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Is the devil in the detail? A randomised controlled trial of guided internet-based CBT for perfectionism
UCL, England.
Flinders University of S Australia, Australia.
Curtin University, Australia.
UCL, England.
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2017 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 95, p. 99-106Article in journal (Refereed) Published
Abstract [en]

An Internet guided self-help cognitive-behavioural treatment (ICBT) for perfectionism was recently found to be effective (see this issue). Such studies stand in need of replication. The aim of this study was to report the outcomes and predictors of change when the treatment is delivered in a UK setting. A total of 120 people (Mean = 28.9 years; 79% female) were randomised to receive ICBT or wait-list control over 12 weeks (trial registration: NCT02756871). While there were strong similarities between the current study and its Swedish counterpart, there were also important differences in procedural details. There was a significant impact of the intervention on the primary outcome measure (Frost Multidimensional Perfectionism Scale, Concern over Mistakes subscale) and also on the Clinical Perfectionism Questionnaire (between group effect sizes d = 0.98 (95% CI: 0.60-1.36) and d = 1.04 (95% CI: 0.66-1.43) respectively using intent-to-treat analyses). Unlike the Swedish study, there was significant non engagement and non-completion of modules with 71% of participants completing fewer than half the modules. The number of modules completed moderated the rate of change in clinical perfectionism over time. In conclusion, the study indicates the intervention is effective in a UK setting but highlighted the importance of procedural details to optimise retention. (C) 2017 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
PERGAMON-ELSEVIER SCIENCE LTD , 2017. Vol. 95, p. 99-106
Keywords [en]
Moderation; Non-engagement; Completion; Internet-based; Cognitive-behaviour therapy; Perfectionism
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-139524DOI: 10.1016/j.brat.2017.05.014ISI: 000405767100010PubMedID: 28618299OAI: oai:DiVA.org:liu-139524DiVA, id: diva2:1130184
Note

Funding Agencies|National Institute for Health Research Biomedical Research Centre at Great Ormond Street Hospital for Children NHS Foundation Trust and University College London; Linkoping University

Available from: 2017-08-08 Created: 2017-08-08 Last updated: 2017-08-08

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CiteExportLink to record
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