13Evidence A

For those whose procrastination is affecting daily life, self‑help materials backed by randomized trials work just as well as therapist‑led programs

Procrastination that causes real distress is treatable. A randomized trial involving 150 participants tested a ten‑week cognitive‑behavioral self‑help program, both with therapist guidance and without it. Both groups showed markedly better results than a control group that received no intervention. No meaningful difference emerged between the two self‑help groups, meaning that working through the material on one’s own is equally effective.

Cost

A self‑help book costs only a few dozen yuan;

Benefit

The 150 participants were randomly assigned to three groups: therapist‑guided self‑help, unguided self‑help, a…

Cost

A self‑help book costs only a few dozen yuan; some are even free. It takes about ten weeks of effort — one chapter per week plus one related exercise.

Benefit

The 150 participants were randomly assigned to three groups: therapist‑guided self‑help, unguided self‑help, and a wait‑list control. After ten weeks, the effect sizes on the Pure Procrastination Scale were d = 0.70 (95% CI 0.29–1.10) for the guided group and d = 0.50 (0.10–0.90) for the unguided group. On the Irrational Procrastination Scale the values were 0.81 (0.40–1.22) and 0.69 (0.29–1.09) respectively. The proportion of participants achieving clinically meaningful improvement was 31.3%–40.0% in the guided group and 24.0%–36.0% in the unguided group. No statistically significant differences existed between the two self‑help groups on any outcome.

Original sources

Rozental A, Forsell E, Svensson A, Andersson G, Carlbring P (2015). Internet-based cognitive-behavior therapy for procrastination: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 83(4), 808–824. https://doi.org/10.1037/ccp0000023

Open source link
Book note

The study involved Swedish adults using Swedish‑language materials; no identical Chinese version is currently available, so the magnitude of benefit is rated as “moderate.” The program comprises standard components such as behavioral activation, behavioral experiments, stimulus control (see item 10 in this section: keep tempting items out of reach), and explanations of motivation and work strategies. When procrastination co‑occurs with notable depression or anxiety, follow the recommendations in item 3, section 19: move, get sunlight, keep a regular sleep schedule, talk to someone, and call 12356.

My note