CBT for Body Dysmorphic Disorder by Proxy: A Case Study

Bouman, Theo; Gofers, Ton T.W.

doi:10.1016/j.cbpra.2015.03.002

Cited by 3 publications

(1 citation statement)

References 20 publications

(25 reference statements)

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“…Moreover, findings from this study suggested that scores on the parent–child version of the Partner‐Related Obsessive Compulsive Symptoms Inventory (PROCSI‐PC) (Doron, Derby, et al, 2012b) were associated with parental depression and anxiety over and above parental OCD symptoms, and were associated with parental stress over and above parental depression, OCD symptoms, and age (Doron et al, 2017). These findings are consistent with previous descriptions of disability and distress associated with parent–child ROCD symptoms within the physical appearance domain (body dysmorphic disorder by proxy; American Psychiatric Association (APA), 2013; Bakhla, Prakriti, & Kumar, 2012; Bouman & Gofers, 2016; Greenberg, Mothi, & Wilhelm, 2016).…”

Section: Introductionsupporting

confidence: 91%

“Why do I obsess about my child's flaws?”: Assessing the role of parental self‐vulnerabilities in parent–child relationship obsessive compulsive disorder (ROCD) symptoms

Levy

Tibi

Szepsenwol

et al. 2020

Clinical Psychologist

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Objective Relationship obsessive compulsive disorder (ROCD) is a manifestation of obsessive compulsive disorder (OCD) that refers to obsessions, doubts, and compulsive behaviours focusing on one's relationship and relationship partner. ROCD symptoms occur in various types of relationships including parent–child dyads, involving obsessional preoccupations with the perceived flaws of one's child (parent–child ROCD symptoms). Such preoccupations have been shown to be associated with decreased mood and significant parental distress. We examined the double self‐vulnerability hypothesis—that the co‐occurrence of parental contingency of self in specific domains (i.e., intelligence and appearance) and child‐value contingent self‐worth would be associated with increased parent–child ROCD symptoms. Method A total of 175 parents participated in the study and completed self‐report questionnaires to assess ROCD and depressive symptoms and parental self‐contingencies. We used linear regression with simple slope analyses to estimate interaction effects. Results Parents whose self‐worth were strongly dependent on their child's perceived value showed higher parent–child ROCD symptoms, particularly when co‐occurring with parental intelligence and appearance self‐contingencies. These findings were maintained when controlling for depression symptoms, parental age, and gender. Conclusions Results supported the double self‐vulnerability hypothesis suggesting that parents with child‐value and domain‐relevant self‐vulnerabilities might be susceptible to child‐related obsessions. More research is needed to further explore susceptibility of vulnerable parents to the development and maintenance of parent–child ROCD symptoms.

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Section: Introductionsupporting

confidence: 91%

“Why do I obsess about my child's flaws?”: Assessing the role of parental self‐vulnerabilities in parent–child relationship obsessive compulsive disorder (ROCD) symptoms

Levy

Tibi

Szepsenwol

et al. 2020

Clinical Psychologist

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Cognitive-Behavioral Therapy for Body Dysmorphic Disorder by Proxy

2016

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Improving the Detection of Body Dysmorphic Disorder in Clinical Practice

Schneider

Storch

2017

J Cogn Psychother

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The aim of this article is to raise awareness of the underdiagnosis of body dysmorphic disorder (BDD) in clinical practice and provide suggestions to overcome key barriers to BDD detection. Disclosure of BDD symptoms is uncommon during routine assessments but can be increased by asking specifically about such symptoms. When BDD symptoms are present, it is important to differentiate them from anxiety, depression, obsessive-compulsive disorder, and eating disorders, which may present with some similarities and are commonly comorbid with BDD. Assessment of BDD should be sensitive to issues of poor insight, elevated suicide risk, subthreshold BDD presentations, and the possibility of BDD by proxy. Furthermore, assessment should consider the potential impact of age, gender, ethnicity, and minor physical defects on the presentation of BDD. Improving the assessment of BDD in routine clinical practice will enhance disclosure, improve case conceptualization, and provide the opportunity to deliver appropriate treatment for this underdiagnosed and often serious disorder.

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CBT for Body Dysmorphic Disorder by Proxy: A Case Study

Cited by 3 publications

References 20 publications

“Why do I obsess about my child's flaws?”: Assessing the role of parental self‐vulnerabilities in parent–child relationship obsessive compulsive disorder (ROCD) symptoms

“Why do I obsess about my child's flaws?”: Assessing the role of parental self‐vulnerabilities in parent–child relationship obsessive compulsive disorder (ROCD) symptoms

Cognitive-Behavioral Therapy for Body Dysmorphic Disorder by Proxy

Improving the Detection of Body Dysmorphic Disorder in Clinical Practice

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