Document Type
Article
Journal Title
Journal of clinical child and adolescent psychology
Publication Date
11-2009
Volume
38
Abstract
The effect of perfectionism on acute treatment outcomes was explored in a randomized controlled trial of 439 clinically depressed adolescents (12-17 years of age) enrolled in the Treatment for Adolescents with Depression Study (TADS) who received cognitive behavior therapy (CBT), fluoxetine, a combination of CBT and FLX, or pill placebo. Measures included the Children's Depression Rating Scale-Revised, the Suicidal Ideation Questionnaire-Grades 7-9, and the perfectionism subscale from the Dysfunctional Attitudes Scale (DAS). Predictor results indicate that adolescents with higher versus lower DAS perfectionism scores at baseline, regardless of treatment, continued to demonstrate elevated depression scores across the acute treatment period. In the case of suicidality, DAS perfectionism impeded improvement. Treatment outcomes were partially mediated by the change in DAS perfectionism across the 12-week period.
MeSH Headings
Adolescent, Attitude, Child, Cognitive Therapy, Depressive Disorder, Major, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Male, Personality, Predictive Value of Tests, Questionnaires, Self Concept, Treatment Outcome
DOI Link
ISSN
1537-4424
Recommended Citation
Jacobs, Rachel H.; Silva, Susan G.; Reinecke, Mark A.; Curry, John F.; Ginsburg, Golda S.; Kratochvil, Christopher J.; and March, John S., "Dysfunctional attitudes scale perfectionism: a predictor and partial mediator of acute treatment outcome among clinically depressed adolescents." (2009). Journal Articles: Psychiatry. 7.
https://digitalcommons.unmc.edu/com_psych_articles/7
Comments
This is an Accepted Manuscript of an article published by Taylor & Francis Group in Journal of clinical child and adolescent psychology on 2009, available online at: http://www.tandfonline.com/10.1080/15374410903259031.