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Visual training program for body dysmorphic disorder: protocol for a novel intervention pilot and feasibility trial.

Francesca Beilharz1, David J Castle1,2,3, Andrea Phillipou1,2,3

  • 11Centre for Mental Health, Swinburne University of Technology, Melbourne, Australia.

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|January 2, 2019
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Summary

This study tests a visual training program for Body Dysmorphic Disorder (BDD) to address visual processing abnormalities. The program aims to reduce BDD symptom severity and improve quality of life.

Keywords:
Body dysmorphic disorderCognitive behavioural therapyCognitive remediation therapyFeasibilityPilot trialVisual training

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Ophthalmology

Background:

  • Body Dysmorphic Disorder (BDD) is characterized by perceived appearance flaws, distressing thoughts, and functional impairment.
  • Abnormalities in visual processing are a core feature of BDD, yet are not typically addressed in current treatments.
  • Existing BDD treatments have moderate short-term effectiveness and high relapse rates due to persistent visual perception of flaws.

Purpose of the Study:

  • To trial an innovative visual training program designed to remediate visual processing abnormalities in individuals with BDD.
  • To assess the feasibility and acceptability of a 10-week visual training intervention.
  • To explore the potential efficacy of the visual training program in reducing BDD symptom severity and improving quality of life.

Main Methods:

  • A single-group, open-label pilot study involving up to 20 participants diagnosed with BDD.
  • A 10-week visual training program with three phases: basic visual processing, face/emotion recognition, and self-perception.
  • Pre- and post-assessments measuring feasibility, acceptability, symptom severity, quality of life, and eye movements.

Main Results:

  • Feasibility and acceptability of the visual training program will be assessed.
  • Changes in BDD symptom severity, quality of life, and eye movements will be explored.
  • The study aims to provide preliminary data on the potential efficacy of visual training for BDD.

Conclusions:

  • This pilot trial translates empirical findings on visual processing abnormalities in BDD into a novel treatment approach.
  • The study will assess the feasibility and potential efficacy of a visual training program targeting various visual processing levels.
  • Findings will inform future research, including a definitive randomized controlled trial for BDD treatment.