Body Dysmorphic Disorder, Body Image Disturbance
Conditions
Keywords
internet-based intervention with health coaching
Brief summary
Body Dysmorphic Disorder (BDD) affects 2.3% of the population and is characterized by excessive concerns with imagined or minor defects in physical appearance. Retrospective outcome studies suggest patients affected by BDD don't typically benefit from surgical treatments while cognitive behaviour therapy (CBT) appears to provide symptom - reducing and distress - reducing benefits. Two different 8-week online CBT approaches to assisting individuals with this disorder are compared: one approach will integrate mindfulness meditation methods (in combination with CBT) and one approach will employ CBT methods without reference to mindfulness meditation.
Detailed description
Body Dysmorphic Disorder (BDD) affects 2.3% of the population and is characterized by excessive concerns with imagined or minor defects in physical appearance. Retrospective outcome studies suggest patients affected by BDD typically do not benefit from surgical treatments while cognitive behaviour therapy (CBT) appears to provide symptom - reducing and distress - reducing benefits. In this study two different 8-week online CBT approaches to assist individuals with this disorder are compared: one approach will integrate mindfulness meditation methods (in combination with CBT) and one approach will employ CBT methods without reference to mindfulness meditation. The purpose of this comparison is to ascertain whether the inclusions of the two additional intervention modalities, demonstrated effective in other studies, adds to positive outcome effects in this disorder. A primary hypothesis is that the 8 week post-intervention outcomes associated with the CBT-mindfulness approach will show significantly more benefit than the comparison group.
Interventions
BEHAVIORALCBT + Mindfulness
Eight weeks of online CBT intervention combined with mindfulness
Sponsors
York University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participant will not be informed about which comparison condition to which she has been assigned
Intervention model description
This is a parallel group randomized clinical trial with two active comparison conditions
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
On the Body Dysmorphic Disorder Questionnaire, responses indicating current BDD status; -
Exclusion criteria
Individuals who are currently receiving weekly structured psychotherapy or who meet DSM-V criteria for severe alcohol/substance use disorder in the past 3 months or demonstrated clinically significant suicidal ideation defined as imminent intent, or attempted suicide in the past 6 months. Individuals of co-morbid diagnoses of borderline personality, schizophrenia, bipolar disorder and/or obsessive compulsive disorder are excluded. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body Dysmorphic Disorder Symptom Scale | Baseline, Post-Intervention at 8 weeks following Baseline | A 55-item scale which asks for presence/absence of symptoms and the degree of severity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Health Questionnaire - 9 | Baseline, Post-Intervention at 8 weeks following Baseline | A 9-item self report scale that asks for symptoms of depression and anxiety |
Other
| Measure | Time frame | Description |
|---|---|---|
| General Anxiety Disorder - 7 | Baseline, Post-Intervention at 8 weeks following Baseline | A 7-item self report scale that asks for symptoms of anxiety |
| Brief Pain Inventory | Baseline, Post-Intervention at 8 weeks following Baseline | A 11-item self report scale that asks for symptoms of pain experience |
Countries
Canada
Contacts
Primary ContactPaul Ritvo, PhD
Backup ContactCamrie Kerry, BA
Outcome results
None listed