Overcoming Perfectionism: A Randomised Controlled Trial of an Online CBT Based Guided Self-help Intervention

NCT02756871 | Completed

• 1 other identifier: 14PP31
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to assess the effectiveness of CBT based online guided self-help intervention for perfectionism at reducing symptoms of perfectionism and Axis I disorders post-treatment and at six-month follow-up.

Conditions

Perfectionism

Outcome Measures

Primary Outcomes (1)

• Frost Multidimensional Perfectionism Scale (Frost et al., 1990)

  This self-report measure consists of 36 items grouped into six subscales. Participants respond on a five point scale ranging from 1 = "strongly disagree" to 5 = "strongly agree". The measure has been found to be both reliable and valid for use with non-clinical and clinical populations (Frost et al., 1990; Hewitt \& Flett, 1991; Hewitt, Flett, Turnbull-Donovan, \& Mikail, 1991). Participants will be considered eligible for inclusion in the study if they score one standard deviation above published norms on the Concern over Mistakes subscale, i.e. a score of ≥ 29. This measure has been amended to reflect participants experience over the past month allowing us to measure change.

  6 months

Secondary Outcomes (5)

• Obsessive-Compulsive Inventory - Revised (OCI-R) (Foa et al., 2002)

  6 months

• Eating Disorder Examination-Questionnaire (EDE-Q) (C. G. Fairburn, 1994)

  6 months

• Depression, Anxiety and Stress Scales (DASS) (Lovibond & Lovibond, 1996)

  6 months

• Vancouver Obsessional Compulsive Inventory - Mental Contamination Scale (VOCI-MC) (Radomsky, Rachman, Shafran, Coughtrey, & Barber, 2014)

  6 months

• Clinical Perfectionism Questionnaire (CPQ; C. Fairburn et al., 2003a)

  6 months

Other Outcomes (4)

• Fears of Compassion Scales (FCS; (Paul Gilbert, McEwan, Matos, & Rivis, 2011)

  6 months

• Rosenberg Self-esteem Scale (Rosenberg, 1965)

  6 months

• Intolerance of Uncertainty Scale (IoU; (Freeston, Rhéaume, Letarte, Dugas, & Ladouceur, 1994)

  6 months

Study Arms (2)

Online guided self-help intervention

EXPERIMENTAL

CBT based online guided self-help intervention. Intervention can be found at www.overcomingperfectionism.co.uk

Other: online guided self-help intervention for perfectionism

Control

NO INTERVENTION

No intervention.

Interventions

online guided self-help intervention for perfectionism OTHER

CBT based online guided self-help intervention for perfectionism based on CBT manual for treatment of perfectionism, "Cognitive Behavioural Treatment of Perfectionism" by Sarah Egan, Tracy Wade, Roz Shafran and Martin Antony

Also known as: Overcoming Perfectionism

Online guided self-help intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Be 18 or over, with no upper age limit.
• Score one standard deviation above published norms on the 'Concern over mistakes' subscale of the Frost Multidimensional Perfectionism Scale (Frost, Marten, Lahart, \& Rosenblate, 1990), i.e. a score of ≥ 29 (Flett, Sawatzky, \& Hewitt, 1995).
• Be fluent in English.

You may not qualify if:

• \- They report suicidal thoughts or intent prior to commencement of the intervention.

Sponsors & Collaborators

• Institute of Child Health: lead

Study Sites (1)

UCL Institute of Child Health

London, WC1N 1EH, United Kingdom

Location

Related Publications (35)

• Egan SJ, van Noort E, Chee A, Kane RT, Hoiles KJ, Shafran R, Wade TD. A randomised controlled trial of face to face versus pure online self-help cognitive behavioural treatment for perfectionism. Behav Res Ther. 2014 Dec;63:107-13. doi: 10.1016/j.brat.2014.09.009. Epub 2014 Sep 30.

  PMID: 25461785 BACKGROUND

• Aardoom JJ, Dingemans AE, Slof Op't Landt MC, Van Furth EF. Norms and discriminative validity of the Eating Disorder Examination Questionnaire (EDE-Q). Eat Behav. 2012 Dec;13(4):305-9. doi: 10.1016/j.eatbeh.2012.09.002. Epub 2012 Sep 19.

  PMID: 23121779 RESULT

• Abramowitz JS, Deacon BJ. Psychometric properties and construct validity of the Obsessive-Compulsive Inventory--Revised: Replication and extension with a clinical sample. J Anxiety Disord. 2006;20(8):1016-35. doi: 10.1016/j.janxdis.2006.03.001. Epub 2006 Apr 18.

  PMID: 16621437 RESULT

• Bagley, C., & Mallick, K. (2001). Normative data and mental health construct validity for the Rosenberg Self-Esteem Scale in British Adolescents. International Journal of Adolescence and Youth, 9(2-3), 117-126.

  RESULT

• Bizeul C, Sadowsky N, Rigaud D. The prognostic value of initial EDI scores in anorexia nervosa patients: a prospective follow-up study of 5--10 years. Eating Disorder Inventory. Eur Psychiatry. 2001 Jun;16(4):232-8. doi: 10.1016/s0924-9338(01)00570-3.

  PMID: 11418274 RESULT

• Brown TA, Chorpita BF, Korotitsch W, Barlow DH. Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther. 1997 Jan;35(1):79-89. doi: 10.1016/s0005-7967(96)00068-x.

  PMID: 9009048 RESULT

• Buhr K, Dugas MJ. The Intolerance of Uncertainty Scale: psychometric properties of the English version. Behav Res Ther. 2002 Aug;40(8):931-45. doi: 10.1016/s0005-7967(01)00092-4.

  PMID: 12186356 RESULT

• Buhr K, Dugas MJ. Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. J Anxiety Disord. 2006;20(2):222-36. doi: 10.1016/j.janxdis.2004.12.004.

  PMID: 16464706 RESULT

• Carter JC, Stewart DA, Fairburn CG. Eating disorder examination questionnaire: norms for young adolescent girls. Behav Res Ther. 2001 May;39(5):625-32. doi: 10.1016/s0005-7967(00)00033-4.

  PMID: 11341255 RESULT

• Clarke A, Friede T, Putz R, Ashdown J, Martin S, Blake A, Adi Y, Parkinson J, Flynn P, Platt S, Stewart-Brown S. Warwick-Edinburgh Mental Well-being Scale (WEMWBS): validated for teenage school students in England and Scotland. A mixed methods assessment. BMC Public Health. 2011 Jun 21;11:487. doi: 10.1186/1471-2458-11-487.

  PMID: 21693055 RESULT

• Coughtrey, A. E., Shafran, R., Knibbs, D., & Rachman, S. J. (2012). Mental contamination in obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders, 1(4), 244-250.

  RESULT

• Coughtrey, A. E., Shafran, R., & Rachman, S. (2013). Imagery in mental contamination: A questionnaire study. Journal of Obsessive-Compulsive and Related Disorders, 2(4), 385-390.

  RESULT

• Crawford JR, Henry JD. The Depression Anxiety Stress Scales (DASS): normative data and latent structure in a large non-clinical sample. Br J Clin Psychol. 2003 Jun;42(Pt 2):111-31. doi: 10.1348/014466503321903544.

  PMID: 12828802 RESULT

• Egan SJ, Shafran R, Lee M, Fairburn CG, Cooper Z, Doll HA, Palmer RL, Watson HJ. The Reliability and Validity of the Clinical Perfectionism Questionnaire in Eating Disorder and Community Samples. Behav Cogn Psychother. 2016 Jan;44(1):79-91. doi: 10.1017/S1352465814000629. Epub 2015 Mar 3.

  PMID: 25731214 RESULT

• Fairburn, C., Cooper, C., & Shafran, R. (2003a). Clinical Perfectionism Questionnaire. Department of Psychiatry. University of Oxford, United Kingdom.

  RESULT

• Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord. 1994 Dec;16(4):363-70.

  PMID: 7866415 RESULT

• Ferring, D., & Filipp, S. (1996). Measurement of self-esteem: findings on reliability, validity, and stability of the Rosenberg Scale. Diagnostica, 42(3), 284-292.

  RESULT

• Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G, Salkovskis PM. The Obsessive-Compulsive Inventory: development and validation of a short version. Psychol Assess. 2002 Dec;14(4):485-96.

  PMID: 12501574 RESULT

• Gilbert P, McEwan K, Matos M, Rivis A. Fears of compassion: development of three self-report measures. Psychol Psychother. 2011 Sep;84(3):239-55. doi: 10.1348/147608310X526511. Epub 2011 Apr 13.

  PMID: 22903867 RESULT

• Hajcak G, Huppert JD, Simons RF, Foa EB. Psychometric properties of the OCI-R in a college sample. Behav Res Ther. 2004 Jan;42(1):115-23. doi: 10.1016/j.brat.2003.08.002.

  PMID: 14992204 RESULT

• Hewitt, P. L., Flett, G. L., Turnbull-Donovan, W., & Mikail, S. F. (1991). The Multidimensional Perfectionism Scale: Reliability, validity, and psychometric properties in psychiatric samples. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3(3), 464.

  RESULT

• Huppert JD, Walther MR, Hajcak G, Yadin E, Foa EB, Simpson HB, Liebowitz MR. The OCI-R: validation of the subscales in a clinical sample. J Anxiety Disord. 2007;21(3):394-406. doi: 10.1016/j.janxdis.2006.05.006. Epub 2006 Jun 30.

  PMID: 16814981 RESULT

• Jacoby RJ, Fabricant LE, Leonard RC, Riemann BC, Abramowitz JS. Just to be certain: Confirming the factor structure of the intolerance of uncertainty scale in patients with obsessive-compulsive disorder. J Anxiety Disord. 2013 Jun;27(5):535-42. doi: 10.1016/j.janxdis.2013.07.008. Epub 2013 Aug 6.

  PMID: 23973743 RESULT

• Maheswaran H, Weich S, Powell J, Stewart-Brown S. Evaluating the responsiveness of the Warwick Edinburgh Mental Well-Being Scale (WEMWBS): group and individual level analysis. Health Qual Life Outcomes. 2012 Dec 27;10:156. doi: 10.1186/1477-7525-10-156.

  PMID: 23270465 RESULT

• Martin-Albo J, Nuniez JL, Navarro JG, Grijalvo F. The Rosenberg Self-Esteem Scale: translation and validation in university students. Span J Psychol. 2007 Nov;10(2):458-67. doi: 10.1017/s1138741600006727.

  PMID: 17992972 RESULT

• Mond JM, Hay PJ, Rodgers B, Owen C, Beumont PJ. Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behav Res Ther. 2004 May;42(5):551-67. doi: 10.1016/S0005-7967(03)00161-X.

  PMID: 15033501 RESULT

• Mond JM, Myers TC, Crosby RD, Hay PJ, Rodgers B, Morgan JF, Lacey JH, Mitchell JE. Screening for eating disorders in primary care: EDE-Q versus SCOFF. Behav Res Ther. 2008 May;46(5):612-22. doi: 10.1016/j.brat.2008.02.003. Epub 2008 Feb 14.

  PMID: 18359005 RESULT

• Page AC, Hooke GR, Morrison DL. Psychometric properties of the Depression Anxiety Stress Scales (DASS) in depressed clinical samples. Br J Clin Psychol. 2007 Sep;46(Pt 3):283-97. doi: 10.1348/014466506X158996.

  PMID: 17697478 RESULT

• Radomsky, A. S., Rachman, S., Shafran, R., Coughtrey, A. E., & Barber, K. C. (2014). The nature and assessment of mental contamination: A psychometric analysis. Journal of Obsessive-Compulsive and Related Disorders, 3(2), 181-187.

  RESULT

• Reas DL, Grilo CM, Masheb RM. Reliability of the Eating Disorder Examination-Questionnaire in patients with binge eating disorder. Behav Res Ther. 2006 Jan;44(1):43-51. doi: 10.1016/j.brat.2005.01.004.

  PMID: 16301013 RESULT

• Schmitt DP, Allik J. Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. J Pers Soc Psychol. 2005 Oct;89(4):623-42. doi: 10.1037/0022-3514.89.4.623.

  PMID: 16287423 RESULT

• Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, Parkinson J, Secker J, Stewart-Brown S. The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health Qual Life Outcomes. 2007 Nov 27;5:63. doi: 10.1186/1477-7525-5-63.

  PMID: 18042300 RESULT

• Kothari R, Barker C, Pistrang N, Rozental A, Egan S, Wade T, Allcott-Watson H, Andersson G, Shafran R. A randomised controlled trial of guided internet-based cognitive behavioural therapy for perfectionism: Effects on psychopathology and transdiagnostic processes. J Behav Ther Exp Psychiatry. 2019 Sep;64:113-122. doi: 10.1016/j.jbtep.2019.03.007. Epub 2019 Mar 30.

  PMID: 30981162 DERIVED

• Shafran R, Wade TD, Egan SJ, Kothari R, Allcott-Watson H, Carlbring P, Rozental A, Andersson G. Is the devil in the detail? A randomised controlled trial of guided internet-based CBT for perfectionism. Behav Res Ther. 2017 Aug;95:99-106. doi: 10.1016/j.brat.2017.05.014. Epub 2017 May 26.

  PMID: 28618299 DERIVED

• Kothari R, Egan S, Wade T, Andersson G, Shafran R. Overcoming Perfectionism: Protocol of a Randomized Controlled Trial of an Internet-Based Guided Self-Help Cognitive Behavioral Therapy Intervention. JMIR Res Protoc. 2016 Nov 11;5(4):e215. doi: 10.2196/resprot.6378.

  PMID: 27836815 DERIVED

Study Officials

• Roz Shafran, PhD

  UCL Institute of Child Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 27, 2016
• First Posted: April 29, 2016
• Study Start: July 1, 2015
• Primary Completion: February 1, 2017
• Study Completion: February 1, 2017
• Last Updated: November 13, 2017

Record last verified: 2016-04

Locations

GB (1)