Top

Gepubliceerd in:

01-10-2008 | Original Article

Perfectionism and Treatment Outcome in Obsessive-compulsive Disorder

Auteurs: Heather M. Chik, Maureen L. Whittal, Melanie L. O’Neill

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2008

Abstract

This study examined the relationship between perfectionism, as measured by the Multidimensional Perfectionism Scale (MPS; [R. O. Frost et al. (1990) Cognitive Therapy and Research, 14, 449–468], and treatment outcome in obsessive compulsive disorder (OCD). Patients (n = 118) participated in group [McLean et al. (2001) Journal of Consulting and Clinical Psychology, 69, 205–214] or individual [Whittal et al. (2005) Behaviour Research and Therapy, 43, 1559–1576] cognitive therapy (CT) or exposure and response prevention (ERP) for OCD. Doubts about Actions (DA), a subscale of the MPS, uniquely predicted worse treatment outcome in the Yale-Brown Obsessive-compulsive Scale (YBOCS; [Goodman et al. (1989) Archives of General Psychiatry, 40, 1006–1011]) total score and compulsions subscale. Interactions between Concern over Mistakes (CM; another MPS subscale) and DA, as well as DA alone, predicted poorer treatment outcome in patients who received ERP. Contrary to expectations, MPS total score was not related to treatment response. Moreover, levels of perfectionism did not change over the course of treatment, regardless of the type of treatment received. Implications for treatment in OCD are discussed.

vorige artikel Predicting Changes in Obsessive Compulsive Symptoms Over a Six-Month Follow-Up: A Prospective Test of Cognitive Models of Obsessive Compulsive Disorder

volgende artikel The Effect of a Psychoeducational Course on Hypochondriacal Metacognition

Abramowitz, J. S., Franklin, M. E., & Cahill, S. P. (2003). Approaches to common obstacles in the exposure-based treatment of obsessive-compulsive disorder. Cognitive and Behavioral Practice, 10, 14–22.CrossRef

American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (DSM-IV), (4th edn.). Washington, DC: Author.

Antony, M. M., Purdon, C. L., Huta, V., & Swinson, R. P. (1998). Dimensions of perfectionism across the anxiety disorders. Behaviour Research and Therapy, 36, 1143–1154.PubMedCrossRef

Beck, A. T., & Steer, R. A. (1987). Manual for the revised Beck Depression Inventory. San Antonio, TX: Psychological Corporation.

Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.CrossRef

Blatt, S. J., Quinlan, D. M., Pilkonis, P. A., & Shea, M. T. (1995). Impact of perfectionism and need for approval on the brief treatment of depression: The National Institute of Mental Health Treatment of Depression Collaborative Research Program revisited. Journal of Consulting and Clinical Psychology, 53, 125–132.CrossRef

Blatt, S. J., Zuroff, D. C., Bondi, C. M., Sanislow, C. A., & Pilkonis, P. A. (1998). When and how perfectionism impedes the brief treatment of depression: Further analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 66, 423–428.PubMedCrossRef

Calamari, J. E., Wiegartz, P. S., Riemann, B. C., Cohen, R. J., Greer, A. Jacobi, & D. M., et al. (2004). Obsessive-compulsive disorder subtypes: An attempted replication and extension of a symptom-based taxonomy. Behaviour Research and Therapy, 42, 647–670.PubMedCrossRef

Cohen, J. Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences, (3rd edn.). New Jersey: Lawrence Erlbaum Associates.

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV Axis I Disorders—Patient Edition (SCID-I/P, Version 2.0, 4/97 revision). Unpublished manual: Biometrics Research Department, New York State Psychiatric Institute, New York, NY.

Foa, E. B., Franklin, M. E.,& Kozak, M. J. (1998). Psychosocial treatments of obsessive compulsive disorder. In R. Swinson, M. Antony, S. Rachman & M. Richter (Eds.), Obsessive-compulsive disorder: Theroy, research, and treatment (pp.258–276). NewYork:Guilford Press.

Foa, E. B., & Kozak, M. J. (1996). Psychological treatment for obsessive-compulsive disorder. In M. R. Mavissakalian & R. F. Prien (Eds.), Long-term treatment of anxiety disorders (pp. 285–309). Washington, DC: American Psychiatric Association Press.

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

Frost, R. O., Novara, C., & Rhéaume, J. (2002). Perfectionism in obsessive compulsive disorder. In R. O. Frost & G. Steketee (Eds.), Cognitive approaches to obsessions and compulsions—theory, assessment, and treatment (pp. 91–105). Amsterdam, Netherlands: Elsevier Science.

Frost, R. O., & Steketee, G. (1997). Perfectionism in obsessive-compulsive disorder patients. Behaviour Research & Therapy, 35, 291–296.CrossRef

Goodman, W. K., Price, L. H., Rasmussen, S. A., Mazure, C., Fleischmann, R. L., Hill, C. L., Heninger, G. R., & Charney, D. S. (1989). The Yale-Brown obsessive-compulsive scale, I: Development, use and reliability. Archives of General Psychiatry, 40, 1006–1011.

Harvey, B., Pallant, J., & Harvey, D. (2004). An evaluation of the factor structure of the Frost Multidimensional Perfectionism Scale. Educational and Psychological Measurement, 64, 1007–1018.CrossRef

Mallinger, A. E. (1984). The obsessive’s myth of control. Journal of the American Academy of Psychoanalysis, 12, 147–165.

McFall, M. E., & Wollersheim, J. P. (1979). Obsessive-compulsive neurosis: A cognitive behavioral formulation and approach to treatment. Cognitive Therapy and Research, 3, 333–348.CrossRef

McLean, P.D., Whittal, M.L., Thordarson, D.S., Taylor, S., Sochting, I., Koch, W.J., Paterson, R., & Anderson K.W. (2001). Cognitive versus behavior therapy in the group treatment of obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 69, 205–214.PubMedCrossRef

Obsessive Compulsive Cognitions Working Group (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 667–681.CrossRef

Obsessive Compulsive Cognitions Working Group (2005). Psychometric validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory—part 2, factor analyses and testing of a brief version. Behaviour Research and Therapy, 43, 1527–1542.CrossRef

Purdon, C., Antony, M. M., & Swinson, R. P. (1999). Psychometric properties of the Frost Multidimensional Perfectionism Scale in a clinical anxiety disorders sample. Journal of Clinical Psychology, 55, 1271–1286.PubMedCrossRef

Rachman, S. J., & Hodgson, R. J. (1980). Obsessions and compulsions. Englewood Cliffs, NJ: Prentice-Hall.

Rhéaume, J., Freeston, M. H., Dugas, M. J., Letarte, H., & Ladouceur, R. (1995). Perfectionism, responsibility and obsessive-compulsive symptoms. Behaviour Research and Therapy, 33, 785–794.PubMedCrossRef

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

Salzman, L. (1979). Psychotherapy of the obsessional. American Journal of Psychotherapy, 33, 32–40.PubMed

Sanvio, E. (1988). Obsessions and compulsions: The Padua Inventory. Behaviour Research and Therapy, 26, 169–177.CrossRef

Shafran, R., & Mansell, W. (2001). Perfectionism and psychopathology: A review of research and treatment. Clinical Psychology Review, 21, 879–906.PubMedCrossRef

Stöber, J. (1998). The Frost Multidimensional Perfectionism Scale revisited: More perfect with four (instead of six) dimensions. Personality & Individual Differences, 24, 481–491.CrossRef

Stumpf, H., & Parker, W. D. (2000). A hierarchical structural analysis of perfectionism and its relation to other personality characteristics. Personality and Individual Differences, 28, 837–352.CrossRef

Sutandar-Pinnock, K., Woodside, D. B., Carter, J. C., Olmsted, M. P., & Kaplan, A. S. (2003). Perfectionism in anorexia nervosa: A 6–24-month follow-up study. International Journal of Eating Disorders, 33, 225–229.PubMedCrossRef

Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics, (4th edn.). Boston: Allyn & Bacon.

Taylor, S. (1998). Assessment of obsessive-compulsive disorder. In R. P. Swinson & M. M. Antony (Eds.) Obsessive-compulsive disorder: Theory, research, and treatment (pp. 229–257). New York: Guilford Press.

Tolin, D. F., Abramowitz, J. S., Brigidi, B. D., & Foa, E. B. (2003). Intolerance of uncertainty in obsessive-compulsive disorder. Anxiety Disorders, 17, 233–242.CrossRef

Vogel, P., Stiles, T. C., & Götestam, K. G. (2004). Adding cognitive therapy elements to exposure therapy for obsessive compulsive disorder: A controlled study. Behavioural and Cognitive Psychotherapy, 32, 275–290.CrossRef

Whittal, M. L., & McLean, P. D. (1999). CBT for OCD: The rationale, protocol, and challenges. Cognitive & Behavioral Practice, 6, 383–396.CrossRef

Whittal, M. L., & McLean, P. D. (2002). Group CBT of OCD. In R. O. Frost & G. Steketee (Eds.), Cognitive treatment of obsessive-compulsive disorder: Theory and treatment (pp. 417–433). New York: Elsevier.

Whittal, L. M., & O’Neill, M. L. (2003). Cognitive and behavioral methods for obsessive-compulsive disorder. Brief Treatment and Crisis Intervention, 3, 201–215.CrossRef

Whittal, M. L., Rachman, S., & McLean, P. D. (2002). Psychosocial treatment for OCD: combining cognitive and behavioral treatment. In G. Simos (Ed.) CBT: A guide for the practicing clinician (pp. 125–149). East Sussex: Brunner-Routledge.

Whittal, M. L., Thordarson, D. S., & McLean, P. D. (2005). Treatment of obsessive-compulsive disorder: Cognitive behavior therapy vs. exposure and response prevention. Behaviour Research and Therapy, 43, 1559–1576.PubMedCrossRef

Wilhelm, S., & Steketee, G. S. (2006). Cognitive therapy for obsessive-compulsive disorder. Oakland, CA: New Harbinger Publications.

Titel: Perfectionism and Treatment Outcome in Obsessive-compulsive Disorder
Auteurs: Heather M. Chik
Maureen L. Whittal
Melanie L. O’Neill
Publicatiedatum: 01-10-2008
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2008
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-007-9133-2

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2008

Interpersonal Sensitivity and Response Bias in Social Phobia and Depression: Labeling Emotional Expressions

The Effect of a Psychoeducational Course on Hypochondriacal Metacognition

Believing that Intrusive Thoughts Can be Immoral Moderates the Relationship Between Obsessions and Compulsions for Shame-prone Individuals

An investigation of appraisals in individuals vulnerable to excessive worry: the role of intolerance of uncertainty

Predicting Changes in Obsessive Compulsive Symptoms Over a Six-Month Follow-Up: A Prospective Test of Cognitive Models of Obsessive Compulsive Disorder

Positive Mood Induction and Facial Affect Recognition among Students at Risk for Mania