A randomised trial investigating guided self-help to reduce perfectionism and its impact on bulimia nervosa: A pilot study

Steele, Anna L.; Wade, Tracey

doi:10.1016/j.brat.2008.09.006

Cited by 109 publications

(109 citation statements)

References 28 publications

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“…The findings build upon our previous work, as well as wider research (for a review see Lloyd et al, 2014), which has found perfectionism group interventions to be associated with significant reductions in perfectionism (Lloyd et al, 2014, Tchanturia et al, under revision) and targeting perfectionism to be associated with wider changes in ED symptoms (Steele and Wade, 2008). It is also in line with existing literature which has found group interventions for EDs to be associated with numerous benefits including increased opportunities for interpersonal growth and learning and insight into the self and cohesion (Moreno, 1994;Sparrow and Tchanturia, 2016; Tchanturia important given that individuals with AN often experience difficulties making social contacts (Doris et al, 2014;Tchanturia, 2015a, Tchanturia et al 2013 and report high levels of social anhedonia: an absence of pleasure derived from being with people (Harrison et al, 2014;Tchanturia et al, 2012).…”

Section: Patient Characteristicssupporting

confidence: 83%

“…However no significant differences were found between the treatment conditions on eating disorders symptoms or perfectionism. In another randomized controlled trial, Steele and Wade (2008) investigated the effect of CBT for perfectionism in a guided self-help format compared with CBT for Bulimia Nervosa (BN) and placebo treatment. Significant changes with a large effect size (within group effect size of 1.0) were observed for 'concern over mistakes' in a follow-up 6 months after completion of the intervention.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore there is some support that perfectionism interventions have an impact upon wider eating disorder symptoms (Steele and Wade, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Patients’ perspective of a group intervention for perfectionism in anorexia nervosa: A qualitative study

et al. 2016

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This study aimed to explore the experiences of adults with Anorexia Nervosa who took part in a perfectionism group intervention in an inpatient setting. Thematic analysis was used to explore patient feedback collected in focus groups. Patient feedback was generally positive and centred around three main themes: perceived benefits of the group, the content of the group and suggested improvements. The findings suggest that a brief perfectionism group intervention is an acceptable treatment with a range of perceived benefits for patients with severe AN.Understanding patients' experiences of the intervention can provide further important information to maximise therapeutic impact of the group in inpatient settings.

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Section: Patient Characteristicssupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Patients’ perspective of a group intervention for perfectionism in anorexia nervosa: A qualitative study

et al. 2016

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“…One of the most relevant studies that demonstrates of the potential for perfectionism to be a transdiagnostic process is that of Steele and Wade (2008) where 8-session guided self-help CBT for BN and CBT for perfectionism were found to have equivalent results in decreasing BN. However treatment of perfectionism resulted in much larger effect sizes for non-targeted psychopathology of anxiety and depression.…”

Section: Evidence That Treating Perfectionism Leads To Reductions In mentioning

confidence: 99%

The transdiagnostic process of perfectionism = El proceso transdiagnóstico del perfeccionismo

Wade¹,

Shafran²

2012

RPPC

Self Cite

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Abstract:The transdiagnostic approach to theory and treatment of psychological disorders is gaining increasing interest. A transdiagnostic process is one that occurs across disorders and explains their onset or maintenance. The purpose of this review is to provide evidence that perfectionism is a transdiagnostic process that it is elevated in anxiety disorders, eating disorders, depression, obsessive compulsive personality disorder and somatoform disorders. Data are also reviewed to show that perfectionism can explain aetiology as it is a prospective predictor of depression and eating disorders. Perfectionism is also demonstrated to predict poorer outcome to treatment for anxiety disorders, eating disorders and depression, suggesting the need for specific treatment of perfectionism. Evidence is provided to demonstrate that perfectionism can be successfully treated with cognitive behavioural therapy which results in reduction in psychopathologies. Clinical guidelines are outlined to assist in treatment planning for individuals with elevated perfectionism.Keywords: Perfectionism; transdiagnostic; anxiety; depression; eating disorder; somatoform disorder. El proceso transdiagnóstico del perfeccionismoResumen: El enfoque transdiagnóstico sobre la teoría y el tratamiento de los trastornos psicológi-cos está generando un interés creciente en la literatura. Un proceso transdiagnóstico es aquel que se da a través de los trastornos y explica su inicio o mantenimiento. El objetivo de esta revisión consiste en aportar evidencia sobre el perfeccionismo como un proceso transdiagnóstico que se encuentra elevado en los trastornos de ansiedad, los trastornos alimentarios, la depresión, el trastorno de personalidad obsesivo-compulsivo y los trastornos somatoformes. Revisamos la evidencia empírica para mostrar que el perfeccionismo puede explicar la etiología como predictor prospectivo de la depresión y los trastornos alimentarios. También se ha demostrado que el perfeccionismo predice un peor resultado terapéutico del tratamiento de los trastornos de ansiedad, los trastornos alimentarios y la depresión, sugiriendo la necesidad de un tratamiento específico del perfeccionismo. Proporcionamos evidencia para demostrar que el perfeccionismo puede ser tratado con éxito mediante terapia cognitivo conductual y que el tratamiento del perfeccionismo produce reducciones en un rango amplio de psicopatologías. Se describen directrices clínicas para asistir en la planificación del tratamiento en individuos con elevados niveles de perfeccionismo.Palabras clave: Perfeccionismo; transdiagnóstico; ansiedad; depresión; trastorno alimentario; trastorno somatoforme. In a recent review of transdiagnostic treatments for anxiety and depression (Craske, 2012), two forms of therapy were discussed. The fi rst was generic cognitive behaviour therapy (CBT) approaches which focus on mechanisms related to managing threat situations and response to emotions. The second form of transdiagsnostic therapy included acceptance based approaches that tackle experienti...

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“…Beden memnuniyetsizliği, benlik algısı ile diyet çabalarının hem obezite (Hamurcu, Öner, Telatar ve Yeşildağ, 2015) hem de yeme bozukluklarıyla (Garner ve Garfinkel, 1981;Steele ve Wade, 2008) ilişkilendirilebilmesi mümkündür. Dolayısıyla bulgular gerek yeme bozuklukları gerekse obezite çalışmaları açısından önemli olabileceğinden, alanın keşfedilecek birçok faktörün etkilediği, araştırmaların sürdürülmesi gereken bir araştırma alanı olduğu düşünülmektedir.…”

Section: Introductionunclassified

Investigation of the Relationship of Body Image, Self Esteem, Age and Body Mass Index in Dieting Females

Okumuşoğlu¹

2017

Ulakbilge

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A randomised trial investigating guided self-help to reduce perfectionism and its impact on bulimia nervosa: A pilot study

Cited by 109 publications

References 28 publications

Patients’ perspective of a group intervention for perfectionism in anorexia nervosa: A qualitative study

Patients’ perspective of a group intervention for perfectionism in anorexia nervosa: A qualitative study

The transdiagnostic process of perfectionism = El proceso transdiagnóstico del perfeccionismo

Investigation of the Relationship of Body Image, Self Esteem, Age and Body Mass Index in Dieting Females

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