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The role of psychological inflexibility and self-compassion in acceptance and commitment therapy for clinical perfectionism
- Source :
- Psychology Faculty Publications
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- The current study examined psychological inflexibility and self-compassion as theoretically relevant mediators and moderators of outcomes following acceptance and commitment therapy (ACT) for clinical perfectionism. Fifty-three participants with clinical perfectionism were randomized to either a 10-session ACT condition or a 14-week waitlist control condition (only 39 completed the posttreatment assessment). Outcomes tested include concern over mistakes, doubting of actions, personal standards, quality of life, symptom distress and functional impairment, and valued action. Multilevel modeling analyses showed reduced psychological inflexibility mediated the relationship between condition and higher quality of life and increased self-compassion mediated the relationship between condition and decreased concern over mistakes. No other mediation effects were observed. In addition, baseline psychological inflexibility differentially moderated outcomes depending on outcome tested; for example, lower baseline inflexibility predicted more improvement in quality of life whereas higher baseline inflexibility predicted more improvement in symptom distress and functional impairment. Participants with average baseline self-compassion tended to benefit the most from ACT. These findings clarify how psychological inflexibility and self-compassion influence outcomes following ACT for clinical perfectionism. Theoretical and clinical implications of ACT for clinical perfectionism are discussed.
- Subjects :
- 050103 clinical psychology
Organizational Behavior and Human Resource Management
Mediation (statistics)
Health (social science)
Functional impairment
medicine.disease_cause
Acceptance and commitment therapy
03 medical and health sciences
Behavioral Neuroscience
0302 clinical medicine
Quality of life (healthcare)
medicine
mediation
0501 psychology and cognitive sciences
Applied Psychology
Ecology, Evolution, Behavior and Systematics
moderation
Educational Psychology
05 social sciences
Multilevel model
Perfectionism (psychology)
clinical perfectionism
Moderation
self-compassion
030227 psychiatry
acceptance and commitment therapy
Psychology
psychological inflexibility
Self-compassion
Clinical psychology
Subjects
Details
- ISSN :
- 22121447
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Journal of Contextual Behavioral Science
- Accession number :
- edsair.doi.dedup.....adf406b645758b9659f868561d5018c7