Body dysmorphic disorder Mental and Behavioural Disorders Hypochondriacal disorder
Conditions
Interventions
Current interventions as of 17/08/2021:
Thirty-eight adults with a primary diagnosis of BDD will be randomized to 20 sessions (25x50 units) of individual CT-BDD over 9 months or to a 3
Wei, 1978). Randomization is stratified by pretreatment delusionality (as assessed by the BABS).
Cognitive therapy for BDD (CT-BDD) includes interventions that aim at modifying biased
Wei, 1978). Randomization is stratified by pretreatment delusionality (as assessed by the BABS).
Cognitive therapy for BDD (CT-BDD) includes interventio
Sponsors
Deutsche Forschungsgemeinschaft (DFG)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Primary diagnosis of body dysmorphic disorder (BDD) according to the Body Dysmorphic Disorder Diagnostic Module (BDDDM adapted for DSM-5), the Structured Interview for Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (SCID-I DSM-5) and the Yale-Brown Obsessive-Compulsive Scale Modified for BDD (BDD-YBOCS) = 20 2. BDD symptoms for at least 6 months prior to participation 3. Age 18-70 years 4. Either no psychotropic medication or, if taking psychotropic medication, be on a stable dose for at least 2 months prior to initial evaluation and agreement not to change the medication during the study 5. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Acute suicidality 2. Psychotic disorder (excluding delusional BDD) 3. Bipolar disorder 4. Alcohol or substance dependence within the last 3 months 5. Borderline personality disorder 6. Prominent risk of self-harm 7. Body image/weight concerns accounted primarily by an eating disorder 8. Organic mental disorder 9. Severe medical conditions 10. Concurrent psychotherapeutic treatment (e.g., psychodynamic)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For A1: 1. BDD symptom severity, measured using the clinician-administered Body Dysmorphic Disorder Modification of the Yale-Brown Obsessive-Compulsive Scale (BDD-YBOCS) 2. BDD diagnosis, measured using the clinician-administered BDD Diagnostic Module (BDDDM) Measured at pretreatment, 12 weeks/post-WL, 24 weeks, post treatment, 3- and 6-months follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| For A1: 1. Insight, measured using the Brown Assessment of Beliefs Scale (BABS) at pre, 12-weeks/post-WL, 24 weeks, post, 3- and 6-month follow-up 2. Depression, measured using the Quick Inventory of Depressive Symptoms (QUIDS-C), Beck Depression Inventory-II (BDI-II) at pre, 12-weeks/post-WL, 24 weeks, post, 3- and 6-month follow-up 3. Psychosocial functioning, measured using the Global Assessment of Functioning Scale (GAF) at pre, 12-weeks/post-WL, 24 weeks, post, 3- and 6-month follow-up 4. Body dysmorphic concerns, measured using the Body Dysmorphic Symptoms Symptoms Inventory, Fragebogen körperdysmorpher Symptome (FKS) at pre, 12-weeks/post-WL, 24 weeks, post, 3- and 6-month follow-up 5. General symptomatology, measured using the Brief Symptom Inventory (BSI) at pre, 12-weeks/post-WL, 24 weeks, post, 3- and 6-month follow-up 6. Quality of life, measured using the EUROHIS Quality-of-Life Index (EUROHIS-QOL) at pre, 12-weeks/post-WL, 24 weeks, post, 3- and 6-month follow-up For B1: 1. Emotion regulation, measured using the clinician-administered Operationalized Skills Assessment Inventory, Emotion Regulation adapted for BDD (OFD-ER-BDD) at pre, 12 weeks/post-WL, post 2. Attachment characteristics, measured using the clinician-administered Adult Attachment Interview, Erwachsenen-Bindungsprototypen-Rating (EBPR-BI) at pre 3. Self-reported attachment, measured using the self-report questionnaire Experiences in Close Relationships-Revised (ECR-R) at pre, 12 weeks/post-WL, 24 weeks, post, 3- and 6-months follow-up For C1: 1. Implicit shame, measured using an Implicit Association Test (IAT) at pre, post-WL, post 2. Explicit shame, measured using the Body-Focused Shame and Guilt Scale (BFSGS) at pre, post-WL, post 3. Social pain, measured using the | — |
Countries
Germany
Outcome results
None listed