title: Metacognitive therapy for body dysmorphic disorder patients in Iran: acceptability and proof of concept.
abstract: The purpose of the present study was to determine the effect of metacognitive therapy (MCT) on symptoms of body dysmorphic disorder (BDD) and on symptoms of thought-fusion, by means of a wait-list controlled clinical trial. Participants were referred from dermatology and cosmetic surgery clinics in the city of Isfahan, Iran, and 20 patients were selected on the basis of DSM-IV-TR diagnostic criteria for BDD. They were randomly assigned to either the experimental or the wait-list control group. The Yale-Brown Obsessive Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) and the Thought-Fusion Inventory (TFI) were used as the outcome measures. The experimental group received 8 weekly metacognitive intervention sessions. The control group was in the waiting-list until the end of the follow-up. Measures were taken at pre-test, post-test (after 2 months) and follow-up (after 6-months). The results of analysis of variance showed that MCT significantly reduced the symptoms of BDD and of thought-fusion, compared to the wait-list. Effects on both outcome measures were maintained at 6-months follow-up.
authors.affiliation: University of Isfahan, Dept. of Psychology, Isfahan, Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Rabiei
authors.forename: Sandra
authors.initials: S
authors.lastname: Mulkens
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Kalantari
authors.forename: Hossein
authors.initials: H
authors.lastname: Molavi
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Bahrami
mesh_terms: D000293:Adolescent; D000328:Adult; D057215:Body Dysmorphic Disorders / Q000523:psychology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D009483:Neuropsychological Tests; D017060:Patient Satisfaction; D011569:Psychiatric Status Rating Scales; D016896:Treatment Outcome; D055815:Young Adult