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A randomised controlled trial of individual imagery based cognitive-behavioural therapy for clinical perfectionism

In adults with clinical perfectionism, does a single individual imagery cognitive-behavioural therapy session reduce clinical perfectionism and related psychological symptoms when compared to individual cognitive therapy and relaxation?

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12613001284752
Enrollment
45
Registered
2013-11-20
Start date
2014-02-03
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This project will primarily examine whether an individual mental imagery based treatment for distressing mental images related to clinical perfectionism is better than receiving a standard cognitive treatment technique or relaxation techniques in a) reducing individuals' levels of clinical perfectionism, b) reducing the impact and distress caused by negative mental imagery and, c) reducing their symptoms of anxiety, depression, and/or eating concerns and It is predicted that the mental imagery individual treatment will lead to greater reductions in clinical perfectionism, greater reductions in imagery distress, frequency, and intensity experienced, and psychological symptoms compared to the standard cognitive disputation technique and relaxation. Additionally this project will examine whether individual mental imagery psychological treatment for clinical perfectionism produces treatment-related change in each individual and whether this is clinically significant.

Interventions

There are two separate intervention groups Intervention group 1: Individual imagery rescripting based cognitive behavioural therapy for clinical perfectionism. In this intervention participants receive 1 x 2 hour sessions of individual therapy, where they explore and manipulate distressing mental imagery related to clinical perfectionism. The strategies are derived from the book Oxford guide to imagery in cognitive therapy (Hackmann, Bennett-Levy, & Holmes, 2011) Intervention group 2: Individ

There are two separate intervention groups Intervention group 1: Individual imagery rescripting based cognitive behavioural therapy for clinical perfectionism. In this intervention participants receive 1 x 2 hour sessions of individual therapy, where they explore and manipulate distressing mental imagery related to clinical perfectionism. The strategies are derived from the book Oxford guide to imagery in cognitive therapy (Hackmann, Bennett-Levy, & Holmes, 2011) Intervention group 2: Individual cognitive restructuring based cognitive behavioural therapy for clinical perfectionism. In this intervention participants receive 1 x 2 hour sessions of individual therapy, where they explore distressing mental imagery related to clinical perfectionism and use cognitive disputations to re-evaluate their appraisal of the images. The strategies are derived from the book Overcoming Perfectionism (Shafran, Egan, & Wade, 2010)

Sponsors

Senior Lecturer Dr. Sarah Egan, Principal investigator of the study
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Aged 18 years or older. Not have undergone specific treatment for perfectionism prior to starting the study. Have met or currently meet a diagnosis of an Axis I disorder. They must have been stable on any anti-depressant medication/s for a minimum of two months prior to commencement of the study, and be willing to remain on the same medication for the duration of the study (if applicable). Clinical levels of perfectionism as defined by a score of 24.7 or greater on the Concern Over Mistakes Scale (Frost et al., 1990)

Exclusion criteria

Moderate to severe suicidality section of the MINI (Sheehan et al., 1998a). Meeting the DSM-IV-TR (American Psychiatric Association, 2000) criteria for psychosis. Meeting the DSM-IV-TR (American Psychiatric Association, 2000) criteria for alcohol/substance dependence. Adults who wish to receive treatment for perfectionism prior to commencement or duration of the study.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026