Buhrman Monica, Gelberg Olle, Jovicic Filip, Molin Katarina, Forsström David, Andersson Gerhard, Carlbring Per, Shafran Roz, Rozental Alexander
Department of Psychology, Uppsala University, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, Sweden.
Internet Interv. 2020 Aug 27;21:100338. doi: 10.1016/j.invent.2020.100338. eCollection 2020 Sep.
Perfectionism is characterized by setting high standards and striving for achievement, sometimes at the expense of social relationships and wellbeing. Despite sometimes being viewed as a positive feature by others, people with perfectionism tend to be overly concerned about their performance and how they are being perceived by people around them. This tends to create inflexible standards, cognitive biases, and performance-related behaviors that maintain a belief that self-worth is linked to accomplishments. Cognitive behavior therapy has been shown to be a viable treatment for perfectionism, both in terms of reducing levels of perfectionism and improving psychiatric symptoms. Furthermore, a number of recent studies indicate that it can be successfully delivered via the Internet, both with regular support and guidance on demand from a therapist. In the present study protocol, a clinical trial for perfectionism is described and outlined. In total, 128 participants will be recruited and randomized to either a treatment that has already been demonstrated to have many benefits, Internet-based Cognitive Behavior Therapy for perfectionism (iCBT-P), or an active comparison condition, Internet-based Unified Protocol (iUP), targeting the emotions underlying depression and anxiety disorders. The results will be investigated with regard to self-reported outcomes of perfectionism, psychiatric symptoms, self-compassion, and quality of life, at post-treatment and at six- and 12-month follow-up. Both iCBT-P and iUP are expected to have a positive impact, but the difference between the two conditions in terms of their specific effects and adherence are currently unknown and will be explored. The clinical trial is believed to lead to a better understanding of how perfectionism can be treated and the specificity of different treatments.
完美主义的特点是设定高标准并追求成就，有时会以牺牲社会关系和幸福感为代价。尽管有时被他人视为一种积极的特质，但完美主义者往往过度关注自己的表现以及周围人对他们的看法。这往往会产生僵化的标准、认知偏差以及与表现相关的行为，从而维持一种自我价值与成就相关联的信念。认知行为疗法已被证明是治疗完美主义的一种可行方法，既能降低完美主义程度，又能改善精神症状。此外，最近的一些研究表明，通过互联网，在治疗师定期支持和按需指导的情况下，该疗法可以成功实施。在本研究方案中，描述并概述了一项针对完美主义的临床试验。总共将招募128名参与者，并将他们随机分为两组，一组接受已被证明有诸多益处的治疗方法——基于互联网的完美主义认知行为疗法（iCBT-P），另一组接受积极对照治疗，即基于互联网的统一方案（iUP），该方案针对抑郁和焦虑症潜在的情绪问题。将在治疗后以及六个月和十二个月的随访中，就完美主义、精神症状、自我同情和生活质量的自我报告结果对研究结果进行调查。预计iCBT-P和iUP都会产生积极影响，但目前尚不清楚这两种治疗方法在具体效果和依从性方面的差异，将对其进行探究。人们相信，这项临床试验将有助于更好地理解如何治疗完美主义以及不同治疗方法的特异性。
