ArticleMedical journal of the Islamic Republic of Iran2025
Comparative Effectiveness of Face-to-Face Cognitive-Behavioral Therapy and Combined Cognitive-Behavioral Therapy (Face-to-Face + Web-Based Application) on Maladaptive Perfectionism in College Students: A Randomized Controlled Trial.
Article in Medical journal of the Islamic Republic of Iran, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The intervention effect of internet-based cognitive behavioral therapy on anxiety, depression, and stress in college students: a systematic review and meta-analysis based on randomized controlled trials.Frontiers in psychology · 2026Pooled it
- A narrative review of mental health interventions and biopsychosocial risk factors in adolescent athletes.Discover mental health · 2026Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The effectiveness of integrating a self-help training application with cognitive behavioral therapy (CBT) for treating maladaptive perfectionism remains unclear. This study evaluated the impact of combining CBT with a web-based program versus CBT alone on psychological outcomes in college students with maladaptive perfectionism. Methods: This study involved 52 participants randomized to a 10-week intervention of either CBT or CBT combined with a web-based application. Outcomes assessed included perfectionism, depression, anxiety, stress, psychological well-being, procrastination, and life satisfaction, measured through self-reporting at baseline, posttreatment, and 3 follow-ups. Data analyses utilized independent t tests, chi-square tests for preintervention differences, and repeated mixed analysis of variance (ANOVA) to evaluate intervention effects over time, with effect sizes calculated using η². Results: Participants had a mean age of 27.85 years (SD, 4.94), were predominantly female (n = 34; 74%), mostly single (n = 29; 73.9%), and held a master's degree (n = 20; 43.5%). Overall, 52 participants were randomized into 2 groups, with 26 participants in each group. Of these, 23 participants from each group completed the treatment and follow-up periods. The CBT combined with an App group demonstrated superior effectiveness in addressing perfectionism and improving interpersonal sensitivity, striving for excellence, and high standards for others compared with CBT alone. In addition, this combined treatment was significantly better than CBT in reducing stress, increasing psychological well-being, and improving life satisfaction. Conclusion: Integrating a web-based self-help application with CBT effectively reduces maladaptive perfectionism and associated psychopathology, highlighting the potential benefits of combining digital tools with traditional therapeutic approaches.
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