Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Wed, Mar 26, 2025
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Volume 39, Issue 1 (1-2025)
Med J Islam Repub Iran 2025 |
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Mohammadi G, Asgharnezhadfarid A, Zahedi Tajrishi K, Gharaee B, Moloodi R. Comparative Effectiveness of Face-to-Face Cognitive-Behavioral Therapy and Combined Cognitive-Behavioral Therapy (Face-to-Face + Web-Based Application) on Maladaptive Perfectionism in College Students: A Randomized Controlled Trial. Med J Islam Repub Iran 2025; 39 (1) :230-239
URL: http://mjiri.iums.ac.ir/article-1-9428-en.html
URL: http://mjiri.iums.ac.ir/article-1-9428-en.html
Gelavizh Mohammadi 
, Aliasghar Asgharnezhadfarid , Komeil Zahedi Tajrishi , Banafshe Gharaee , Reza Moloodi
, Aliasghar Asgharnezhadfarid , Komeil Zahedi Tajrishi , Banafshe Gharaee , Reza Moloodi
Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran , Zahedi.k@iums.ac.ir
Abstract: (87 Views)
Background: The effectiveness of integrating a self-help training application with cognitive behavioral therapy (CBT) for treating maladaptive perfectionism remains unclear. This study evaluated the impact of combining CBT with a web-based program versus CBT alone on psychological outcomes in college students with maladaptive perfectionism.
Methods: This study involved 52 participants randomized to a 10-week intervention of either CBT or CBT combined with a web-based application. Outcomes assessed included perfectionism, depression, anxiety, stress, psychological well-being, procrastination, and life satisfaction, measured through self-reporting at baseline, posttreatment, and 3 follow-ups. Data analyses utilized independent t tests, chi-square tests for preintervention differences, and repeated mixed analysis of variance (ANOVA) to evaluate intervention effects over time, with effect sizes calculated using η².
Results: Participants had a mean age of 27.85 years (SD, 4.94), were predominantly female (n = 34; 74%), mostly single (n = 29; 73.9%), and held a master's degree (n = 20; 43.5%). Overall, 52 participants were randomized into 2 groups, with 26 participants in each group. Of these, 23 participants from each group completed the treatment and follow-up periods. The CBT combined with an App group demonstrated superior effectiveness in addressing perfectionism and improving interpersonal sensitivity, striving for excellence, and high standards for others compared with CBT alone. In addition, this combined treatment was significantly better than CBT in reducing stress, increasing psychological well-being, and improving life satisfaction.
Conclusion: Integrating a web-based self-help application with CBT effectively reduces maladaptive perfectionism and associated psychopathology, highlighting the potential benefits of combining digital tools with traditional therapeutic approaches.
Methods: This study involved 52 participants randomized to a 10-week intervention of either CBT or CBT combined with a web-based application. Outcomes assessed included perfectionism, depression, anxiety, stress, psychological well-being, procrastination, and life satisfaction, measured through self-reporting at baseline, posttreatment, and 3 follow-ups. Data analyses utilized independent t tests, chi-square tests for preintervention differences, and repeated mixed analysis of variance (ANOVA) to evaluate intervention effects over time, with effect sizes calculated using η².
Results: Participants had a mean age of 27.85 years (SD, 4.94), were predominantly female (n = 34; 74%), mostly single (n = 29; 73.9%), and held a master's degree (n = 20; 43.5%). Overall, 52 participants were randomized into 2 groups, with 26 participants in each group. Of these, 23 participants from each group completed the treatment and follow-up periods. The CBT combined with an App group demonstrated superior effectiveness in addressing perfectionism and improving interpersonal sensitivity, striving for excellence, and high standards for others compared with CBT alone. In addition, this combined treatment was significantly better than CBT in reducing stress, increasing psychological well-being, and improving life satisfaction.
Conclusion: Integrating a web-based self-help application with CBT effectively reduces maladaptive perfectionism and associated psychopathology, highlighting the potential benefits of combining digital tools with traditional therapeutic approaches.
Type of Study: Original Research |
Subject:
Clinical Psychology
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