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A Randomized Controlled Trial of an Exposure-Based Treatment for Perfectionism

A Randomized Controlled Trial of an Exposure-Based Treatment for Perfectionism

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05351710
Enrollment
85
Registered
2022-04-28
Start date
2022-08-30
Completion date
2023-04-13
Last updated
2024-08-07

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 aim of this study is to further test the efficacy of a short-term, computerized exposure-based treatment for perfectionism (ETP) by comparing it to a stress management condition. ETP consists of three tasks in which participants will repeatedly make mistakes during eight sessions over a two-week period (one session every 2 days).

Interventions

BEHAVIORALExposure-Based Treatment for Perfectionism

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

BEHAVIORALStress Management

Videos focused on education about healthy habits and relaxation. Each 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

* 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 SubscaleBaseline, post treatment (2 weeks), and follow-up (6 weeks)Self-report questionnaire examining levels of perfectionism. The concern over mistakes sub-scale includes 9 items with scores ranging from 9 to 45 (higher scores signify higher levels of perfectionism).

Secondary

MeasureTime frameDescription
Center for Epidemiological Studies Depression Scale (CES-D)Baseline, post treatment (2 weeks), and follow-up (6 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.
Generalized Anxiety Disorder-7Baseline, post treatment (2 weeks), and follow-up (6 weeks)Self-report measure used to assess generalized anxiety symptoms. Scores range from 0 to 21 with higher scores indicating higher levels of generalized anxiety.
Social Phobia Inventory (SPIN)Baseline, post treatment (2 weeks), and follow-up (6 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.
ED-15Baseline, post treatment (2 weeks), and follow-up (6 weeks)Self-report scale that measures eating disorder symptoms. Scores range from 0 to 6, with higher mean scores indicating higher levels of eating disorder symptoms.
Irrational Procrastination ScaleBaseline, post treatment (2 weeks), and follow-up (6 weeks)Self-report scale that measures levels of procrastination. Scores range from 9 to 45 with higher scores indicating higher levels of procrastination.

Countries

United States

Participant flow

Participants by arm

ArmCount
Exposure-Based Treatment for Perfectionism
This arm consists of a 2-week computerized, exposure-based intervention. Treatment sessions are completed every 2 days at home (8 treatment sessions total). Exposure-Based Treatment for Perfectionism: Three tasks focused on exposures are completed. Each treatment session is approximately twenty minutes.
43
Stress Management Condition
This arm consists of a 2-week, computerized, stress-management condition in which participants watch videos of health habits (e.g., nutrition, exercise, sleep) and relaxation videos. These sessions are completed every 2 days at home (8 sessions total). Stress Management: Videos focused on education about healthy habits and relaxation. Each session is approximately twenty minutes.
42
Total85

Baseline characteristics

CharacteristicExposure-Based Treatment for PerfectionismStress Management ConditionTotal
Age, Continuous27.02 years
STANDARD_DEVIATION 6.65
27.69 years
STANDARD_DEVIATION 7.83
27.36 years
STANDARD_DEVIATION 7.23
Race/Ethnicity, Customized
Race/Ethnicity
Asian or Pacific Islander
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Black (Not Hispanic)
7 Participants7 Participants14 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Hispanic
12 Participants6 Participants18 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Other
2 Participants1 Participants3 Participants
Race/Ethnicity, Customized
Race/Ethnicity
White (Not Hispanic)
22 Participants27 Participants49 Participants
Region of Enrollment
United States
43 participants42 participants85 participants
Sex/Gender, Customized
Female
20 Participants24 Participants44 Participants
Sex/Gender, Customized
Male
22 Participants17 Participants39 Participants
Sex/Gender, Customized
Nonbinary
1 Participants1 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 430 / 42
other
Total, other adverse events
0 / 430 / 42
serious
Total, serious adverse events
0 / 430 / 42

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 includes 9 items with scores ranging from 9 to 45 (higher scores signify higher levels of perfectionism).

Time frame: Baseline, post treatment (2 weeks), and follow-up (6 weeks)

Population: Number of participants differed at each time point due to drop out.

ArmMeasureGroupValue (MEAN)Dispersion
Exposure-Based Treatment for PerfectionismFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscaleFollow-Up32.33 units on a scaleStandard Deviation 6.78
Exposure-Based Treatment for PerfectionismFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscaleBaseline34.00 units on a scaleStandard Deviation 5.21
Exposure-Based Treatment for PerfectionismFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscalePost-Test34.53 units on a scaleStandard Deviation 7.19
Stress Management ConditionFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscaleFollow-Up32.58 units on a scaleStandard Deviation 4.96
Stress Management ConditionFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscalePost-Test32.34 units on a scaleStandard Deviation 5.97
Stress Management ConditionFrost Multidimensional Perfectionism Scale (FMPS)- Concern Over Mistakes SubscaleBaseline35.71 units on a scaleStandard Deviation 5.25
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: Baseline, post treatment (2 weeks), and follow-up (6 weeks)

Population: Number of participants differed at each time point due to drop out.

ArmMeasureGroupValue (MEAN)Dispersion
Exposure-Based Treatment for PerfectionismCenter for Epidemiological Studies Depression Scale (CES-D)Baseline22.55 units on a scaleStandard Deviation 11.2
Exposure-Based Treatment for PerfectionismCenter for Epidemiological Studies Depression Scale (CES-D)Post-Test21.55 units on a scaleStandard Deviation 8.61
Exposure-Based Treatment for PerfectionismCenter for Epidemiological Studies Depression Scale (CES-D)Follow-Up22.17 units on a scaleStandard Deviation 11.43
Stress Management ConditionCenter for Epidemiological Studies Depression Scale (CES-D)Baseline26.45 units on a scaleStandard Deviation 11.78
Stress Management ConditionCenter for Epidemiological Studies Depression Scale (CES-D)Post-Test20.63 units on a scaleStandard Deviation 10.52
Stress Management ConditionCenter for Epidemiological Studies Depression Scale (CES-D)Follow-Up20.89 units on a scaleStandard Deviation 10.06
Secondary

ED-15

Self-report scale that measures eating disorder symptoms. Scores range from 0 to 6, with higher mean scores indicating higher levels of eating disorder symptoms.

Time frame: Baseline, post treatment (2 weeks), and follow-up (6 weeks)

Population: Number of participants differed at each time point due to drop out.

ArmMeasureGroupValue (MEAN)Dispersion
Exposure-Based Treatment for PerfectionismED-15Baseline2.84 units on a scaleStandard Deviation 1.63
Exposure-Based Treatment for PerfectionismED-15Post-Test2.41 units on a scaleStandard Deviation 1.47
Exposure-Based Treatment for PerfectionismED-15Follow-Up2.31 units on a scaleStandard Deviation 1.52
Stress Management ConditionED-15Follow-Up2.05 units on a scaleStandard Deviation 1.31
Stress Management ConditionED-15Baseline2.53 units on a scaleStandard Deviation 1.54
Stress Management ConditionED-15Post-Test2.24 units on a scaleStandard Deviation 1.31
Secondary

Generalized Anxiety Disorder-7

Self-report measure used to assess generalized anxiety symptoms. Scores range from 0 to 21 with higher scores indicating higher levels of generalized anxiety.

Time frame: Baseline, post treatment (2 weeks), and follow-up (6 weeks)

Population: Number of participants differed at each time point due to drop out.

ArmMeasureGroupValue (MEAN)Dispersion
Exposure-Based Treatment for PerfectionismGeneralized Anxiety Disorder-7Baseline9.76 units on a scaleStandard Deviation 5.56
Exposure-Based Treatment for PerfectionismGeneralized Anxiety Disorder-7Post-Test9.05 units on a scaleStandard Deviation 5.64
Exposure-Based Treatment for PerfectionismGeneralized Anxiety Disorder-7Follow-Up8.97 units on a scaleStandard Deviation 5.41
Stress Management ConditionGeneralized Anxiety Disorder-7Baseline10.48 units on a scaleStandard Deviation 5.12
Stress Management ConditionGeneralized Anxiety Disorder-7Post-Test8.61 units on a scaleStandard Deviation 4.78
Stress Management ConditionGeneralized Anxiety Disorder-7Follow-Up7.56 units on a scaleStandard Deviation 4.63
Secondary

Irrational Procrastination Scale

Self-report scale that measures levels of procrastination. Scores range from 9 to 45 with higher scores indicating higher levels of procrastination.

Time frame: Baseline, post treatment (2 weeks), and follow-up (6 weeks)

Population: Number of participants differed at each time point due to drop out.

ArmMeasureGroupValue (MEAN)Dispersion
Exposure-Based Treatment for PerfectionismIrrational Procrastination ScaleFollow-Up22.40 units on a scaleStandard Deviation 6.07
Exposure-Based Treatment for PerfectionismIrrational Procrastination ScaleBaseline25.60 units on a scaleStandard Deviation 6.91
Exposure-Based Treatment for PerfectionismIrrational Procrastination ScalePost-Test23.84 units on a scaleStandard Deviation 7.43
Stress Management ConditionIrrational Procrastination ScalePost-Test26.58 units on a scaleStandard Deviation 7.18
Stress Management ConditionIrrational Procrastination ScaleFollow-Up25.11 units on a scaleStandard Deviation 6.29
Stress Management ConditionIrrational Procrastination ScaleBaseline26.62 units on a scaleStandard Deviation 6.97
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: Baseline, post treatment (2 weeks), and follow-up (6 weeks)

Population: Number of participants differed at each time point due to drop out.

ArmMeasureGroupValue (MEAN)Dispersion
Exposure-Based Treatment for PerfectionismSocial Phobia Inventory (SPIN)Baseline32.79 units on a scaleStandard Deviation 15.79
Exposure-Based Treatment for PerfectionismSocial Phobia Inventory (SPIN)Post-Test31.12 units on a scaleStandard Deviation 19.13
Exposure-Based Treatment for PerfectionismSocial Phobia Inventory (SPIN)Follow-Up30.23 units on a scaleStandard Deviation 17.91
Stress Management ConditionSocial Phobia Inventory (SPIN)Follow-Up26.31 units on a scaleStandard Deviation 15.19
Stress Management ConditionSocial Phobia Inventory (SPIN)Baseline34.79 units on a scaleStandard Deviation 16.27
Stress Management ConditionSocial Phobia Inventory (SPIN)Post-Test28.74 units on a scaleStandard Deviation 15.16

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