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The Perniciousness of Perfectionism in Group Therapy for Depression: A Test of the Perfectionism Social Disconnection Model

机译：抑郁症群治疗中完美主义的自我意识：完美主义社会断开模型的考验

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Half a century of theoretical accounts, case histories. and evidence implies perfectionism limits the success of psychotherapy and makes it hard for people to participate in and benefit from close relationships. Likewise, intimate relationships are crucial determinants of the success of treatment. However, the extent to which specific types of relationships explain why perfectionism leads to a poorer treatment outcome is unclear. We addressed this by, first, testing whether the perfectionism traits of self-oriented. other-oriented, and socially prescribed perfectionism hindered symptom reduction in group psychotherapy for depression and, second, assessing the mediating role of romantic love, friendships, and familial love on the effects of perfectionism traits on change in depression. Psychiatric patients (N = 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 p>erfectionistic patients.
机译：半个世纪的理论账户，案例历史。并且证据意味着完美主义限制了心理治疗的成功，并使人们努力参与并受益于密切的关系。同样，亲密关系是治疗成功的重要决定因素。然而，特定类型的关系的程度解释了为什么完美主义导致较差的治疗结果尚不清楚。我们首先解决了这一点，测试了自我导向的完美性状。以其他为导向的，社会规定的完美主义阻碍了抑郁症群心理治疗的症状减少，第二，评估浪漫爱情，友谊和家族性对完美主义性状对抑郁变化的影响的调解作用。精神病患者（n = 156）注册短期后收费组认知行为治疗，用于预处理的完美主义的剩余抑制措施;浪漫的爱情，友谊和家庭爱情在后期：在预处理和后处理的抑郁症。多级建模表明，其他面向和社会规定的完美主义与降低抑郁治疗的后处理减少有关，路径分析显示自我导向。以其他为导向的，社会规定的完美主义间接地预测了通过感知缺乏优质友谊的抑郁症的抑郁症降低。结果在临床背景下为完美主义社会断开模型提供了抵制和连贯性，并强调了在治疗P>埃尔佛患者时考虑到账户外部社会断开的重要性。

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