The DOI matches its Crossref record; 129 of the 129 references it cites were found in a registry or an index.
Perfectionism as a transdiagnostic process: A clinical review
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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“Perfectionism is a transdiagnostic risk and maintaining process across anxiety, depression, and eating disorders (Egan et al., 2011; Limburg et al., 2017).”
From Coming of age: A reflection of the first 21 years of cognitive behaviour therapy for perfectionism (2023) · cites this paper as Egan et al., 2011
In the citing paper
“Some examples of transdiagnostic mechanisms that have been found to play a fundamental role in EDs are intolerance to uncertainty [104], rumination [105], perfectionism [106], or thought suppression [107].”
From Negative and positive affect regulation in a transdiagnostic internet-based protocol for emotional disorders: Randomized controlled trial (2021) · cites this paper as [106]
Citations
Cites
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052
Cognitive Therapy for Depression
(2012) · PsycEXTRA Dataset · doi:10.1037/e675542012-001 · Cited by 9,678
The brief symptom inventory: an introductory report.
Derogatis, L. R., & Melisaratos, N. (1983) · Psychological Medicine · doi:10.1017/s0033291700048017 · Cited by 6,650
The dimensions of perfectionism
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990) · Cognitive Therapy and Research · doi:10.1007/bf01172967 · Cited by 4,279
Cognitive Therapy in Depression
Kovács, M. (1980) · Journal of the American Academy of Psychoanalysis · doi:10.1521/jaap.1.1980.8.1.127 · Cited by 3,422
Hewitt, P. L., & Flett, G. L. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.60.3.456 · Cited by 3,378 · cited 5×
“There is also evidence when maladaptive components of perfectionism on the FMPS and HMPS are combined (i.e., sociallyprescribed perfectionism, CM, DA, PE, PC) that this composite score remains unchanged from pre- to post-treatment of depression (Cox & Enns, 2003).”
BackgroundMethodInfluentialCognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00088-8 · Cited by 3,374
Self-citationRisk and maintenance factors for eating pathology: A meta-analytic review.
Stice, E. M. (2002) · Psychological Bulletin · doi:10.1037/0033-2909.128.5.825 · Cited by 2,710
A cognitive model of social phobia
Adrian Wells, A. (1995) · Research Explorer (The University of Manchester) · Cited by 2,701
Flagged first, then by citations
Research works printed but not linked: 2
- Steele, A., Bergin, J., & Wade, T.D. (in press). Predictors of outcome in guided self-help treatment for Bulimia Nervosa. International Journal of Eating Disorders.
- Steele, A., O'Shea, A., Murdock, A., Karney, A., & Wade, T. (in press). Perfectionism and its relation to over-evaluation of weight, shape, depression, and anxiety. International Journal of Eating Disorders.
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Sorted by citations
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Potential risk factors and early symptoms of anorexia nervosa: prevalence in 11–16-year-old girls
Völker, U., Jacobi, C., Jones, M., Lock, J., & Taylor, C. B. (2013) · Advances in Eating Disorders · doi:10.1080/21662630.2013.794521 · Cited by 1
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Arce, G., & Belén, A. (2015) · Digital Commons-DePaul (DePaul University) · Cited by 1
김슬기, & Kim, E. (2017) · Korean Journal of Health Psychology · doi:10.17315/kjhp.2017.22.4.009 · Cited by 2
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An Examination of the Relationship Between Perfectionism and Neurological Functioning
Petersen, J. M., Ong, C. W., Hancock, A. S., Gillam, R. B., Levin, M. E., & Twohig, M. P. (2021) · Journal of Cognitive Psychotherapy · doi:10.1891/jcpsy-d-20-00037 · Cited by 2
Boucher, E. M., Ward, H. E., Stafford, J. L., & Parks, A. C. (2021) · JMIR Research Protocols · doi:10.2196/25545 · Cited by 2
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Jokste, I. (2021) · SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference · doi:10.17770/sie2021vol7.6450 · Cited by 1
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Heo, J., Petscher, Y., & Paek, I. (2024) · Psychology International · doi:10.3390/psycholint6040064 · Cited by 3
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Kazkondu, İ. (2025) · Gaziantep University Journal of Social Sciences · doi:10.21547/jss.1553637 · Cited by 1
Boldt, A., Fox, C. A., Gillan, C. M., & Gilbert, S. J. (2024) · eLife · doi:10.7554/elife.98114.4 · Cited by 8
Shirazi, S. H., Jadidi, M., & Zafarghandi, M. B. S. (2015) · International Journal of School Health · doi:10.17795/intjsh-28325 · Cited by 1
Jo, H.-J., & Kim, J. M. (2015) · 한국가정관리학회지 · doi:10.7466/jkhma.2015.33.5.55 · Cited by 1
Khodabakhsh, M. R., & Kiani, F. (2015) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 1
Perfectionism: The Bane of Happiness
Kelly, J. D., & Kelly, A. M. (2017) · Springer eBooks · doi:10.1007/978-3-319-61220-1_6 · Cited by 1
Affective spectrum symptoms and self-criticism: A behavioral genetic approach
Bleys, D., Luyten, P., Claes, S. J., & Soenens, B. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.03.172 · Cited by 1
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de Jesus, A. O. S., & Santiago, C. D. S. (2021) · Connection Scientific Journal · doi:10.51146/csj.v4i1.37 · Cited by 1
Alaloğlu, G., & Bahtiyar, B. (2020) · Advances in psychology and psychological trends · doi:10.36315/2021pad19 · Cited by 1
Intervention for Nigerian preservice historians’ maladaptive academic perfectionism
Oloidi, F. J., Victor-Aigbodion, V., Ossai, O. V., & Ilechukwu, L. C. (2022) · Medicine · doi:10.1097/md.0000000000029170 · Cited by 3
Murphy, Y. E., Luke, A. K., & Flessner, C. A. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108235655.023 · Cited by 2
Mohammadian, Y., Asl, E., Mahaki, B., & Ashouri, A. (2022) · International Journal of Preventive Medicine · doi:10.4103/ijpvm.ijpvm_310_20 · Cited by 1
Performing well but not appreciating it – A trait feature of anorexia nervosa
Hjerresen, T. S., Bentz, M., Nejad, A. B., Raffin, E., Andersen, K. W., Hulme, O. J., Siebner, H. R., & Plessen, K. J. (2023) · JCPP Advances · doi:10.1002/jcv2.12194
Martín, N. L. S., & Palma, M. (2018) · Revista Reflexión e Investigación Educacional · doi:10.22320/reined.v1i1.3405 · Cited by 1
Anxiety Disorders: Social Anxiety Disorder and Specific Phobia
McCabe, R. E., Hood, H. K., & Antony, M. M. (2015) · Wiley eBooks · doi:10.1002/9781118753378.ch54 · Cited by 1
Exploring the effects of priming values on perfectionism, considering value discrepancy and distress
Fermandel, L. (2015) · ORCA Online Research @Cardiff (Cardiff University) · Cited by 1
Lin, S. L. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/xsa1-bc78 · Cited by 1
Verleijsdonk, M., & Denissen, J. J. A. (2014) · Theses database, Tilburg University · Cited by 1
Worry and rumination : underlying processes and transdiagnostic characteristics
Drost, J. (2014) · Leiden Repository (Leiden University) · Cited by 1
Eating Disorders and Suicidality
Fairweather‐Schmidt, A. K. (2016) · Springer eBooks · doi:10.1007/978-981-287-087-2_186-1 · Cited by 1
Türkakın, E., Karamancı, C., Karamancı, K., & Balcı, F. (2019) · doi:10.31234/osf.io/rvd9x · Cited by 1
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Leung, P. C. (2021) · QSpace (Queen's University Library) · Cited by 1
An Etiological and Maintenance Model of PerfectionismPreprint
Pourshahbaz, A., Moloodi, R., Mohammadkhani, P., Fata, L., Barani, M., Egan, S. J., & Ghaderi, A. (2022) · Research Square · doi:10.21203/rs.3.rs-1235520/v1 · Cited by 1
Self-citationTransdiagnostic Approaches for Anxiety Disorders
McManus, F. V., & Shafran, R. (2014) · Wiley eBooks · doi:10.1002/9781394266487.ch7 · Cited by 1
Self-citationTherapist's perfectionism as a target of clinical supervision. A case-study
Salvatore, G., Buonocore, L., Marciano, R., Cavallo, F., & Rossi, A. (2025) · Rivista di Psicologia Clinica · doi:10.3280/rpc2-2024oa18926 · Cited by 1
Between Obsession and Optimization: A Model of Perfectionism and Non-Transitive PreferencesPreprint
Bayer, Y. M. (2025) · SSRN Electronic Journal · doi:10.20944/preprints202504.1514.v2
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Bayer, Y. M. (2025) · Preprints.org · doi:10.20944/preprints202504.1514.v3
Reilly, E. E. (2017) · Scholars Archive - University at Albany (University at Albany, State University of New York) · doi:10.54014/c255-g0n6 · Cited by 1
Sibling Closeness and Similarity and the Presence of Perfectionism
Crowe, J. (2013) · OhioLink ETD Center (Ohio Library and Information Network)
Investigating the utility of a self-schema model of perfectionism in understanding anorexia nervosa
Wearne, C. (2014) · The Sydney eScholarship Repository (The University of Sydney)
Garratt‐Reed, D. (2012) · eSpace (Curtin University)
Batmaz, S., Kaymak, S. U., Kocbiyik, S., & Türkçapar, M. H. (2014) · European Psychiatry · doi:10.1016/s0924-9338(14)78328-2
Moser, J. S., Slane, J. D., Burt, S. A., & Klump, K. L. (2012)
Sotsiaal- ja Haridusteaduskond
Instituut, P., & Sultson, H. (2013)
Lenington, M. B. (2011) · Texas ScholarWorks (Texas Digital Library)
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Czaja, J., Schweiger, U., & Rudolf, S. (2012) · Psychiatrie und Psychotherapie up2date · doi:10.1055/s-0032-1305050
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Monteiro, E. C. S. (2015) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)
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Chaves, B. M. P. (2014) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)
Frosh, S. (2012) · doi:10.1007/978-0-230-37177-4_11
Chan, J. Y.-F. (2016) · TSpace (University of Toronto)
Doria, N. A. (2017) · DalSpace (Dalhousie University)
Perfectionism and self-vulnerabilities in obsessive-compulsive and eating difficulties
Vormwald, N. (2014) · Swinburne figshare (Swinburne University of Technology) · doi:10.25916/sut.26272684
Kaldas, J. (2018) · cIRcle (University of British Columbia) · doi:10.14288/1.0371005
심은정, & 신선임 (2018) · Korea Journal of Counseling · doi:10.15703/kjc.19.1.201802.289
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Kennedy, M. L. H., & Khorassani, F. (2017) · The American Pharmacists Association eBooks · doi:10.21019/pharmacotherapyfirst.eating-disorders_overview
Robles, V. A. G. (2019) · Tesis Doctorals en Xarxa (Consorci de Serveis Universitaris de Catalunya) · doi:10.6035/14109.2019.233592
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Murphy, E. (2019) · Brock University Digital Repository (Brock University)
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Brochu, H. (2019) · NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) · doi:10.71889/5fylantbak.29863493
橋口, 誠. (2018) · doi:10.24651/oushinken.44.1_64
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Douilliez, C., Rivière, J., & Dupont, M. (2016) · Dunod eBooks · doi:10.3917/dunod.mones.2016.01.0125
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Janssen, W. F. (2019) · Brock University Digital Repository (Brock University) · doi:10.17605/osf.io/9xzju
Summers, J. S., & Sinnott-Armstrong, W. P. (2019) · doi:10.1093/oso/9780190058692.003.0001
Summers, J. S., & Sinnott-Armstrong, W. P. (2019) · doi:10.1093/oso/9780190058692.003.0004
Summers, J. S., & Sinnott-Armstrong, W. P. (2019) · doi:10.1093/oso/9780190058692.003.0006
أرنوط, ب. إ. أ. (2015) · مجلة الإرشاد النفسی · doi:10.21608/cpc.2015.49030
Soares, M. J., Bos, C., Marques, M., Azevedo, M. H., & Superior, E. (2013)
Zetterberg, M., Rozental, A., Carlbring, P., & Andersson, G. (2017)
A Social Clinical Perspective on Perfectionism in Disordered Eating BehaviourPreprint
Bouguettaya, A. (2019) · Thesis Commons (OSF Preprints) · doi:10.31237/osf.io/9fz5d
Hurst, K. (2017) · Griffith Research Online · doi:10.25904/1912/1275
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Nehmy, T. (2016) · Springer eBooks · doi:10.1007/978-981-287-087-2_147-1
Jones, E. J., Howell, J. A., Tonta, K. E., Egan, S. J., Hasking, P. A., Boyes, M. E., McEvoy, P. M., & Mazzucchelli, T. G. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100342
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Javidi, N., Goudarzi, M., Farhangi, A., & Tizdast, T. (2021) · International Archives of Health Sciences · doi:10.4103/iahs.iahs_134_20
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McEvoy, P. M. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00097-2
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Guzick, A. G., Schneider, S. C., & Storch, E. A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00028-5
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Fu, K. (2021) · Advances in Social Science, Education and Humanities Research/Advances in social science, education and humanities research · doi:10.2991/assehr.k.210617.111
Aktepe, İ., & TOLAN, Ö. Ç. (2021) · Kalem Uluslararasi Egitim ve Insan Bilimleri Dergisi · doi:10.23863/kalem.2021.198
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Diehl, A. B. R. P., Euzebio, L. D. C., & Mosmann, C. P. (2021) · Contextos Clínicos · doi:10.4013/ctc.2021.141.09
Käll, A. (2021) · Linköping studies in behavioural science · doi:10.3384/9789179290580
Matsumura, A., Motohashi, Y., & Kaneko, Y. (2012) · Institutional Repositories DataBase (IRDB)
Doktorová, D., & Kochanová, D. (2021) · Revista Romaneasca pentru Educatie Multidimensionala · doi:10.18662/rrem/13.4/487 · Cited by 1
Risky Parental Practices and Their Implications in Adult Psychopathology
Năstase, A.-C. (2021) · Studia Doctoralia · doi:10.47040/sdpsych.v12i2.133
النزعة الکمالية وقلق الامتحان لدى الطلاب الموهوبين والعاديين في دولة الکويت (دراسة مقارنة)
العبهول, ر. س. ر., & ياسين, ا. د. ح. م. (2021) · Buḥūṯ /Buḥūṯ · doi:10.21608/buhuth.2021.93133.1179 · Cited by 1
Hamidikian, P., Nicknam, M., & Jahangir, P. (2021) · Psychology of Woman Journal · doi:10.52547/psychowoman.2.2.47
(2018) · المجلة العلمیة للدراسات و البحوث التربویة والنوعیة · doi:10.21608/sjse.2018.214118
(2018) · Carrefour des psychothérapies · doi:10.3917/dbu.roska.2017.01.0303
Metadata
- 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.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 31
- Issue
- 2
- Pages
- 203-212
- ISSN
- 0272-7358 (ISSN-L)
- 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
- 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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