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Exposure-Based Treatment for Perfectionism

A Preliminary Evaluation of an Exposure-Based Treatment for Perfectionism

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04500457
Enrollment
76
Registered
2020-08-05
Start date
2019-10-03
Completion date
2021-02-26
Last updated
2023-07-27

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

Conditions

Perfectionism

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

BEHAVIORALExposure-based Treatment for Perfectionism (ETP)

Three tasks focused on exposures are completed. Each treatment session is approximately twenty minutes.

Sponsors

Florida State University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Frost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscaleLevels 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

MeasureTime frameDescription
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

ArmCount
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
Total76

Baseline characteristics

CharacteristicWait-List ControlTotalIntervention
Age, Continuous18.89 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 Participants4 Participants3 Participants
Race/Ethnicity, Customized
Black
0 Participants4 Participants4 Participants
Race/Ethnicity, Customized
Hispanic
10 Participants14 Participants4 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
26 Participants53 Participants27 Participants
Region of Enrollment
United States
37 participants76 participants39 participants
Sex: Female, Male
Female
35 Participants72 Participants37 Participants
Sex: Female, Male
Male
2 Participants4 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 390 / 37
other
Total, other adverse events
0 / 390 / 37
serious
Total, serious adverse events
0 / 390 / 37

Outcome results

Primary

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)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscaleBaseline36.54 units on a scaleStandard Deviation 4.1
InterventionFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscalePost-test30.97 units on a scaleStandard Deviation 6.39
Wait-List ControlFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscaleBaseline35.76 units on a scaleStandard Deviation 4.06
Wait-List ControlFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscalePost-test35.71 units on a scaleStandard Deviation 4.16
Secondary

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)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionCenter for Epidemiological Studies Depression Scale (CES-D)Baseline19.26 units on a scaleStandard Deviation 8.33
InterventionCenter for Epidemiological Studies Depression Scale (CES-D)Post-test14.69 units on a scaleStandard Deviation 8.12
Wait-List ControlCenter for Epidemiological Studies Depression Scale (CES-D)Baseline22.97 units on a scaleStandard Deviation 12.75
Wait-List ControlCenter for Epidemiological Studies Depression Scale (CES-D)Post-test23.77 units on a scaleStandard Deviation 11.47
Secondary

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)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionEating Attitudes Test (EAT-26)Baseline13.82 units on a scaleStandard Deviation 9.09
InterventionEating Attitudes Test (EAT-26)Post-test12.05 units on a scaleStandard Deviation 9.46
Wait-List ControlEating Attitudes Test (EAT-26)Baseline12.03 units on a scaleStandard Deviation 9.63
Wait-List ControlEating Attitudes Test (EAT-26)Post-test14.34 units on a scaleStandard Deviation 11.18
Secondary

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)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionObsessive-Compulsive Inventory- Revised (OCI-R)Baseline22.89 units on a scaleStandard Deviation 13.18
InterventionObsessive-Compulsive Inventory- Revised (OCI-R)Post-test21.34 units on a scaleStandard Deviation 13.95
Wait-List ControlObsessive-Compulsive Inventory- Revised (OCI-R)Post-test25.54 units on a scaleStandard Deviation 13.24
Wait-List ControlObsessive-Compulsive Inventory- Revised (OCI-R)Baseline26.68 units on a scaleStandard Deviation 13.67
Secondary

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)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionSocial Phobia Inventory (SPIN)Baseline29.15 units on a scaleStandard Deviation 13.08
InterventionSocial Phobia Inventory (SPIN)Post-test26.58 units on a scaleStandard Deviation 12.79
Wait-List ControlSocial Phobia Inventory (SPIN)Baseline30.08 units on a scaleStandard Deviation 17.12
Wait-List ControlSocial Phobia Inventory (SPIN)Post-test32.31 units on a scaleStandard Deviation 16.36
Secondary

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)

ArmMeasureGroupValue (MEAN)Dispersion
InterventionState-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T)Baseline41.33 units on a scaleStandard Deviation 9.75
InterventionState-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T)Post-test39.19 units on a scaleStandard Deviation 11.07
Wait-List ControlState-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T)Baseline43.95 units on a scaleStandard Deviation 12.9
Wait-List ControlState-Trait Inventory for Cognitive and Somatic Anxiety-Trait Version (STICSA-T)Post-test43.95 units on a scaleStandard Deviation 11.1

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026