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基于互联网的认知行为疗法对完美主义的影响:透过卓越主义和完美主义模型的视角重新解读。

The impact of internet-based cognitive behavior therapy for perfectionism: a reinterpretation through the lens of the Model of Excellencism and Perfectionism.

机构信息

University of Ottawa, Ontario, Canada.

University of Manitoba, Manitoba, Canada.

出版信息

Behav Cogn Psychother. 2024 May;52(3):288-300. doi: 10.1017/S1352465823000516. Epub 2023 Nov 17.

DOI:10.1017/S1352465823000516
PMID:37974428
Abstract

BACKGROUND

Grieve . (2022) tested the effects of an intervention designed to reduce perfectionism. Contrary to their hypotheses, the intervention reduced both perfectionism and excellencism. Furthermore, excellencism positively correlated with negative outcomes (e.g. anxiety).

AIMS

A theory-driven framework (with five hypothetical scenarios) is proposed to reconsider how we interpret the effectiveness of interventions designed to reduce perfectionism. Our goal was to offer a constructive reinterpretation of the results of Grieve . (2022) using our new framework derived from the Model of Excellencism and Perfectionism.

METHOD

Secondary data analyses using the experimental and correlational results are published in the randomized control trial of Grieve . (2022).

RESULTS

Our re-examination of the results reveals that excellencism was reduced by a smaller extent (approximately 25% less) than perfectionism. Based on our framework, such a ratio provides conclusive evidence for the effectiveness of this intervention. Students entered the intervention as perfectionists and they ended up somewhere between the zones of excellence striving and non-perfectionism. Furthermore, our multivariate re-analysis of the bivariate correlations indicates that excellence strivers experienced better adjustment (lower anxiety, depression, stress, body-related acceptance, and higher self-compassion) compared with perfectionists.

CONCLUSION

Future interventions should target the reduction of perfectionism and the maintenance of excellencism because excellencism relates to desirable outcomes. Our secondary data analysis was needed to inform researchers and practitioners about an alternative interpretation of Grieve and colleagues' findings. Future interventions to reduce perfectionism should closely monitor excellencism and follow the interpretational guidelines advanced in this article.

摘要

背景

Grieve 等人(2022 年)测试了一项旨在减少完美主义的干预措施的效果。与他们的假设相反,该干预措施既减少了完美主义又减少了卓越主义。此外,卓越主义与负面结果(如焦虑)呈正相关。

目的

提出了一个理论驱动的框架(有五个假设情景),重新考虑我们如何解释旨在减少完美主义的干预措施的有效性。我们的目标是使用我们从卓越主义和完美主义模型中得出的新框架,对 Grieve 等人(2022 年)的研究结果进行建设性的重新解释。

方法

使用 Grieve 等人(2022 年)的随机对照试验中发表的实验和相关结果进行二次数据分析。

结果

我们对结果的重新检验表明,卓越主义的减少程度较小(大约减少 25%),低于完美主义。根据我们的框架,这种比例为该干预措施的有效性提供了确凿的证据。学生进入干预时是完美主义者,最终处于卓越追求区和非完美主义区之间。此外,我们对双变量相关性的多元重新分析表明,与完美主义者相比,卓越追求者的调整情况更好(焦虑、抑郁、压力、与身体相关的接受度和自我同情度更高)。

结论

未来的干预措施应该针对减少完美主义和维持卓越主义,因为卓越主义与理想的结果相关。我们对二次数据的分析是为了告知研究人员和从业者关于 Grieve 及其同事研究结果的另一种解释。未来旨在减少完美主义的干预措施应密切监测卓越主义,并遵循本文提出的解释性指导方针。

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