Perfectionism
Conditions
Brief summary
This study is examining the efficacy of a computerized, exposure-based, intervention for perfectionism.
Detailed description
The primary aim of this study is to evaluate the effects of a two-week computerized exposure-based treatment for perfectionism (ETP). Individuals with elevated perfectionism will be randomly assigned to ETP or a waitlist (WL) control condition. ETP will consist of three tasks in which they will repeatedly make mistakes, repeated for five sessions over a two-week period (one session every 3 days).
Interventions
Three tasks focused on exposures are completed. Each treatment session is approximately twenty minutes.
Sponsors
Study design
Eligibility
Inclusion criteria
* Score of at least 29 on the Frost Multidimensional Perfectionism Scale- Concern over Mistakes subscale
Exclusion criteria
* Current moderate or severe substance use disorder, psychotic disorder, or bipolar disorder * Current suicidal ideation (imminent risk) * Currently participating in psychotherapy * Any changes to psychotropic medications in the past four weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes Subscale | Levels of perfectionism from baseline to post treatment (2 weeks) | Self-report questionnaire examining levels of perfectionism. The concern over mistakes sub-scale of the Frost Multidimensional Perfectionism Scale includes 9 items with scores on the sub-scale ranging from 9 to 45 (higher scores signify higher levels of concern over mistakes). The concern over mistakes sub-scale includes the following items from the Frost Multidimensional Perfectionism Scale: 9, 10, 13, 14, 18, 21, 23, 25, 24. Item scores are summed for a total sub-scale score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Center for Epidemiological Studies Depression Scale (CES-D) | Depression symptoms from baseline to post treatment (2 weeks) | Self-report measure used to assess depressive symptoms. Total scores range from 0 to 60 with higher scores indicating a higher level of depressive symptoms. |
| State-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T) | Anxiety symptoms from baseline to post treatment (2 weeks) | Self-report measure used to assess overall anxiety symptoms. Scores range from 21 to 84 with higher scores indicating higher levels of overall anxiety. |
| Social Phobia Inventory (SPIN) | Social anxiety symptoms from baseline to post treatment (2 weeks) | Self-report scale that measures Social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety symptoms. |
| Eating Attitudes Test (EAT-26) | Eating disorder symptoms from baseline to post treatment (2 weeks) | Self-report scale that measures eating disorder symptoms. Scores range from 0 to 78 with higher scores indicating higher levels of eating disorder symptoms. |
| Obsessive-Compulsive Inventory- Revised (OCI-R) | Obsessive-compulsiveness from baseline to post treatment (2 weeks) | Self-report scale that measures obsessive-compulsiveness. Scores range from 0 to 72 with higher scores indicating higher levels of obsessive-compulsiveness. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Intervention This arm consists of a 2-week computerized, exposure-based intervention. Treatment sessions are completed every 3 days at home (5 treatment sessions total).
Exposure-based Treatment for Perfectionism (ETP): Three tasks focused on exposures are completed. Each treatment session is approximately twenty minutes. | 39 |
| Wait-List Control Participants in this condition will not receive treatment. | 37 |
| Total | 76 |
Baseline characteristics
| Characteristic | Wait-List Control | Total | Intervention |
|---|---|---|---|
| Age, Continuous | 18.89 years STANDARD_DEVIATION 1.31 | 19.91 years STANDARD_DEVIATION 4.47 | 20.10 years STANDARD_DEVIATION 6.09 |
| Race/Ethnicity, Customized Asian or Pacific Islander | 1 Participants | 4 Participants | 3 Participants |
| Race/Ethnicity, Customized Black | 0 Participants | 4 Participants | 4 Participants |
| Race/Ethnicity, Customized Hispanic | 10 Participants | 14 Participants | 4 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized White | 26 Participants | 53 Participants | 27 Participants |
| Region of Enrollment United States | 37 participants | 76 participants | 39 participants |
| Sex: Female, Male Female | 35 Participants | 72 Participants | 37 Participants |
| Sex: Female, Male Male | 2 Participants | 4 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 39 | 0 / 37 |
| other Total, other adverse events | 0 / 39 | 0 / 37 |
| serious Total, serious adverse events | 0 / 39 | 0 / 37 |
Outcome results
Frost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes Subscale
Self-report questionnaire examining levels of perfectionism. The concern over mistakes sub-scale of the Frost Multidimensional Perfectionism Scale includes 9 items with scores on the sub-scale ranging from 9 to 45 (higher scores signify higher levels of concern over mistakes). The concern over mistakes sub-scale includes the following items from the Frost Multidimensional Perfectionism Scale: 9, 10, 13, 14, 18, 21, 23, 25, 24. Item scores are summed for a total sub-scale score.
Time frame: Levels of perfectionism from baseline to post treatment (2 weeks)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Intervention | Frost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes Subscale | Baseline | 36.54 units on a scale | Standard Deviation 4.1 |
| Intervention | Frost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes Subscale | Post-test | 30.97 units on a scale | Standard Deviation 6.39 |
| Wait-List Control | Frost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes Subscale | Baseline | 35.76 units on a scale | Standard Deviation 4.06 |
| Wait-List Control | Frost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes Subscale | Post-test | 35.71 units on a scale | Standard Deviation 4.16 |
Center for Epidemiological Studies Depression Scale (CES-D)
Self-report measure used to assess depressive symptoms. Total scores range from 0 to 60 with higher scores indicating a higher level of depressive symptoms.
Time frame: Depression symptoms from baseline to post treatment (2 weeks)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Intervention | Center for Epidemiological Studies Depression Scale (CES-D) | Baseline | 19.26 units on a scale | Standard Deviation 8.33 |
| Intervention | Center for Epidemiological Studies Depression Scale (CES-D) | Post-test | 14.69 units on a scale | Standard Deviation 8.12 |
| Wait-List Control | Center for Epidemiological Studies Depression Scale (CES-D) | Baseline | 22.97 units on a scale | Standard Deviation 12.75 |
| Wait-List Control | Center for Epidemiological Studies Depression Scale (CES-D) | Post-test | 23.77 units on a scale | Standard Deviation 11.47 |
Eating Attitudes Test (EAT-26)
Self-report scale that measures eating disorder symptoms. Scores range from 0 to 78 with higher scores indicating higher levels of eating disorder symptoms.
Time frame: Eating disorder symptoms from baseline to post treatment (2 weeks)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Intervention | Eating Attitudes Test (EAT-26) | Baseline | 13.82 units on a scale | Standard Deviation 9.09 |
| Intervention | Eating Attitudes Test (EAT-26) | Post-test | 12.05 units on a scale | Standard Deviation 9.46 |
| Wait-List Control | Eating Attitudes Test (EAT-26) | Baseline | 12.03 units on a scale | Standard Deviation 9.63 |
| Wait-List Control | Eating Attitudes Test (EAT-26) | Post-test | 14.34 units on a scale | Standard Deviation 11.18 |
Obsessive-Compulsive Inventory- Revised (OCI-R)
Self-report scale that measures obsessive-compulsiveness. Scores range from 0 to 72 with higher scores indicating higher levels of obsessive-compulsiveness.
Time frame: Obsessive-compulsiveness from baseline to post treatment (2 weeks)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Intervention | Obsessive-Compulsive Inventory- Revised (OCI-R) | Baseline | 22.89 units on a scale | Standard Deviation 13.18 |
| Intervention | Obsessive-Compulsive Inventory- Revised (OCI-R) | Post-test | 21.34 units on a scale | Standard Deviation 13.95 |
| Wait-List Control | Obsessive-Compulsive Inventory- Revised (OCI-R) | Post-test | 25.54 units on a scale | Standard Deviation 13.24 |
| Wait-List Control | Obsessive-Compulsive Inventory- Revised (OCI-R) | Baseline | 26.68 units on a scale | Standard Deviation 13.67 |
Social Phobia Inventory (SPIN)
Self-report scale that measures Social anxiety symptoms. Scores range from 0 to 68 with higher scores indicating higher levels of social anxiety symptoms.
Time frame: Social anxiety symptoms from baseline to post treatment (2 weeks)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Intervention | Social Phobia Inventory (SPIN) | Baseline | 29.15 units on a scale | Standard Deviation 13.08 |
| Intervention | Social Phobia Inventory (SPIN) | Post-test | 26.58 units on a scale | Standard Deviation 12.79 |
| Wait-List Control | Social Phobia Inventory (SPIN) | Baseline | 30.08 units on a scale | Standard Deviation 17.12 |
| Wait-List Control | Social Phobia Inventory (SPIN) | Post-test | 32.31 units on a scale | Standard Deviation 16.36 |
State-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T)
Self-report measure used to assess overall anxiety symptoms. Scores range from 21 to 84 with higher scores indicating higher levels of overall anxiety.
Time frame: Anxiety symptoms from baseline to post treatment (2 weeks)
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Intervention | State-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T) | Baseline | 41.33 units on a scale | Standard Deviation 9.75 |
| Intervention | State-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T) | Post-test | 39.19 units on a scale | Standard Deviation 11.07 |
| Wait-List Control | State-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T) | Baseline | 43.95 units on a scale | Standard Deviation 12.9 |
| Wait-List Control | State-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T) | Post-test | 43.95 units on a scale | Standard Deviation 11.1 |