A randomized clinical trial of a gamified app for the treatment of perfectionism

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2023-10-21 DOI:10.1111/bjc.12444

Amitai Abramovitch, Akuekegbe Uwadiale, Anthony Robinson

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Abstract

Objectives

Perfectionism is a common transdiagnostic problem that may lead to substantial distress and functional impairments. Cognitive behavioural therapy (CBT) is an effective treatment for perfectionism. However, the existing significant barriers to access and utilization of mental health services, including among college students, demand the development of low-intensity accessible interventions. The aim of the present study was to evaluate the effectiveness of a low-intensity CBT-based self-help gamified app developed specifically for perfectionism in a sample of college students.

Methods

Participants completed assessments of perfectionism, related symptoms, emotional burden and functional impairments at pretreatment, posttreatment and at one-month follow-up.

Results

Compared with the waitlist condition (n = 35), the app condition (n = 35) demonstrated a significant and greater reduction in perfectionism, obsessive-compulsive symptoms, functional impairments and subjective ratings of emotional burden.

Conclusions

Results suggest that a brief, daily app-based game-like intervention targeting maladaptive perfectionistic beliefs may be a viable, low-cost alternative to traditional CBT treatments for vulnerable populations on college campuses.

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一项游戏化应用程序治疗完美主义的随机临床试验。

目的：完美主义是一种常见的跨诊断问题，可能导致严重的痛苦和功能损伤。认知行为疗法（CBT）是治疗完美主义的有效方法。然而，在获得和利用心理健康服务方面，包括在大学生中，存在着重大障碍，需要制定低强度的可获得干预措施。本研究的目的是在大学生样本中评估专门为完美主义开发的基于低强度CBT的自助游戏化应用程序的有效性。方法：参与者在治疗前、治疗后和一个月的随访中完成了完美主义、相关症状、情绪负担和功能损伤的评估 = 35），应用程序条件（n = 35）表现出完美主义、强迫症症状、功能障碍和主观情绪负担评分的显著且更大程度的降低。结论：研究结果表明，针对适应不良的完美主义信念，针对大学校园中的弱势群体，一种简短的、基于每日应用程序的游戏式干预可能是一种可行的、低成本的传统CBT治疗方法。

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