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A randomized controlled trial of unguided internet cognitive behaviour therapy for perfectionism in adolescents: Impact on risk for eating disorders.
Shu, Chloe Y; Watson, Hunna J; Anderson, Rebecca A; Wade, Tracey D; Kane, Robert T; Egan, Sarah J.
Afiliación
  • Shu CY; School of Psychology, Curtin University, Perth, Australia; Eating Disorders Program, Child and Adolescent Mental Health Service, Perth, Australia.
  • Watson HJ; School of Psychology, Curtin University, Perth, Australia; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, United States; School of Pediatrics and Child Health, University of Western Australia, Perth, Australia.
  • Anderson RA; School of Psychology, Curtin University, Perth, Australia.
  • Wade TD; School of Psychology, Flinders University, South Australia, Australia. Electronic address: tracey.wade@flinders.edu.au.
  • Kane RT; School of Psychology, Curtin University, Perth, Australia.
  • Egan SJ; School of Psychology, Curtin University, Perth, Australia. Electronic address: S.Egan@exchange.curtin.edu.au.
Behav Res Ther ; 120: 103429, 2019 09.
Article en En | MEDLINE | ID: mdl-31279221
OBJECTIVE: Perfectionism is a risk factor for the development and maintenance of eating disorders. The objective of this study was to examine the efficacy of unguided Internet cognitive behaviour therapy for perfectionism (ICBT-P) as a treatment and prevention for perfectionism and symptoms of eating disorders, anxiety, depression and self-esteem in female adolescents. METHOD: Young women (N = 94, 14-19 years) who self-identified as having difficulties with perfectionism but did not have a clinical eating disorder diagnosis were recruited. Participants were randomly allocated into one of three groups: unguided ICBT-P, unguided ICBT for nonspecific stress management (ICBT-S), or waitlist control. RESULTS: All analyses were intent-to-treat. ICBT-P resulted in the most favorable outcomes at post-treatment and 3- and 6-months follow-up. ICBT-P was superior to control on all outcome measures at 3- and 6-months and superior to ICBT-S on all outcomes over most time points (ds = 0.13-0.94). Clinical significance analysis demonstrated that the treatment prevented symptom increases over 6-month follow-up, with ICBT-P superior to ICBT-S in prevention of clinical perfectionism and depressive symptoms, and ICBT-P superior to waitlist control in prevention of eating disorder symptoms. There was relatively high attrition, although there were no differences in attrition between the groups at 3- and 6-month follow-up and rates were commensurate with other Internet interventions. DISCUSSION: The findings support unguided ICBT-P as a useful target for preventing eating disorder and associated symptoms in female youth who self-identify as perfectionistic. ANZCTR TRIAL NUMBER: ACTRN12615001098527.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Trastornos de Alimentación y de la Ingestión de Alimentos / Terapia Cognitivo-Conductual / Depresión / Perfeccionismo / Intervención basada en la Internet Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans Idioma: En Revista: Behav Res Ther Año: 2019 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Trastornos de Alimentación y de la Ingestión de Alimentos / Terapia Cognitivo-Conductual / Depresión / Perfeccionismo / Intervención basada en la Internet Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans Idioma: En Revista: Behav Res Ther Año: 2019 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido