An interventional study of CBT + Mindfulness in Body Dysmorphic Disorder and Body Image Disturbance, sponsored by York University. Recruiting at 1 site in Canada. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2023-07-07.
Sponsored by York University · Not applicable, Interventional, and Treatment
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.
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.
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.
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Online cognitive behavioural therapy with the added components of mindfulness meditation
Behavioral: CBT + Mindfulness
Online cognitive behavioural therapy alone
Behavioral: CBT + Mindfulness
Eight weeks of online CBT intervention combined with mindfulness
Body Dysmorphic Disorder Symptom Scale
A 55-item scale which asks for presence/absence of symptoms and the degree of severity
Time frame: Baseline, Post-Intervention at 8 weeks following Baseline
Patient Health Questionnaire - 9
A 9-item self report scale that asks for symptoms of depression and anxiety
Time frame: Baseline, Post-Intervention at 8 weeks following Baseline
General Anxiety Disorder - 7
A 7-item self report scale that asks for symptoms of anxiety
Time frame: Baseline, Post-Intervention at 8 weeks following Baseline
Brief Pain Inventory
A 11-item self report scale that asks for symptoms of pain experience
Time frame: Baseline, Post-Intervention at 8 weeks following Baseline
Plan to share: No — Publication of results
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