International Journal of Environmental Research and Public Health,
Год журнала:
2022,
Номер
19(12), С. 7373 - 7373
Опубликована: Июнь 16, 2022
Cognitive
behavioral
therapy
is
an
effective
treatment
for
body
dysmorphic
disorder
(BDD),
but
many
patients
do
not
receive
appropriate
due
to
several
barriers
and
psychosocial
care
structures.
Low-threshold
interventions,
including
those
from
the
field
of
e-mental
health,
could
improve
access
psychotherapy.
In
addition
internet-administered
therapy,
telephone-administered
may
reduce
barriers,
especially
during
COVID-19
pandemic.
This
article
presents
four
case
reports
same
(12
weeks
cognitive
accompanied
by
a
workbook)
applied
with
summer
2020.
Three
who
completed
had
clinically
relevant
reductions
in
depressive
symptoms
improved
insight.
One
patient
did
complete
because
her
worsened,
she
needed
more
intensive
form
treatment.
These
findings
encourage
future
studies
on
efficacy
effectiveness
BDD
its
role
stepped-care
models.
Journal of Child Psychology and Psychiatry,
Год журнала:
2024,
Номер
65(8), С. 1119 - 1131
Опубликована: Май 8, 2024
Body
dysmorphic
disorder
(BDD)
is
a
relatively
common
and
highly
impairing
mental
that
strikingly
underdiagnosed
undertreated
in
Child
Adolescent
Mental
Health
Services
(CAMHS).
The
only
clinical
guidelines
for
the
management
of
BDD
youth
were
published
nearly
20
years
ago,
when
empirical
knowledge
was
sparse.
Fortunately,
there
has
been
surge
research
into
over
last
10
years,
shedding
important
insights
phenomenology,
epidemiology,
assessment
treatment
young
people.
This
review
aimed
to
provide
an
overview
recent
developments
relevance
clinicians
healthcare
policymakers.
We
summarise
key
findings
regarding
epidemiology
youth,
which
indicate
usually
develops
during
teenage
affects
approximately
2%
adolescents
at
any
one
point
time.
aetiological
research,
highlighting
arises
from
interplay
between
genetic
environmental
influences.
then
focus
on
screening
strategies,
arguing
these
are
crucial
promote
detection
diagnosis
this
under-recognised
condition.
Additionally,
we
recommended
approaches
namely
cognitive
behaviour
therapy
with
or
without
selective
serotonin
reuptake
inhibitors.
concludes
by
gaps
priorities
future
including,
but
not
limited
to,
better
understanding
factors,
long-term
consequences
treatment.
Abstract
Background
Body
dysmorphic
disorder
(BDD)
is
particularly
prevalent
yet
highly
understudied
and
undertreated
in
adolescence.
This
study
evaluates
the
efficacy
of
an
internet-based,
therapist-guided
cognitive
behavioral
therapy
(CBT)
for
adolescents
young
adults
with
BDD
compared
to
supportive
online
as
active
control
condition.
Methods
In
a
single-blind,
randomized
controlled
trial,
N
=
45
(aged
15–21
years)
all
genders
from
German-speaking
countries
were
assigned
12
sessions
internet-based
CBT
(iCBT)
or
weeks
therapy.
The
primary
outcome
was
change
expert-rated
symptom
severity
pre-
post-intervention
(Yale-Brown
Obsessive-Compulsive
Scale
Modified
Dysmorphic
Disorder,
BDD-YBOCS).
Secondary
outcomes
included
remission
responder
rate,
changes
delusionality
appearance
beliefs
(BABS),
self-rated
(FKS),
cognitions
(FKDK),
quality
life
(KINDL-R),
depressive
symptoms
(PHQ-9)
pre
post
4-week
follow-up.
Results
iCBT
more
efficient
than
on
BDD-YBOCS
(
p
=.002),
large
between-group
effect
size
at
(Hedges’
g
SE
)
0.93
(0.42)),
secondary
measures
<.05),
except
=.068).
All
also
showed
significant
improvements
iCBT,
moderate
sizes,
gains
stable
until
follow-up
period.
participants
higher
(61.5%)
rates
(66.7%),
controls
(0%
26.7%),
but
only
difference
reached
significance.
Conclusion
results
indicate
comparison
condition,
thus
contributing
limited
intervention
research
adolescent
adding
much-needed
treatment
option.
Trial
registration
:
trial
pre-registered
2020/06/08
German
Clinical
Trials
Register,
DRKS00022055.
Internet Interventions,
Год журнала:
2022,
Номер
28, С. 100521 - 100521
Опубликована: Март 3, 2022
Body
dysmorphic
disorder
(BDD)
is
an
impairing
condition
characterized
by
excessive
appearance
concerns
that
frequently
begin
in
adolescence,
thus
making
this
phase
eminent
target
for
prevention
and
early
intervention.
We
developed
a
cognitive-behavioral
app-based
program
(AINA)
intended
intervention
of
BDD.
As
part
the
iterative
development
process,
perceptions
usability,
aesthetics,
content
were
investigated.
A
sample
38
adolescents
young
adults
aged
between
14
21
years
tested
app
laboratory
setting
completed
survey
diagnostic
user
experience
questionnaires.
Overall,
received
positive
evaluations.
Regression
analyses
did
not
point
to
any
large
effects
age,
gender,
education,
self-esteem,
or
BDD
symptom
severity
on
On
average,
participants
had
no
about
privacy
data
security
app,
indicating
these
aspects
will
presumably
act
as
barriers
usage.
Altogether,
present
results
are
encouraging.
Future
research
needs
examine
whether
AINA
efficacious
measure
The Journal of Nervous and Mental Disease,
Год журнала:
2023,
Номер
211(9), С. 686 - 695
Опубликована: Июль 10, 2023
Initial
findings
indicate
the
effectiveness
of
internet-based
interventions
for
body
dysmorphic
disorder
(BDD).
In
order
to
substantiate
these
findings,
a
seven-module
guided
intervention
was
created
and
examined.
We
report
mixed
data
participants
with
clinical
subclinical
BDD
treatment
group
(n
=
18).
investigated
feasibility,
quality
program
content,
design
usability,
its
effects
on
symptom
severity
related
psychopathology.
Adherence
low
dropout
rate
high
(55.6%).
The
perceived
website
visual
aesthetic
were
rated
high.
Credibility
expectancy
medium
level.
Satisfaction
appearance
improved
significantly
in
intention-to-treat
analysis
(d
0.58).
sum,
symptom-related
outcomes
evaluation
showed
positive
trend
albeit
study
conduction
difficult.
Future
programs
should
investigate
role
additional
motivation
strategies
more
flexible
support
addressing
known
barriers.
Internet Interventions,
Год журнала:
2023,
Номер
34, С. 100688 - 100688
Опубликована: Ноя. 16, 2023
Body
dysmorphic
disorder
(BDD)
is
a
prevalent
and
impairing
psychiatric
condition
that
typically
debuts
in
adolescence
associated
with
risky
behaviours.
The
can
be
effectively
treated
cognitive
behaviour
therapy
(CBT).
However,
CBT
for
BDD
seldom
available
primarily
due
to
shortage
of
trained
therapists.
Internet-delivered
(ICBT)
way
increase
treatment
availability.
aim
this
feasibility
trial
was
evaluate
the
feasibility,
safety,
preliminary
efficacy
protocol
adolescents
BDD,
adapted
delivered
over
Internet
minimal
therapist
support.
A
total
20
participants
(12-17-year-olds)
meeting
criteria
were
recruited
nationally
specialist
outpatient
clinic
Stockholm,
Sweden.
One
participant
withdrew
consent
their
data
could
not
analysed.
Nineteen
offered
12
modules
therapist-guided
ICBT
followed
up
months
post-treatment.
Preliminary
measured
at
priori
primary
endpoint
(3-month
follow-up)
12-month
follow-up
clinician-rated
Yale-Brown
Obsessive
Compulsive
Scale
Modified
Adolescents.
rated
as
both
credible
satisfactory
large
statistically
significant
reduction
symptom
severity
(d
=
2.94).
proportion
classified
responders
73.7%,
full
or
partial
remitters
63.2%.
average
support
time
8
min
per
week.
Treatment
gains
continued
accrue
follow-up.
Two
attempted
suicide
another
two
reported
non-suicidal
self-injuries
during
study
period.
feasible,
potentially
efficacious,
durable
BDD.
Risky
behaviours
typical
patient
group
should
carefully
monitored
treatment.
Verhaltenstherapie,
Год журнала:
2021,
Номер
32(1-2), С. 1 - 10
Опубликована: Ноя. 15, 2021
<b><i>Hintergrund:</i></b>
Die
Körperdysmorphe
Störung
(KDS)
ist
eine
schwerwiegende
psychische
Störung,
die
mit
starker
Scham
sowie
Leidensdruck
und
Funktionseinschränkungen
einhergeht.
Kognitive
Verhaltenstherapie
stellt
aktuell
wirksamste
evidenzbasierte
Behandlungsmethode
dar.
Aufgrund
zahlreicher
Behandlungsbarrieren
kommen
KDS-Betroffene
jedoch
selten
in
der
psychotherapeutischen
Behandlung
an,
weshalb
niedrigschwelligen
Behandlungsmethoden
(z.B.
aus
dem
Bereich
E-Mental-Health)
wichtige
Rolle
zukommen
könnten.
Erste
internationale
Studien
weisen
auf
Wirksamkeit
von
E-Mental-Health-Angeboten
bei
KDS
hin.
<b><i>Material
Methoden:</i></b>
Dieser
Beitrag
gibt
Übersicht
zur
bisherigen
Umsetzung
Evidenz
für
ins
Deutsche
übersetzte
Version
des
BDD-NET-Programms,
eines
internetbasierten,
manualisierten,
therapeutenbegleiteten
Interventionsprogramms,
vor,
welches
Englischen
den
deutschen
Sprachraum
übersetzt
adaptiert
wurde.
<b><i>Ergebnisse:</i></b>
BDD-NET
umfasst
acht
Module,
binnen
einer
12-wöchigen
online
bearbeitet
werden.
Online-Plattform
bietet
Patienten
Möglichkeit,
BDD-NET-Therapeuten
mittels
persönlicher
Nachrichten
zu
kommunizieren.
Sämtliche
Materialien
wurden
vor
allem
kultureller
Hinsicht
adaptiert.
<b><i>Schlussfolgerungen:</i></b>
könnte
ein
wichtiger
Baustein
Versorgung
KDS-Betroffenen
sein.
Evaluation
steht
noch
aus.
Auf
Besonderheiten
Settings
Störungseinsicht
als
möglicher
Behandlungsfokus)
praktische
Implikationen
wird
eingegangen.
Zudem
werden
Voraussetzungen
Rahmenbedingungen
perspektivische
Dissemination
diskutiert.
