Cited by 961Perfectionism, Procrastination, Anxiety StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBody Image and Dysmorphia Studies

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Perfectionism as a transdiagnostic process: A clinical review

Egan, Sarah J., Wade, Tracey D., Shafran, Roz·2011·Clinical Psychology Review

DOI 10.1016/j.cpr.2010.04.009

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Abstract

Perfectionism is a risk and maintaining factor for eating disorders, anxiety disorders and depression. The objective of this paper is to review the four bodies of evidence supporting the notion that perfectionism is a transdiagnostic process. First, a review of the literature was conducted that demonstrates the elevation of perfectionism across numerous anxiety disorders, depression, and eating disorders compared to healthy controls. Data is presented that shows perfectionism increases vulnerability for eating disorders, and that it maintains obsessive-compulsive disorder, social anxiety and depression as it predicts treatment outcome in these disorders. Second, evidence is examined showing that elevated perfectionism is associated with co-occurrence of psychopathology. Third, the different conceptualisations of perfectionism are reviewed, including a cognitive-behavioural conceptualisation of clinical perfectionism that can be utilised to understand this transdiagnostic process. Fourth, evidence that treatment of perfectionism results in reductions in anxiety, depression and eating pathology is reviewed. Finally, the importance of clinicians considering the routine assessment and treatment of perfectionism is outlined.

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Authors: Egan, S. J., Wade, T. D., & Shafran, R.
Affiliations: Curtin University (AU)
Flinders University (AU)
University of Reading (GB)
Corresponding author: Egan, Sarah J.
ORCID: Egan, Sarah J.
Wade, Tracey D.
Shafran, Roz
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2011-03
Volume: 31
Issue: 2
Pages: 203-212
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2010.04.009
OpenAlex: W2092825860
Cited by: 961
References: 126
Citations by year: 2026: 60 · 2025: 73 · 2024: 65 · 2023: 64 · 2022: 81 · 2021: 94 · 2020: 59 · 2019: 83 · 2018: 64 · 2017: 76 · 2016: 52 · 2015: 59 · 2014: 48 · 2013: 30 · 2012: 32
FWCI: 3.84
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
CentAUR (University of Reading) (acceptedVersion)
UCL Discovery (University College London) (submittedVersion)
eSpace (Curtin University) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Perfectionism, Procrastination, Anxiety Studies
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords: perfectionism, transdiagnostic mechanisms, eating disorders, anxiety disorders, depression, obsessive-compulsive disorder, social anxiety, co-occurring psychopathology, treatment outcomes
MeSH terms: Anxiety, Anxiety Disorders, Feeding and Eating Disorders, Depression, Humans, Personality, Cognitive Behavioral Therapy

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Perfectionism as a transdiagnostic process: A clinical review

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