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A randomised contro...
A randomised controlled trial of guided internet-based cognitive behavioural therapy for perfectionism : Effects on psychopathology and transdiagnostic processes
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- Kothari, Radha (författare)
- UCL, England
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- Barker, Chris (författare)
- UCL, England
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- Pistrang, Nancy (författare)
- UCL, England
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- Rozental, Alexander (författare)
- Karolinska Institutet,UCL, England; Karolinska Inst, Sweden
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- Egan, Sarah (författare)
- Curtin Univ, Australia
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- Wade, Tracey (författare)
- Flinders Univ S Australia, Australia
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- Allcott-Watson, Hannah (författare)
- UCL, England
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- Andersson, Gerhard, 1966- (författare)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden
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- Shafran, Roz (författare)
- UCL, England
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(creator_code:org_t)
- Pergamon Press, 2019
- 2019
- Engelska.
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Ingår i: Journal of Behavior Therapy and Experimental Psychiatry. - : Pergamon Press. - 0005-7916 .- 1873-7943. ; 64, s. 113-122
- Relaterad länk:
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https://dspace.flind...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background and objectivesPerfectionism is a transdiagnostic process that has been associated with a range of psychopathology and also with other transdiagnostic processes. We have previously shown that guided internet-based cognitive behavioural therapy (ICBT) can reduce symptoms of dysfunctional perfectionism, however, no impact was observed on symptoms of depression and anxiety. Here we explore the impact of guided ICBT for perfectionism on symptoms of other associated psychopathology, specifically obsessive-compulsive disorder (OCD) and eating disorders, and also on other associated transdiagnostic processes (self-esteem, intolerance of uncertainty, and self-compassion).MethodsParticipants who presented with clinical levels of perfectionism were randomised to an experimental group that received the intervention (n = 62), or a wait list control group (n = 58). Questionnaires assessing symptoms of OCD, eating disorders, self-esteem, intolerance of uncertainty, and fear of self-compassion were completed pre-intervention, post-intervention (12 weeks), and at follow-up (24 weeks). Between group effect sizes are reported.ResultsThe intervention led to significant decreases in symptoms of OCD (d = −0.9; CI: -1.4, −0.4) and eating disorders (d = −0.6; CI: -1.0, −0.1), and had an impact on other transdiagnostic processes resulting in increased self-esteem (d = 0.7; CI: 0.2, 1.2), decreases in intolerance of uncertainty (d = −0.9; CI: -1.4, −0.4), and fear of self-compassion (d = −0.8; CI: -1.3, −0.3). At follow-up changes were maintained in symptoms of OCD (d = −1.3; CI: -1.8, −0.8), disordered eating (d = −0.7; CI: -1.2, −0.2), intolerance of uncertainty (d = −0.8; CI: -1.2, −0.3), and fear of self-compassion (d = −1.0; CI: -1.5, −0.5).ConclusionsGuided ICBT for perfectionism improves associated psychopathology and transdiagnostic processes. ClinicalTrials.gov registration no. NCT02756871.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- Perfectionism; Cognitive behavioural therapy; Online intervention; Guided self-help; Transdiagnostic; Randomised controlled trial; Self-esteem; Intolerance of uncertainty; Self-compassion; Obsessive-compulsive disorder; Eating disorder
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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