Modular cognitive-behavioral therapy for body dysmorphic disorder.
This study pilot tested a newly developed modular cognitive-behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22 weeks. Standardized clinician ratings and self-report measures were used to assess BDD and related symptoms pre- and posttreatment and at 3- and 6-month follow-ups. At posttreatment, BDD and related symptoms (e.g., mood) were significantly improved. Treatment gains were maintained at follow-up. A relatively low drop-out rate, high patient satisfaction ratings, and patient feedback indicated that the treatment was highly acceptable to patients. To our knowledge, this represents the first test of a broadly applicable, individual psychosocial treatment for BDD.
Massachusetts General Hospital, Boston, MA 02114, USA. wilhelm@psych.mgh.harvard.edu
Sabine
S
Wilhelm
Katharine A
KA
Phillips
Jeanne M
JM
Fama
Jennifer L
JL
Greenberg
Gail
G
Steketee
D000328:Adult; D000339:Affect; D057215:Body Dysmorphic Disorders / Q000523:psychology / Q000628:therapy*; D001828:Body Image; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010865:Pilot Projects; D016896:Treatment Outcome