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
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
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DOI：
10.1037/0022-006x.66.2.423
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发表时间：
1998-04-01
影响因子：
5.9
通讯作者：
Pilkonis, PA
中科院分区：
文献类型：
--
作者：
Blatt, SJ;Zuroff, DC;Pilkonis, PA
此前，完美主义已被认为对抑郁症短期（16 周）治疗终止时的治疗结果具有显着的负面影响（S. J. Blatt、D. M. Quinlan、P. A. Pilkonis 和 T. Shea，1995 年），根据国家心理健康研究所抑郁症治疗合作研究计划 (TDCRP) 中使用的 5 项主要结果指标进行测量。目前对来自 TDCRP 的其他数据的分析表明，完美主义对治疗结果的这种影响也出现在治疗师、独立临床评估者和患者的评级中，并且这种影响在终止后持续了 18 个月。此外，对治疗过程中进行的全面、独立评估的分析表明，在治疗的后半段，即第 9 次和第 12 次疗程之间，完美主义开始阻碍约 2/3 样本的治疗效果。讨论了这些发现的含义，包括更多完美主义患者可能会因预期任意的、外部强加的终止日期而受到负面影响。
Perfectionism has previously been identified as having a significant negative impact on therapeutic outcome at termination in the brief (16-week) treatment of depression (S. J. Blatt, D. M. Quinlan, P. A. Pilkonis, & T. Shea, 1995) as measured by the 5 primary outcome measures used in the National Institute of Mental Health Treatment of Depression Collaborative Research Program (TDCRP). The present analyses of other data from the TDCRP indicated that this impact of perfectionism on therapeutic outcome was also found in ratings by therapists, independent clinical evaluators, and the patients and that this effect persisted 18 months after termination. In addition, analyses of comprehensive, independent assessments made during the treatment process indicated that perfectionism began to impede therapeutic gain in approximately 2/3 of the sample, in the latter half of treatment, between the 9th and 12th sessions. Implications of these findings are discussed, including the possibility that more perfectionistic patients may be negatively impacted by anticipation of an arbitrary, externally imposed termination date.