Department of Psychiatry, Northwestern University Feinberg School of Medicine, USA.
J Clin Child Adolesc Psychol. 2009 Nov;38(6):803-13. doi: 10.1080/15374410903259031.
The effect of perfectionism on acute treatment outcomes was explored in a randomized controlled trial of 439 clinically depressed adolescents (12-17 years of age) enrolled in the Treatment for Adolescents with Depression Study (TADS) who received cognitive behavior therapy (CBT), fluoxetine, a combination of CBT and FLX, or pill placebo. Measures included the Children's Depression Rating Scale-Revised, the Suicidal Ideation Questionnaire-Grades 7-9, and the perfectionism subscale from the Dysfunctional Attitudes Scale (DAS). Predictor results indicate that adolescents with higher versus lower DAS perfectionism scores at baseline, regardless of treatment, continued to demonstrate elevated depression scores across the acute treatment period. In the case of suicidality, DAS perfectionism impeded improvement. Treatment outcomes were partially mediated by the change in DAS perfectionism across the 12-week period.
本研究对 439 名青少年抑郁症患者（12-17 岁）进行了随机对照试验，旨在探讨完美主义对急性治疗结果的影响。这些患者参加了抑郁症青少年治疗研究（TADS），接受认知行为疗法（CBT）、氟西汀、CBT 和 FLX 联合治疗或安慰剂治疗。研究采用儿童抑郁评定量表修订版、自杀意念问卷 7-9 年级版和功能失调态度量表（DAS）中的完美主义分量表进行评估。预测结果表明，无论治疗方式如何，基线时 DAS 完美主义评分较高的青少年在急性治疗期间继续表现出较高的抑郁评分。在自杀方面，DAS 完美主义会阻碍改善。治疗结果在一定程度上受到 12 周期间 DAS 完美主义变化的影响。
