School of Psychology and Speech Pathology & Curtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia.
Clin Psychol Rev. 2011 Mar;31(2):203-12. doi: 10.1016/j.cpr.2010.04.009. Epub 2010 May 5.
Perfectionism is a risk and maintaining factor for eating disorders, anxiety disorders and depression. The objective of this paper is to review the four bodies of evidence supporting the notion that perfectionism is a transdiagnostic process. First, a review of the literature was conducted that demonstrates the elevation of perfectionism across numerous anxiety disorders, depression, and eating disorders compared to healthy controls. Data is presented that shows perfectionism increases vulnerability for eating disorders, and that it maintains obsessive-compulsive disorder, social anxiety and depression as it predicts treatment outcome in these disorders. Second, evidence is examined showing that elevated perfectionism is associated with co-occurrence of psychopathology. Third, the different conceptualisations of perfectionism are reviewed, including a cognitive-behavioural conceptualisation of clinical perfectionism that can be utilised to understand this transdiagnostic process. Fourth, evidence that treatment of perfectionism results in reductions in anxiety, depression and eating pathology is reviewed. Finally, the importance of clinicians considering the routine assessment and treatment of perfectionism is outlined.
完美主义是饮食障碍、焦虑障碍和抑郁的风险因素和维持因素。本文的目的是综述支持完美主义是一种跨诊断过程的四种证据。首先，对文献进行了回顾，表明与健康对照组相比，许多焦虑障碍、抑郁和饮食障碍中存在完美主义的升高。有数据表明，完美主义会增加饮食障碍的易感性，并且它会维持强迫症、社交焦虑和抑郁，因为它预测这些障碍的治疗结果。其次，检查了表明升高的完美主义与精神病理学的共病有关的证据。第三，回顾了不同的完美主义概念化，包括可以用来理解这种跨诊断过程的认知行为临床完美主义概念化。第四，综述了治疗完美主义导致焦虑、抑郁和饮食病理减轻的证据。最后，概述了临床医生考虑常规评估和治疗完美主义的重要性。
