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A Pilot Investigation of Cognitive Behavioural Therapy for Clinical Perfectionism in Obsessive Compulsive Disorder

Published online by Cambridge University Press:  31 January 2017

Shalane K. Sadri ,
Rebecca A. Anderson ,
Peter M. McEvoy ,
Robert T. Kane  and
Sarah J. Egan
Shalane K. Sadri
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Rebecca A. Anderson
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Peter M. McEvoy
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Robert T. Kane
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
Sarah J. Egan*
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, Australia
*
Correspondence to Sarah Egan, School of Psychology and Speech Pathology, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia. E-mail: s.egan@curtin.edu.au
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Abstract

Background: Perfectionism is strongly associated with obsessive compulsive disorder (OCD). Cognitive behavioural therapy for perfectionism (CBT-P) has been found to result in reductions in a range of symptoms in individuals with anxiety disorders, depression and eating disorders. Aim: To pilot-test the efficacy of group CBT for perfectionism in participants with OCD and elevated perfectionism. Method: Participants were randomized to receive immediate 8-week group CBT-P (n = 4) or an 8-week waitlist followed by CBT-P (n = 7). Results: Reliable reductions and a large effect size indicated that CBT-P was associated with improvements in perfectionism and OCD severity at post-test. However, these changes were not clinically significant and drop-out was high, resulting in a small final sample. Conclusions: CBT-P may be effective in reducing perfectionism and disorder-specific OCD symptoms. However, the high drop-out rate and lack of clinically significant findings suggest that further research needs to be conducted to determine the efficacy of CBT for perfectionism in OCD.

Keywords

Obsessive compulsive disorderperfectionismcognitive behavioural therapy
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 45 , Issue 3 , May 2017 , pp. 312 - 320
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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