IMPLICATIONS OF PERFECTIONISM IN THE BEHAVIORAL ACTIVATION OF DEPRESSIVE PATIENT: A CASE STUDY

Authors

DOI:

https://doi.org/10.19123/REixo.v12.n3.03


Keywords:

cognitive behavioral therapy, dysthymic disorder, perfectionism

Abstract

Cognitive Behavioral Therapy (CBT) is among the approaches that demonstrate greater evolution in the treatment of various psychopathologies, such as Persistent Depressive Disorder. Because it has an important psychoeducational basis, TCC offers patients the benefit of learning to identify cognitive and behavioral patterns, allowing gradual and lasting changes, making them more autonomous and cognitive quality of life. When a person is depressed, a commonly observed symptom is the reduction of activities, often confident for the maintenance of low mood. Thus, behavioral activation appears to manage avoidance, which often contributes to maintaining a low mood, focusing on techniques already in the initial sessions, such as scheduling activities. Thus, the present case study aimed to discuss how the therapist can lead the subject to behavioral activation, a technique used in the initial phase of treatment, when perfectionism occurs. In the therapeutic process of a 26-year-old patient with persistent depressive disorder and perfectionism traits aligned with disability schemas, behavioral motivation could be worked on. In this way, it was possible to modify cognitive and behavioral patterns that affected how the patient felt, ensuring greater functionality and quality of life.

Author Biographies

  • Bárbara Aparecida Binhardi, Faculdade Anhanguera de Ribeirão Preto
    Especialista em Terapia Cognitivo Comportamental pelo CTCVeda, Mestre em Ciências - Universidade de São Paulo, Docente Faculdade Anhanguera de Ribeirão Preto
  • Tatiana de Abreu Braga, Docente do Centro de Terapia Veda
    Mestre em Saúde Mental - Universidade de São Paulo, especialista em Terapia Cognitivo-Comportamental e Terapia Comportamental Dialética.  

References

AGOSTINHO, T. F.; DONADON, M. F.; BULLAMAH, S. K. Terapia cognitivo-comportamental e depressão: intervenções no ciclo de manutenção. Revista Brasileira de Terapias Cognitivas, v. 15, n. 1, p. 59-65, 2019.

AMERICAN PSYCHIATRIC ASSOCIATION et al. DSM-5: Manual diagnóstico e estatístico de transtornos mentais. Artmed Editora, 2014.

BECK, A.; ALFORD, B. A. O poder integrador da terapia cognitiva (MC Monteiro, Trad.). 2000.

BECK, A. T. Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of general psychiatry, v. 9, n. 4, p. 324-333, 1963. Disponível em: <https://jamanetwork.com/jour-nals/jamapsychiatry/article-abstract/488402>. Acesso em: 19 nov. 2021.

BECK, A. T. Thinking and depression: II. Theory and therapy. Archives of general psychiatry, v. 10, n. 6, p. 561-571, 1964. Disponível em: <https://jamanetwork.com/journals/jamapsychiatry/article-abstract/488562>. Acesso em 19 nov. 2021.

BECK, J. S. Terapia cognitivo-comportamental. Artmed Editora, 2013.

CIHAROVA, M. et al. Cognitive restructuring, behavioral activation and cognitive-behavioral therapy in the treatment of adult depression: A network meta-analysis. Journal of Consulting and Clinical Psychology, v. 89, n. 6, p. 563, 2021.

CUIJPERS, Pim et al. A meta-analysis of cognitive-behavioural therapy for adult depression, alone and in comparison with other treatments. The Canadian Journal of Psychiatry, v. 58, n. 7, p. 376-385, 2013. Disponível em: < https://journals.sagepub.com/doi/abs/10.1177/070674371305800702>. Acesso em: 19 nov. 2021.

CUIJPERS, P. et al. Psychotherapy for chronic major depression and dysthymia: a meta-analysis. Clinical psychology review, v. 30, n. 1, p. 51-62, 2010. Disponível em: <https://www.sciencedirect.com/science/article/pii/S0272735809001202>. Acesso em: 19 nov. 2021.

DIMIDJIAN, S.; DAVIS, K. J. Newer variations of cognitive-beha-vioral therapy: behavioral activation and mindfulness-based cog-nitive therapy. Current psychiatry reports, v. 11, n. 6, p. 453-458, 2009.

DOBSON, D.; DOBSON, K. S. A terapia cognitivo-comportamental baseada em evidências. Artmed Editora, 2009.

DRIESSEN, E.; HOLLON, S. D. Cognitive behavioral therapy for mood disorders: efficacy, moderators and mediators. Psychiatric Clinics, v. 33, n. 3, p. 537-555, 2010. Disponível em: < https://www.psych.theclinics.com/article/S0193-953X(10)00047-X/abstract>. Acesso em: 19 nov. 2021.

EGAN, S. J.; SHAFRAN, R. Cognitive-behavioral treatment for perfectionism. A psicologia do perfeccionismo, p. 284-305, 2017.

FREEMAN, A.; DEWOLF, R. As 10 bobagens mais comuns que as pessoas inteligentes cometem e técnicas eficazes para evitá-las. Versal, 2016.

GREENBERGER, D.; PADESKY, C. A. A mente vencendo o humor: mude como você se sente, mudando o modo como você pensa. Artmed Editora, 2016.

HAGHBIN, M.; MCCAFFREY, A.; PYCHYL, T. A. The complexi-ty of the relation between fear of failure and procrastination. Journal of Rational-Emotive & Cognitive-Behavior Therapy, v. 30, n. 4, p. 249-263, 2012. Disponível em: <https://link.springer.com/article/10.1007/s10942-012-0153-9>. Acesso em 19 nov. 2021.

KYLE, S. D.; ESPIE, C. A.; MORGAN, K. “... Not just a minor thing, it is something major, which stops you from functioning daily”: quality of life and daytime functioning in insomnia. Behavioral Sleep Medicine, v. 8, n. 3, p. 123-140, 2010.

KNAPP, P. et al. Terapia cognitivo-comportamental na prática psiquiátrica. Artmed Editora, 2009.

KNAPP, P.; BECK, A. T. Fundamentos, modelos conceituais, aplicações e pesquisa da terapia cognitiva. Brazilian Journal of Psychiatry, v. 30, p. s54-s64, 2008. Disponível em: <https://www.scielo.br/j/rbp/a/HLpWbYk4bJHY39sfJfRJwtn/abstract/? lang=pt. Acesso em 19 nov. 2021.

KUYKEN, W.; PADESKY, C. A.; DUDLEY, R. Conceitualização de casos colaborativa: O trabalho em equipe com pacientes em terapia cognitivo-comportamental. Artmed Editora, 2009.

LEAHY, R. L. Vença a depressão antes que ela vença você. Art-med Editora, 2015.

NEVES JUNIOR, A.; DE SOUZA, J. C. R. P.; PEIXOTO, C. Ansiedade e insônia: relato de caso sobre a importância do foco de tratamento na qualidade do sono. Research, Society and Development, v. 10, n. 16, p. e156101623441-e156101623441, 2021.

SADOCK, B. J.; SADOCK, V. A. RUIZ, P. Compêndio de Psiquiatria: Ciência do Comportamento e Psiquiatria Clínica. Artmed Editora, 2016.

SANTOS, M. M. et al. Behavioral activation. In: WENZEL, Amy Ed. Handbook of cognitive behavioral therapy: Overview and approaches, Vol. 1. 2021.

SHAFRAN, R.; EGAN, S.; WADE, T. Overcoming Perfectionism 2nd Edition: A self-help guide using scientifically supported cognitive behavioural techniques. Robinson, 2018.

SIMMONDS-BUCKLEY, M.; KELLETT, S.; WALLER, G. Acceptability and efficacy of group behavioral activation for depression among adults: a meta-analysis. Behavior Therapy, v. 50, n. 5, p. 864-885, 2019. Disponível em: <https://www.sciencedirect.com/science/article/pii/S0005789419300061>. Acesso em: 19 nov. 2021.

SOARES, F. H. R et al. Adaptação e validação da escala de perfeccionismo Almost Perfect Scale-Revised para o português brasileiro. Avaliação Psicológica, v. 19, n. 3, p. 310-321, 2020.

SPANEMBERG, L.; JURUENA, M. F. Distimia: características históricas e nosológicas e sua relação com transtorno depressivo maior. Revista de Psiquiatria do Rio Grande do Sul. 2004, v. 26, n. 3, p. 300-311. Disponível em: <https://doi.org/10.1590/S0101-81082004000300007>. Acesso em 19 nov. 2021.

STOEBER, J. (Ed.). A psicologia do perfeccionismo: teoria, pesquisa, aplicações. Routledge, 2017.

XU, Shuai. Academic Procrastination of Adolescents: A Brief Review of the Literature. Psychology and Behavioral Sciences, v. 10, n. 6, p. 198, 2021.

ZHANG, A. et al. Cognitive behavioral therapy for primary care depression and anxiety: a secondary meta-analytic review using robust variance estimation in meta-regression. Journal of Behavioral Medicine, v. 42, n. 6, p. 1117-1141, 2019. Disponível em: <https://link.springer.com/article/10.1007/s10865-019-00046-z>. Acesso em: 19 nov. 2021.

ZUARDI, A. W.; LOUREIRO, S. R. Semiologia psiquiátrica. Medicina (Ribeirão Preto) [S. l.], v. 29, n. 1, p. 44-53, 1996. DOI: 10.11606/issn.2176-7262.v29i1p44-53. Disponível em: https://www.revistas.usp.br/rmrp/article/view/711. Acesso em: 30 jul. 2021.

Published

2026-11-03

Issue

Section

Ciências da Saúde

Categories

How to Cite

DONADON, Mariana fortunata; BINHARDI, Bárbara Aparecida; BRAGA, Tatiana de Abreu. IMPLICATIONS OF PERFECTIONISM IN THE BEHAVIORAL ACTIVATION OF DEPRESSIVE PATIENT: A CASE STUDY. Revista Eixo, Brasília, v. 12, n. 3, p. e09, 2026. DOI: 10.19123/REixo.v12.n3.03. Disponível em: https://revistaeixo.ifb.edu.br/index.php/revistaeixo/article/view/491.. Acesso em: 3 nov. 2026.

Similar Articles

You may also start an advanced similarity search for this article.