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Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

01-06-2012 | Original Article

The Role of Perfectionism in Relation to an Intervention to Reduce Anxious and Depressive Symptoms in Children

Auteurs: Rachel Nobel, Katharina Manassis, Pamela Wilansky-Traynor

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 2/2012

Abstract

Research has demonstrated an association between perfectionism and depressive and anxious symptoms in children. We examined whether a school-based program targeting anxious and depressive symptoms would reduce perfectionism, and whether perfectionism would interfere with intervention outcomes. The participants were 78 school-age children identified as at-risk for anxiety and/or depression. At-risk children took part in a randomized controlled trial of a school-based intervention program. Levels of perfectionism, depression, and anxiety were assessed at pre-treatment (Time 1) and again at post-treatment (Time 2) after participating in either a cognitive behavioral group or a structured activity group. Participation in either group was associated with significant reductions in overall levels of self-oriented perfectionism, anxious symptoms, and depressive symptoms. Supplementary analyses indicated that pre-treatment self-oriented perfectionism influenced post-treatment depression scores, suggesting that perfectionism interferes with treatment outcome. Perfectionism in children appeared amenable to group-based intervention, and identifying perfectionism may be important for treating children with depressive symptoms.

vorige artikel How Children’s Cognitive and Affective Responses to a Novel Task Relate to the Dimensions of Perfectionism

volgende artikel Perfectionistic Automatic Thoughts and Psychological Distress in Adolescents: An Analysis of the Perfectionism Cognitions Inventory

Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont.

Arpin-Cribbie, C. A., Irvine, J., Ritvo, P., Cribbie, R. A., Flett, G. L., & Hewitt, P. L. (2008). Perfectionism and psychological distress: A modelling approach to understanding their therapeutic relationship. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26, 151–167.CrossRef

Beck, A. T., & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. Cambridge, MA: Basic Books.

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.

Blatt, S. J., & Zuroff, D. C. (2002). Perfectionism in the therapeutic process. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 393–406). Washington, DC: American Psychological Association.CrossRef

Blatt, S. J., & Zuroff, D. C. (2005). Empirical evaluation of the assumptions in identifying evidence based treatments in mental health. Clinical Psychology Review, 25, 459–486.PubMedCrossRef

Bordens, K. S., & Abbott, B. B. (1996). Research design and methods: A process approach (3rd ed.). Mountain View, CA: Mayfield Publishing Company.

Brent, D. A., Kolko, D. J., Birmaher, B., & Bridge, J. (2000). A clinical trial for adolescent depression: Predictors of additional treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 263–270.CrossRef

Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17–31.PubMedCrossRef

Chen, S., Jordan, C., & Thompson, S. (2006). The effect of cognitive behavioral therapy (CBT) on depression: The role of problem-solving appraisal. Research on Social Work Practice, 16, 500–510.CrossRef

Ellis, A. (2002). The role of irrational beliefs in perfectionism. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 217–229). Washington, DC: American Psychological Association.CrossRef

Enns, M. W., Cox, B. J., & Clara, I. (2002). Adaptive and maladaptive perfectionism: Developmental origins and association with depression proneness. Personality and Individual Differences, 33, 921–935.CrossRef

Essau, C. A., Leung, P. W. L., Conradt, J., Cheng, H., & Wong, J. (2008). Fear symptoms in Chinese and German adolescents: Their relationship with early learning experiences, perfectionism, and learning motivation. Depression and Anxiety, 25, 801–810.PubMedCrossRef

Ferguson, K. L., & Rodway, M. R. (1994). Cognitive behavioral treatment of perfectionism: Initial evaluation studies. Research on Social Work Practice, 4, 283–308.CrossRef

Ferrari, J. R., & Mautz, W. T. (1997). Predicting perfectionism: Applying tests of rigidity. Journal of Clinical Psychology, 53, 1–6.PubMedCrossRef

Flett, G. L., & Hewitt, P. L. (2002). Perfectionism and maladjustment: An overview of theoretical, definitional, and treatment issues. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 5–31). Washington, DC: American Psychological Association.CrossRef

Flett, G. L., Hewitt, P. L., Boucher, D., Davidson, L. A., & Munro, Y. (1997). The child-adolescent perfectionism scale: Development, validation and association with adjustment. Unpublished manuscript, York University, Toronto, Ontario, Canada.

Flett, G. L., Hewitt, P. L., & Cheng, W. M. W. (2008). Perfectionism, distress, and irrational beliefs in high school students: Analyses with an abbreviated survey of personal beliefs for adolescents. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26, 194–205.CrossRef

Fraley, R. C., & Roberts, B. W. (2005). Patterns of continuity: A dynamic model for conceptualizing the stability of individual differences in psychological constructs across the life course. Psychological Review, 12, 60–74.CrossRef

Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468.CrossRef

Garland, E. J., & Clark, S. L. (1996). Taming worry dragons: A manual for children, parents, and other coaches. Vancouver, British Columbia: British Columbia Children’s Hospital.

Hamachek, D. E. (1978). Psychodynamics of normal and neurotic perfectionism. Psychology, 15, 27–33.

Harter, S. (1999). The construction of the self: A developmental perspective. New York: The Guilford Press.

Hewitt, P. L., Caelian, C. F., Flett, G. L., Sherry, S. B., Collins, L., & Flynn, C. A. (2002). Perfectionism in children: Associations with depression, anxiety, and anger. Personality and Individual Differences, 32, 1049–1061.CrossRef

Hewitt, P. L., & Flett, G. L. (1991a). Dimensions of perfectionism in unipolar depression. Journal of Abnormal Psychology, 100, 98–101.PubMedCrossRef

Hewitt, P. L., & Flett, G. L. (1991b). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60, 456–470.PubMedCrossRef

Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychology: A meta-analysis. Journal of Counselling Psychology, 38, 139–149.CrossRef

Kazdin, A. E., & Weisz, J. R. (2003). Evidence-based psychotherapies for children and adolescents. New York: The Guilford Press.

Kendall, P. C., & Hedtke, K. A. (2006). Coping cat workbook (2nd ed.). Ardmore, PA: Workbook Publishing.

Kenney-Benson, G. A., & Pomerantz, E. M. (2005). The role of mothers’ use of control in children’s perfectionism: Implications for the development of children’s depressive symptoms. Journal of Personality, 73, 23–46.PubMedCrossRef

Kovacs, M. (1985). The children’s depression inventory (CDI). Psychopharmacology Bulletin, 21, 995–998.PubMed

Kutlesa, N., & Arthur, N. (2008). Overcoming negative aspects of perfectionism through group treatment. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26, 134–150.CrossRef

March, J. S., Parker, J. D. A., Sullivan, K., Stallings, P., & Conners, K. (1997). The multidimensional anxiety scale for children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 554–565.PubMedCrossRef

Michael, K. D., & Crowley, S. L. (2002). How effective are treatments for child and adolescent depression? A meta-analytic review. Clinical Psychology Review, 22, 247–269.PubMedCrossRef

Nobel, R. J. (2007). Perfectionism in school-age children experiencing symptoms of depression and anxiety: Characterization and relationship to treatment outcomes. Unpublished doctoral dissertation, University of Toronto, Toronto, Canada.

Robinson, B. E., & Kelley, L. (1999). School age workaholic children: Type A behaviors, self-esteem, anxiety and locus of control. Early Childhood Development and Care, 158, 43–50.CrossRef

Rosser, S., Issakidis, C., & Peters, L. (2003). Perfectionism and social phobia: Relationship between the constructs and impact on cognitive behavior therapy. Cognitive Therapy and Research, 27, 143–151.CrossRef

Shahar, G., Blatt, S. J., & Zuroff, D. C. (2007). Satisfaction with social relations buffers and the adverse effect of (mid-level) self-critical perfectionism in brief treatment for depression. Journal of Social and Clinical Psychology, 26, 540–555.CrossRef

Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV, child version and parent version. San Antonio, TX: Psychological Corporation.

Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Needham Heights, MA: Allyn and Bacon.

Wilansky-Traynor, P., Manassis, K., Sanford, M., Kleiman, V., & Shabas, P. (2004, May). Preventing childhood depression and anxiety: A school-based intervention. Paper presented at the annual meeting of the Canadian Psychological Association, St. John’s Newfoundland.

Yalom, I. D. (1995). The theory and practice of group psychotherapy (4th ed.). New York: Basics Books.

Titel: The Role of Perfectionism in Relation to an Intervention to Reduce Anxious and Depressive Symptoms in Children
Auteurs: Rachel Nobel
Katharina Manassis
Pamela Wilansky-Traynor
Publicatiedatum: 01-06-2012
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 2/2012
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-011-0133-5

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