Dysfunctional attitudes scale perfectionism: a predictor and partial mediator of acute treatment outcome among clinically depressed adolescents.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Jacobs, RH; Silva, SG; Reinecke, MA; Curry, JF; Ginsburg, GS; Kratochvil, CJ; March, JS

Published Date

  • November 2009

Published In

Volume / Issue

  • 38 / 6

Start / End Page

  • 803 - 813

PubMed ID

  • 20183664

Pubmed Central ID

  • 20183664

Electronic International Standard Serial Number (EISSN)

  • 1537-4424

International Standard Serial Number (ISSN)

  • 1537-4416

Digital Object Identifier (DOI)

  • 10.1080/15374410903259031

Language

  • eng