Perfectionism as Possible Predictor for Treatment Success: Preliminary Data From Metacognitive Training for Depression and Suicidal Ideation in an Inpatient Sample

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology Pub Date : 2025-08-07 DOI:10.1002/jclp.70027

Nathalie Claus, Jakob Scheunemann, Sönke Arlt, Judith Peth, Jürgen Gallinat, Barbara Cludius, Lena Jelinek

{"title":"Perfectionism as Possible Predictor for Treatment Success: Preliminary Data From Metacognitive Training for Depression and Suicidal Ideation in an Inpatient Sample","authors":"Nathalie Claus, Jakob Scheunemann, Sönke Arlt, Judith Peth, Jürgen Gallinat, Barbara Cludius, Lena Jelinek","doi":"10.1002/jclp.70027","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>In the treatment of depression and suicidal ideation, perfectionism has emerged as a possible predictor of treatment outcome. Some data suggest that cognitive-behavioral therapy outcomes are poorer for more perfectionistic patients. However, findings so far neglect the multidimensionality of perfectionism, and research has yet to be extended to newer treatment approaches.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The current study comprised secondary analysis of data from inpatients in treatment for depression. We administered measures of perfectionistic concerns and perfectionistic strivings as well as depression and suicidal ideation severity. Patients received 4 weeks of metacognitive training for depression and suicidal ideation (D-MCT/S) in a group setting, alongside a comprehensive inpatient treatment. Hierarchical data over time was submitted to multi-level analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Perfectionistic concerns at baseline negatively predicted depressive symptoms but not suicidal ideation across time points. In exploratory analysis including perfectionistic strivings as an additional predictor, perfectionism dimensions no longer predicted depressive symptoms. A reduction of perfectionistic concerns during treatment did not predict symptoms at follow-up. However, sensitivity analyses revealed significant differences in results based on the choice of symptom control variables.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>These results suggest that initial perfectionistic concerns may not prevent patients with depression and suicidal ideation from benefitting from metacognitive treatment. However, the contrast to previous findings may also be explained by differing results when separating the effects of perfectionistic concerns and perfectionistic strivings, as well as the choice of symptom control measure, or limited statistical power. Limitations and avenues for future research are discussed.</p>\n </section>\n </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1166-1177"},"PeriodicalIF":2.5000,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70027","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jclp.70027","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

In the treatment of depression and suicidal ideation, perfectionism has emerged as a possible predictor of treatment outcome. Some data suggest that cognitive-behavioral therapy outcomes are poorer for more perfectionistic patients. However, findings so far neglect the multidimensionality of perfectionism, and research has yet to be extended to newer treatment approaches.

Methods

The current study comprised secondary analysis of data from inpatients in treatment for depression. We administered measures of perfectionistic concerns and perfectionistic strivings as well as depression and suicidal ideation severity. Patients received 4 weeks of metacognitive training for depression and suicidal ideation (D-MCT/S) in a group setting, alongside a comprehensive inpatient treatment. Hierarchical data over time was submitted to multi-level analysis.

Results

Perfectionistic concerns at baseline negatively predicted depressive symptoms but not suicidal ideation across time points. In exploratory analysis including perfectionistic strivings as an additional predictor, perfectionism dimensions no longer predicted depressive symptoms. A reduction of perfectionistic concerns during treatment did not predict symptoms at follow-up. However, sensitivity analyses revealed significant differences in results based on the choice of symptom control variables.

Conclusions

These results suggest that initial perfectionistic concerns may not prevent patients with depression and suicidal ideation from benefitting from metacognitive treatment. However, the contrast to previous findings may also be explained by differing results when separating the effects of perfectionistic concerns and perfectionistic strivings, as well as the choice of symptom control measure, or limited statistical power. Limitations and avenues for future research are discussed.

Abstract Image

查看原文本刊更多论文

完美主义作为治疗成功的可能预测因素：来自住院患者样本中抑郁症和自杀意念元认知训练的初步数据。

目的：在抑郁症和自杀意念的治疗中，完美主义已成为治疗结果的可能预测因子。一些数据表明，越追求完美的患者，认知行为疗法的效果越差。然而，迄今为止的研究结果忽视了完美主义的多维性，研究还需要扩展到新的治疗方法。方法：本研究对住院治疗抑郁症患者的资料进行了二次分析。我们对完美主义关注和完美主义努力以及抑郁和自杀意念的严重程度进行了测量。患者在小组环境中接受为期4周的抑郁和自杀意念元认知训练（D-MCT/S），同时接受全面的住院治疗。随着时间的推移，分层数据提交给多层次分析。结果：基线的完美主义担忧负向预测抑郁症状，但不预测自杀意念。在探索性分析中，包括完美主义努力作为一个额外的预测因子，完美主义维度不再预测抑郁症状。治疗期间完美主义担忧的减少并不能预测随访时的症状。然而，敏感性分析显示，基于症状控制变量的选择，结果有显著差异。结论：这些结果表明，最初的完美主义担忧可能不会阻止抑郁症和自杀意念患者从元认知治疗中获益。然而，与先前研究结果的对比也可以解释为，当分离完美主义关注和完美主义努力的影响时，以及症状控制措施的选择，或有限的统计力时，不同的结果。讨论了未来研究的局限性和途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.