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Imagery Rescripting for Body Dysmorphic Disorder: A Multiple-Baseline Single-Case Experimental Design.

Rob Willson1, David Veale1, Mark Freeston2

  • 1The Institute of Psychiatry, Psychology and Neuroscience, King's College London.

Behavior Therapy
|March 10, 2016
PubMed
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Imagery rescripting (ImR) shows promise for treating body dysmorphic disorder (BDD). This brief intervention helped four out of six participants improve symptoms related to appearance concerns and distress.

Area of Science:

  • Psychiatry
  • Psychology
  • Cognitive Behavioral Therapy

Background:

  • Body dysmorphic disorder (BDD) is characterized by negative appearance cognitions, often linked to adverse memories.
  • Existing treatments for BDD can be lengthy and may not address the underlying memory associations.

Purpose of the Study:

  • To evaluate imagery rescripting (ImR) as a brief, stand-alone intervention for body dysmorphic disorder (BDD).
  • To assess the efficacy of ImR in reducing BDD symptom severity and distress associated with aversive memories.

Main Methods:

  • A multiple-baseline single-case experimental design was employed.
  • Six individuals diagnosed with BDD participated in the study.
  • Imagery rescripting (ImR) was administered as a brief intervention targeting aversive memories.
Keywords:
body dysmorphic disordercognitive-behavioral therapyimagery rescriptingsingle-case experimental design

Related Experiment Videos

Main Results:

  • Four out of six participants demonstrated clinically meaningful improvement in BDD symptomatology.
  • Rapid symptom improvement was observed, with positive effects emerging within the first week post-intervention.
  • Self-reported measures of preoccupation, distress, and belief strength, alongside clinician-rated BDD severity, showed significant reductions.

Conclusions:

  • Imagery rescripting (ImR) may be a promising brief intervention module for body dysmorphic disorder (BDD).
  • Further research is warranted to confirm these findings in larger, diverse populations.
  • ImR offers a potentially rapid and effective approach to addressing appearance-related distress in BDD.