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焦虑、抑郁与完美主义关系的定性研究元分析:对治疗的启示

A meta-synthesis of qualitative studies of the link between anxiety, depression and perfectionism: implications for treatment.

机构信息

Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.

Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia.

出版信息

Behav Cogn Psychother. 2022 Jan;50(1):89-105. doi: 10.1017/S1352465821000357. Epub 2021 Sep 8.

DOI:10.1017/S1352465821000357
PMID:34493352
Abstract

BACKGROUND

Meta-analyses show an association between perfectionism and depression and anxiety (negative affect), and that therapy for perfectionism impacts positively on negative affect. No systematic reviews have focused on qualitative studies of perfectionism.

AIMS

Our aim was to perform a systematic, meta-synthesis of qualitative literature to (i) help inform our understanding of how perfectionism is associated with negative affect, so that we can (ii) inform future development of treatment for perfectionism in young people and to make it more effective.

METHOD

Included in the meta-synthesis were 37 qualitative studies.

RESULTS

Six themes related to perfectionism were found: (1) the association with negative affect, (2) self-worth dependent on achievement, (3) cognitive and behavioural maintaining factors, (4) the expectations of others, (5) effective elements of interventions, and (6) barriers to treatment.

CONCLUSIONS

The qualitative literature supports the notion of perfectionism as an important construct to consider in reducing negative affect. While cognitive behavioural therapy for perfectionism holds promise as a treatment to target negative affect, there was a paucity of qualitative research, particularly related to young people. A greater understanding of the views of young people are required to help tailor more effective interventions for perfectionism that can impact negative affect in this group.

摘要

背景

荟萃分析显示,完美主义与抑郁和焦虑(负性情绪)之间存在关联,而针对完美主义的治疗对负性情绪有积极影响。目前还没有系统评价专门针对完美主义的定性研究。

目的

我们旨在对定性文献进行系统的元综合分析,以(i)帮助我们了解完美主义与负性情绪之间的关系,以便我们能够(ii)为年轻人的完美主义治疗的未来发展提供信息,并使其更有效。

方法

元综合分析纳入了 37 项定性研究。

结果

发现了与完美主义相关的六个主题:(1)与负性情绪的关联,(2)自我价值取决于成就,(3)认知和行为维持因素,(4)他人的期望,(5)干预的有效因素,(6)治疗障碍。

结论

定性文献支持将完美主义作为减轻负性情绪的一个重要结构来考虑的观点。虽然针对完美主义的认知行为疗法作为一种治疗方法具有减少负性情绪的潜力,但针对年轻人的定性研究却很少。需要更多地了解年轻人的观点,以便为完美主义量身定制更有效的干预措施,从而对这一群体的负性情绪产生影响。

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