a School of Psychology , Curtin University , Perth , Australia.
b Centre for Clinical Interventions , Perth , Australia.
Cogn Behav Ther. 2019 Mar;48(2):106-120. doi: 10.1080/16506073.2018.1490810. Epub 2018 Jul 13.
Perfectionism has been proposed as a transdiagnostic process that maintains depression and anxiety through shared cognitive and behavioral processes. The purpose of this study was to investigate the efficacy of a brief, guided cognitive behavioral treatment (CBT) for perfectionism delivered via a self-help booklet in reducing perfectionism and symptoms of depression and anxiety during the antenatal period. Pregnant women in their third trimester were randomly allocated to self-help (n = 30) or waitlist control (n = 30). There were significant reductions in perfectionism and symptoms for participants who received CBT for perfectionism from pre- to post-treatment, which were maintained at 3-month follow-up, while the waitlist control group demonstrated no significant changes. Path analysis demonstrated a significant indirect effect of treatment condition on post-treatment depression and anxiety scores via perfectionism, controlling for pre-treatment scores, suggesting changes in perfectionism were associated with decreases in symptoms. The findings suggest that it would be useful for future research with larger samples to further investigate the efficacy of CBT for perfectionism for perinatal depression and anxiety.
完美主义被认为是一种跨诊断过程，通过共同的认知和行为过程来维持抑郁和焦虑。本研究的目的是探讨通过自助手册提供的简短指导性认知行为治疗（CBT）对完美主义的疗效，以减少产前期间的完美主义和抑郁焦虑症状。将处于孕晚期的孕妇随机分配到自助组（n=30）或候补名单对照组（n=30）。接受完美主义 CBT 的参与者在治疗前至治疗后期间完美主义和症状均有明显减轻，在 3 个月随访时仍保持不变，而候补名单对照组则没有明显变化。路径分析表明，在控制治疗前分数的情况下，治疗条件对治疗后抑郁和焦虑分数有显著的间接影响，这表明完美主义的变化与症状的减轻有关。研究结果表明，对于未来更大样本的研究，进一步探讨针对围产期抑郁和焦虑的完美主义的 CBT 疗效将是有用的。
