Volume 51, Issue 8 pp. 984-988
BRIEF REPORT

A randomized controlled trial of unguided internet cognitive–behavioral treatment for perfectionism in individuals who engage in regular exercise

Emily G. Valentine BA(Hons), MPsych(Clin)

Emily G. Valentine BA(Hons), MPsych(Clin)

School of Psychology, Curtin University, Perth, Australia

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Kate O. Bodill BA(Psych)Hons, MPsych(Clin)

Kate O. Bodill BA(Psych)Hons, MPsych(Clin)

School of Psychology, Curtin University, Perth, Australia

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Hunna J. Watson MPsych(Clin), MBiostats, PhD

Hunna J. Watson MPsych(Clin), MBiostats, PhD

School of Psychology, Curtin University, Perth, Australia

Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

School of Paediatrics and Child Health, University of Western Australia, Perth, Australia

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Martin S. Hagger BA, Dip. Psych, PhD

Martin S. Hagger BA, Dip. Psych, PhD

School of Psychology, Curtin University, Perth, Australia

Health Psychology and Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, Australia

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland

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Robert T. Kane BSc(Hons), PhD

Robert T. Kane BSc(Hons), PhD

School of Psychology, Curtin University, Perth, Australia

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Rebecca A. Anderson BSc(Hons), MPsych(Clin), PhD

Rebecca A. Anderson BSc(Hons), MPsych(Clin), PhD

School of Psychology, Curtin University, Perth, Australia

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Sarah J. Egan BA(Hons), MPsych(Clin), PhD

Corresponding Author

Sarah J. Egan BA(Hons), MPsych(Clin), PhD

School of Psychology, Curtin University, Perth, Australia

Health Psychology and Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, Australia

Correspondence Sarah Egan, School of Psychology, Curtin University, GPO Box U1987, Perth, WA 6847, Australia. Email: [email protected]Search for more papers by this author
First published: 08 July 2018
Citations: 18

Abstract

Objective

Clinical perfectionism has been found to be a risk and maintaining factor in eating disorders (EDs), compulsive exercise, and athlete burnout. This study investigated whether an unguided internet cognitive–behavioral treatment (ICBT) for perfectionism would reduce ED pathology, compulsive exercise, and burnout in individuals who engage in regular exercise.

Method

Participants were randomly allocated to intervention (n = 38) or waitlist control (n =29). A generalized linear mixed model (GLMM) analysis was conducted pre and post treatment. A follow-up analysis was conducted with the intervention group at 3 and 6 months.

Results

The intervention group experienced a significant reduction in perfectionism (FMPS-CM: F[1,117] = 17.53, p = < .001, Cohen's d = .82), ED symptomology (EDE-Q: F[1,55] = 7.27, p = .009,Cohen's d = .53) and compulsive exercise (CET: F[1,116] = 10.33, p < .001,Cohen's d = .63). The changes attained post-treatment were maintained within the intervention group at 3-month (FMPS-CM (t[1,100] = 3.67, p < . 001, Cohen's d = .85) (EDE-Q (t[1,50] = 2.20, p = .03, Cohen's d = 1.26) and 6-month follow-up (FMPS (t[1,100] = 2.74, p = 007, Cohen's d = .70) (EDE-Q (t[1,50] = 2.18, p = .03, Cohen's d = 1.26).

Discussion

The results indicate unguided ICBT for perfectionism can have a significant impact on perfectionism, compulsive exercise, and ED symptomatology.

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