Mohammadi Gelavizh, Asgharnezhadfarid Aliasghar, Zahedi Tajrishi Komeil, Gharraee Banafsheh, Moloodi Reza
Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.
Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences., Tehran, Iran.
Med J Islam Repub Iran. 2025 Feb 25;39:30. doi: 10.47176/mjiri.39.30. eCollection 2025.
The effectiveness of integrating a self-help training application with cognitive behavioral therapy (CBT) for treating maladaptive perfectionism remains unclear. This study evaluated the impact of combining CBT with a web-based program versus CBT alone on psychological outcomes in college students with maladaptive perfectionism.
This study involved 52 participants randomized to a 10-week intervention of either CBT or CBT combined with a web-based application. Outcomes assessed included perfectionism, depression, anxiety, stress, psychological well-being, procrastination, and life satisfaction, measured through self-reporting at baseline, posttreatment, and 3 follow-ups. Data analyses utilized independent t tests, chi-square tests for preintervention differences, and repeated mixed analysis of variance (ANOVA) to evaluate intervention effects over time, with effect sizes calculated using η².
Participants had a mean age of 27.85 years (SD, 4.94), were predominantly female (n = 34; 74%), mostly single (n = 29; 73.9%), and held a master's degree (n = 20; 43.5%). Overall, 52 participants were randomized into 2 groups, with 26 participants in each group. Of these, 23 participants from each group completed the treatment and follow-up periods. The CBT combined with an App group demonstrated superior effectiveness in addressing perfectionism and improving interpersonal sensitivity, striving for excellence, and high standards for others compared with CBT alone. In addition, this combined treatment was significantly better than CBT in reducing stress, increasing psychological well-being, and improving life satisfaction.
Integrating a web-based self-help application with CBT effectively reduces maladaptive perfectionism and associated psychopathology, highlighting the potential benefits of combining digital tools with traditional therapeutic approaches.
将自助训练应用程序与认知行为疗法（CBT）相结合治疗适应不良的完美主义的有效性尚不清楚。本研究评估了将CBT与基于网络的程序相结合与单独使用CBT对患有适应不良完美主义的大学生心理结果的影响。
本研究纳入52名参与者，随机分为接受为期10周的CBT干预组或CBT与基于网络的应用程序相结合的干预组。评估的结果包括完美主义、抑郁、焦虑、压力、心理健康、拖延和生活满意度，通过在基线、治疗后和3次随访时的自我报告进行测量。数据分析采用独立t检验、干预前差异的卡方检验以及重复混合方差分析（ANOVA）来评估随时间的干预效果，效应大小使用η²计算。
参与者的平均年龄为27.85岁（标准差，4.94），主要为女性（n = 34；74%），大多为单身（n = 29；73.9%），拥有硕士学位（n = 20；43.5%）。总体而言，52名参与者被随机分为2组，每组26名参与者。其中，每组有23名参与者完成了治疗和随访期。与单独使用CBT相比，CBT与应用程序组合组在解决完美主义以及提高人际敏感性、追求卓越和对他人的高标准方面表现出更高的有效性。此外，这种联合治疗在减轻压力、提高心理健康和改善生活满意度方面明显优于CBT。
将基于网络的自助应用程序与CBT相结合可有效降低适应不良的完美主义及相关精神病理学问题，凸显了将数字工具与传统治疗方法相结合的潜在益处。
