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Metacognitive Therapy for Body Dysmorphic Disorder: A Consecutive Case Series
Svein Haseth1, Torun Grøtte2, Erlend Hunstad3
1St. Olavs Hospital, Nidaros DPS, Trondheim, Norway Svein.haseth@stolav.no.
Journal of Cognitive Psychotherapy
|September 18, 2024
Summary
Metacognitive therapy (MCT) shows promise for body dysmorphic disorder (BDD). This study found MCT significantly reduced BDD symptoms, anxiety, and depression, with lasting improvements.
Area of Science:
- Psychiatry
- Clinical Psychology
- Cognitive Behavioral Therapy
Background:
- Body dysmorphic disorder (BDD) is a disabling condition often linked to metacognitive deficits.
- The efficacy of metacognitive therapy (MCT) for BDD has not been previously investigated.
- This study explores the application of MCT, adapted from obsessive-compulsive disorder protocols, for individuals with BDD.
Discussion:
- MCT demonstrated significant reductions in core BDD symptoms and associated depression and anxiety.
- Improvements in metacognitive processes were observed, suggesting a potential mechanism of change.
- All participants who completed the treatment were classified as responders, indicating high clinical utility.
Key Insights:
- Metacognitive therapy (MCT) is a potentially effective treatment for body dysmorphic disorder (BDD).
- MCT led to significant symptom reduction and maintenance of gains at follow-up.
- Reductions in metacognitions correlated with symptom improvement in BDD patients.
Outlook:
- Further controlled trials are warranted to establish the efficacy of MCT for BDD.
- Investigating strategies to enhance motivation for psychological treatment in BDD populations is crucial.
- Exploring the specific metacognitive targets within BDD could refine therapeutic approaches.
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