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The perniciousness of perfectionism in group therapy for depression: A test of the perfectionism social disconnection model.

2020/01/30 by Paul L. Hewitt, Martin M. Smith, Xiaolei Deng +4 · 1 citation
Psychology · Medicine · #Perfectionism, Procrastination, Anxiety Studies #Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes #Maternal Mental Health During Pregnancy and Postpartum #Perfectionism (psychology) #Disconnection #Psychology #PsycINFO #Clinical psychology #Depression (economics) #Context (archaeology) #Psychotherapist #MEDLINE

paper · doi:10.1037/pst0000281

openalex publication_date 2020/01/30 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/02

Abstract

= 156) enrolled in short-term postdischarge group cognitive-behavioral therapy for residual depression completed measures of perfectionism at pretreatment; of romantic love, friendships, and familial love at posttreatment; and of depression at pre- and posttreatment. Multilevel modeling showed that other-oriented and socially prescribed perfectionism were associated with lower posttreatment reductions in depression over treatment, and path analysis revealed that self-oriented, other-oriented, and socially prescribed perfectionism indirectly predicted lower posttreatment reductions in depression through a perceived lack of quality friendships. Results lend credence and coherence to the perfectionism social disconnection model in a clinical context and underscore the importance of taking extratherapeutic social disconnection into account when treating perfectionistic patients. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

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