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Cited by 179Body Image and Dysmorphia StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesObsessive-Compulsive Spectrum Disorders

The DOI matches its Crossref record; 41 of the 42 references it cites were found in a registry or an index.

Efficacy of Cognitive Behaviour Therapy versus Anxiety Management for Body Dysmorphic Disorder: A Randomised Controlled Trial

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Veale, David, Anson, Martin, Miles, Sarah, Pieta, Maria, Costa, Ana, Ellison, Nell·2014·Psychotherapy and Psychosomatics
DOI 10.1159/000360740
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Abstract

Background: The evidence base for the efficacy of cognitive behaviour therapy (CBT) for treating body dysmorphic disorder (BDD) is weak. Aims: To determine whether CBT is more effective than anxiety management (AM) in an outpatient setting. Method: This was a single-blind stratified parallel-group randomised controlled trial. The primary endpoint was at 12 weeks, and the Yale-Brown Obsessive Compulsive Scale for BDD (BDD-YBOCS) was the primary outcome measure. Secondary measures for BDD included the Brown Assessment of Beliefs Scale (BABS), the Appearance Anxiety Inventory (AAI) and the Body Image Quality of Life Inventory (BIQLI). The outcome measures were collected at baseline and week 12. The CBT group, unlike the AM group, had 4 further weekly sessions that were analysed for their added value. Both groups then completed measures at their 1-month follow-up. Forty-six participants with a DSM-IV diagnosis of BDD, including those with delusional BDD, were randomly allocated to either CBT or AM. Results: At 12 weeks, CBT was found to be significantly superior to AM on the BDD-YBOCS [β = -7.19; SE (β) = 2.61; p < 0.01; 95% CI = -12.31 to -2.07; d = 0.99] as well as the secondary outcome measures of the BABS, AAI and BIQLI. Further benefits occurred by week 16 within the CBT group. There were no differences in outcome for those with delusional BDD or depression. Conclusions: CBT is an effective intervention for people with BDD even with delusional beliefs or depression and is more effective than AM over 12 weeks.

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Metadata

Authors
Veale, D., Anson, M., Miles, S., Pieta, M., Costa, A., & Ellison, N.
Affiliations
King's College London (GB)
ORCID
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2014
Volume
83
Issue
6
Pages
341-353
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000360740
OpenAlex
W2166071618
Cited by
179
References
42
Citations by year
2026: 10 · 2025: 8 · 2024: 22 · 2023: 15 · 2022: 11 · 2021: 9 · 2020: 9 · 2019: 15 · 2018: 10 · 2017: 15 · 2016: 15 · 2015: 34 · 2014: 6
FWCI
27.54
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychotherapy and Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
  • Create (Canterbury Christ Church University) (acceptedVersion)
  • Research Portal (King's College London) (submittedVersion, other-oa)
Funders
  • South London and Maudsley NHS Foundation Trust
  • United Kingdom Clinical Research Collaboration
  • National Institute for Health and Care Research
  • King's College London
Topics
  • Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Keywords
body dysmorphic disorder, cognitive behavioral therapy, anxiety reduction, treatment efficacy, appearance anxiety, body image, obsessive-compulsive symptoms, depression, outpatient care
MeSH terms
Adult, Anxiety, Female, Humans, Male, Psychiatric Status Rating Scales, Quality of Life, Relaxation Therapy, Cognitive Behavioral Therapy, Single-Blind Method, Treatment Outcome, Young Adult, Body Dysmorphic Disorders

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