Chand Suma P, Chibnall John T, Slavin Stuart J
Saint Louis University School of Medicine, St. Louis, MO, USA.
Acad Psychiatry. 2018 Feb;42(1):58-61. doi: 10.1007/s40596-017-0708-2. Epub 2017 Apr 10.
Maladaptive perfectionism is associated with psychological distress and psychopathology. Medical students have been found to be particularly prone to maladaptive perfectionism. Recent research has indicated that Cognitive Behavioral Therapy (CBT) that targets unhealthy perfectionism leads to reductions in perfectionism and related distress. This preliminary investigation aimed to evaluate the efficacy of a CBT program directed at medical students who had significant levels of maladaptive perfectionism. The impact on associated psychological distress was also assessed.
The study used a case series methodology with an A-B design plus follow-up. First-year medical students who screened positive for maladaptive perfectionism and consented for the study (N = 4) were assessed at baseline to evaluate the levels of maladaptive perfectionism, anxiety, and depression. They participated in an eight-session CBT program for reducing maladaptive perfectionism after a waiting period. Assessments were repeated post CBT and at 3- and 6-month follow up periods.
Results indicated positive and durable effects on maladaptive perfectionism among program participants.
The current research provides promising results for the use of CBT in at risk medical students with maladaptive perfectionism.
适应不良的完美主义与心理困扰和精神病理学相关。研究发现医学生特别容易出现适应不良的完美主义。最近的研究表明，针对不健康完美主义的认知行为疗法（CBT）可降低完美主义及相关困扰。这项初步调查旨在评估针对具有显著适应不良完美主义水平的医学生的CBT项目的疗效。同时还评估了对相关心理困扰的影响。
本研究采用A - B设计加随访的病例系列方法。对筛查出适应不良完美主义呈阳性且同意参与研究的一年级医学生（N = 4）在基线时进行评估，以评估适应不良完美主义、焦虑和抑郁的水平。在等待期后，他们参加了一个为期八节的旨在减少适应不良完美主义的CBT项目。在CBT后以及3个月和6个月的随访期重复进行评估。
结果表明该项目参与者的适应不良完美主义有积极且持久的改善效果。
目前的研究为在有适应不良完美主义风险的医学生中使用CBT提供了有前景的结果。
