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评估一种针对大学生适应不良完美主义的基于网络的认知行为疗法。

Evaluating a Web-based cognitive-behavioral therapy for maladaptive perfectionism in university students.

机构信息

Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada. Natasha

出版信息

J Am Coll Health. 2012;60(5):357-66. doi: 10.1080/07448481.2011.630703.

Abstract

OBJECTIVE

This study assessed a Web-based cognitive-behavioral therapy (CBT) for maladaptive perfectionism, investigating perfectionism, anxiety, depression, negative automatic thoughts, and perceived stress.

PARTICIPANTS

Participants were undergraduate students defined as maladaptive perfectionists through a screening questionnaire at an urban university. The data were collected from July 2009 to August 2010.

METHODS

Forty-seven maladaptive perfectionists were randomly assigned to a 12-week CBT or a wait-list control group and assessed via questionnaires at pre- and postintervention. Statistical procedures included t tests, Pearson correlations, and analysis of covariance.

RESULTS

At the postintervention measure, the CBT group demonstrated significant decreases in anxiety sensitivity and negative automatic thoughts compared to the control group. Within the CBT group, changes in perfectionism scores were significantly correlated with positive changes in depression, anxiety, stress, and automatic thoughts.

CONCLUSIONS

The treatment group improved on psychological outcomes, demonstrating the effectiveness of a Web-based CBT for perfectionism in a university setting.

摘要

目的

本研究评估了一种基于网络的认知行为疗法(CBT)治疗适应不良完美主义,考察了完美主义、焦虑、抑郁、消极自动思维和感知压力。

参与者

参与者是在一所城市大学通过筛选问卷被定义为适应不良完美主义者的本科生。数据收集于 2009 年 7 月至 2010 年 8 月。

方法

47 名适应不良完美主义者被随机分配到 12 周的 CBT 或候补名单对照组,并在干预前后通过问卷进行评估。统计程序包括 t 检验、皮尔逊相关和协方差分析。

结果

在干预后测量时,CBT 组与对照组相比,焦虑敏感性和消极自动思维显著降低。在 CBT 组中,完美主义评分的变化与抑郁、焦虑、压力和自动思维的积极变化显著相关。

结论

治疗组在心理结果上有所改善,表明基于网络的 CBT 在大学环境中对完美主义的有效性。

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