106 |
ISSN: | 0005-7967 |
Popis: | An internet guided self-help cognitive-behavioural treatment (ICBT) for perfectionism was recently found to be effective (see this issue). Such studies stand in need of replication. The aim of this study was to report the outcomes and predictors of change when the treatment is delivered in a UK setting. A total of 120 people (Mean = 28.9 years; 79% female) were randomised to receive ICBT or wait-list control over 12 weeks (trial registration: NCT02756871). While there were strong similarities between the current study and its Swedish counterpart, there were also important differences in procedural details. There was a significant impact of the intervention on the primary outcome measure (Frost Multidimensional Perfectionism Scale, Concern over Mistakes subscale) and also on the Clinical Perfectionism Questionnaire (between group effect sizes d = 0.98 (95% CI: 0.60-1.36) and d = 1.04 (95% CI: 0.66-1.43) respectively using intent-to-treat analyses). Unlike the Swedish study, there was significant non-engagement and non-completion of modules with 71% of participants completing fewer than half the modules. The number of modules completed moderated the rate of change in clinical perfectionism over time. In conclusion, the study indicates the intervention is effective in a UK setting but highlighted the importance of procedural details to optimise retention. |
Databáze: | OpenAIRE |
Externí odkaz: |