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Modular cognitive-behavioral therapy for body dysmorphic disorder: a randomized controlled trial.

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Summary
This summary is machine-generated.

Cognitive-behavioral therapy for body dysmorphic disorder (BDD) is feasible and effective. This treatment significantly reduced BDD symptoms, depression, and disability, with high patient satisfaction.

Keywords:
BDDbody dysmorphic disorderbody imagecognitive-behavioral therapytreatment

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Body dysmorphic disorder (BDD) lacks effective treatments, necessitating new therapeutic approaches.
  • Cognitive-behavioral therapy for BDD (CBT-BDD) is a manualized, modular intervention designed to address core BDD symptoms and specific manifestations.

Purpose of the Study:

  • To evaluate the feasibility, acceptability, and efficacy of a manualized modular cognitive-behavioral therapy for BDD (CBT-BDD).

Main Methods:

  • Thirty-six adults with BDD were randomized to 22 sessions of immediate CBT-BDD or a 12-week waitlist.
  • Assessments included the Yale-Brown Obsessive-Compulsive Scale Modified for BDD (BDD-YBOCS), depression, insight, and disability measures, administered at multiple time points.

Main Results:

  • By week 12, 50% of immediate CBT-BDD participants responded versus 12% of waitlisted participants (p=0.026).
  • By posttreatment, 81% of all participants met responder criteria, with significant BDD-YBOCS reduction maintained at follow-up.
  • Improvements were observed in depression, insight, and disability, alongside high patient satisfaction (mean CSI score 87.3%).

Conclusions:

  • CBT-BDD is a feasible, acceptable, and efficacious treatment for body dysmorphic disorder.
  • The findings support further rigorous investigation of CBT-BDD as a treatment option for BDD.