Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-08T13:23:39.421Z Has data issue: false hasContentIssue false
  • English
  • Français

A Pilot Investigation of Cognitive Behavioural Therapy for Clinical Perfectionism in Obsessive Compulsive Disorder

Published online by Cambridge University Press:  31 January 2017

Shalane K. Sadri ,
Rebecca A. Anderson ,
Peter M. McEvoy ,
Robert T. Kane  and
Sarah J. Egan
Shalane K. Sadri
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Rebecca A. Anderson
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Peter M. McEvoy
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Robert T. Kane
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Sarah J. Egan*
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
*
Correspondence to Sarah Egan, School of Psychology and Speech Pathology, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Perfectionism is strongly associated with obsessive compulsive disorder (OCD). Cognitive behavioural therapy for perfectionism (CBT-P) has been found to result in reductions in a range of symptoms in individuals with anxiety disorders, depression and eating disorders. Aim: To pilot-test the efficacy of group CBT for perfectionism in participants with OCD and elevated perfectionism. Method: Participants were randomized to receive immediate 8-week group CBT-P (n = 4) or an 8-week waitlist followed by CBT-P (n = 7). Results: Reliable reductions and a large effect size indicated that CBT-P was associated with improvements in perfectionism and OCD severity at post-test. However, these changes were not clinically significant and drop-out was high, resulting in a small final sample. Conclusions: CBT-P may be effective in reducing perfectionism and disorder-specific OCD symptoms. However, the high drop-out rate and lack of clinically significant findings suggest that further research needs to be conducted to determine the efficacy of CBT for perfectionism in OCD.

Keywords

Obsessive compulsive disorderperfectionismcognitive behavioural therapy
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 45 , Issue 3 , May 2017 , pp. 312 - 320
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155‒159.Google Scholar
Egan, S. J., Wade, T. D. and Shafran, R. (2011). Perfectionism as a transdiagnostic process: a clinical review. Clinical Psychology Review, 31, 203‒212.Google Scholar
Egan, S. J., Wade, T. D., Shafran, R. and Antony, M. M. (2014). Cognitive-Behavioral Treatment of Perfectionism. New York, NY, USA: Guilford Publications.Google Scholar
Fisher, P. L. and Wells, A. (2005). How effective are cognitive and behavioural treatments for obsessive-compulsive disorder? A clinical significance analysis. Behaviour Research and Therapy, 43, 1543‒1558.CrossRefGoogle ScholarPubMed
Frost, R. O. and Di Bartolo, P. M. (2002). Perfectionism, anxiety, and obsessive-compulsive disorder. In Flett, G. L. and Hewitt, P. L., Perfectionism: Theory, Practice and Research. Washington, DC: American Psychological Association Press.Google Scholar
Frost, R. O., Marten, P., Lahart, C. and Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449‒468.Google Scholar
Kyrios, M., Hordern, C. and Fassnacht, D. B. (2015). Predictors of response to cognitive behaviour therapy for obsessive-compulsive disorder. International Journal of Clinical and Health Psychology, 15, 181‒190.CrossRefGoogle ScholarPubMed
Lloyd, S., Schmidt, U., Khondoker, M. and Tchanturia, K. (2015). Can psychological interventions reduce perfectionism? A systematic review and meta-analysis. Behavioural and Cognitive Psychotherapy, 43, 705‒731.Google Scholar
Supplementary material: PDF

Sadri supplementary material

Sadri supplementary material 1

Download Sadri supplementary material(PDF)
PDF 225 KB
Submit a response

Comments

No Comments have been published for this article.