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| ID | Type | Description | Link |
|---|---|---|---|
| R34MH070490 | U.S. NIH Grant/Contract | View source | |
| 2004-P-000478/7 | |||
| DATR A2-AIR |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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In an earlier phase of this study, a cognitive behavioral therapy (CBT) manual to treat body dysmorphic disorder (BDD) symptoms was developed. We are currently implementing this manual-based treatment to validate its effectiveness in patients with BDD.
BDD is a disease that involves preoccupation with imagined or minor physical flaws. The condition often begins in adolescence and, if left untreated, can cause significant social, emotional, and occupational distress. Within the last decade, BDD has received increased attention, and various modes of treatment have been utilized and evaluated. CBT has been found to be a more effective form of treatment than other types of psychotherapy. In this study, we have created a new CBT treatment manual and are currently implementing it to evaluate its effectiveness in patients with BDD. The utility of this manual for different populations will also be evaluated, and adherence and competence measures to assess CBT delivery will be developed.
This study will last 24 weeks. Participants will be randomly assigned (like the flip of a coin) to either start CBT treatment immediately or to a waitlist group, which would require a 3-month wait without treatment before beginning treatment for this study. Participants have a 50-50 chance of being in either group. Participants will receive a total of 22 sessions of individual, manual-based CBT. The CBT sessions will occur weekly during the course of the study. During the sessions, participants will receive education about BDD and CBT, engage in activities that help them confront their BDD, learn new ways of thinking about body image, and learn relapse prevention techniques. Self-report scales will be used to assess participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Group receiving immediate treatment with cognitive behavioral therapy |
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| 2 | Active Comparator | Waitlist control group to begin CBT 3 months after other CBT group begins treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive behavioral therapy (CBT) | Behavioral | Participants will receive a total of 22 sessions of individual, manual-based CBT. The CBT sessions will occur weekly during the course of the study. During the sessions, participants will receive education about BDD and CBT, engage in activities that help them confront their BDD, learn new ways of thinking about body image, and learn relapse prevention techniques. |
| Measure | Description | Time Frame |
|---|---|---|
| Body dysmorphic disorder symptoms | Measured at Months 6 and 9 |
| Measure | Description | Time Frame |
|---|---|---|
| Functioning and life satisfaction | Measured at Months 6 and 9 | |
| Depressive symptoms | Measured at Months 6 and 9 | |
| Anxiety symptoms |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sabine Wilhelm, PhD | BDD Clinic Director, Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BDD Clinic, Massachusetts General Hospital | Charlestown | Massachusetts | 02129 | United States | ||
| Body Image Program, Butler Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38031584 | Derived | Fang A, Steketee G, Keshaviah A, Didie E, Phillips KA, Wilhelm S. Mechanisms of Change in Cognitive Behavioral Therapy for Body Dysmorphic Disorder. Cognit Ther Res. 2020 Jun;44(3):596-610. doi: 10.1007/s10608-020-10080-w. Epub 2020 Feb 4. |
| Label | URL |
|---|---|
| Click here for information on the Body Dysmorphic Disorder Clinic, Massachusetts General Hospital Web site | View source |
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| ID | Term |
|---|---|
| D057215 | Body Dysmorphic Disorders |
| D013001 | Somatoform Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Measured at Months 6 and 9 |
| Providence |
| Rhode Island |
| 02906 |
| United States |