Cognitive-Behavioral Therapy for Body Dysmorphic Disorder by Proxy

Greenberg, Jennifer L.; Mothi, Suraj Sarvode; Wilhelm, Sabine

doi:10.1016/j.beth.2016.01.002

Cited by 10 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Superior outcomes (70% response rate) were obtained in an open trial of severe but less functionally impaired adolescents (e.g. none reported as having dropped out of school) (Greenberg, Mothi, & Wilhelm, 2016). Nevertheless, the findings highlight that some young people with BDD may require more comprehensive treatment packages, which could include a longer course of CBT, home-based CBT sessions, and/or medication optimisation (e.g.…”

Section: Evidence-base For Cognitive Behaviour Therapymentioning

confidence: 80%

“…CBT for BDD in young people comprises three main stages: psychoeducation and formulation (typically sessions 1-3), exposure with response prevention and/or behavioural experiments (typically from Session 4 onwards), and relapse prevention (the last two sessions). A typical course of CBT for adolescent BDD comprises 12-22 sessions, typically occurring on a weekly basis (Greenberg et al, 2016;Mataix-Cols et al, 2015;. While there are no empirical guidelines for determining the optimal numbers of sessions, it has been noted that young people with more severe BDD symptoms may require a longer course of CBT.…”

Section: Format and Content Of Cbt For Bddmentioning

confidence: 99%

Practitioner Review: Assessment and treatment of body dysmorphic disorder in young people

Krebs,

Rautio,

Fernández de la Cruz

et al. 2024

Child Psychology Psychiatry

View full text Add to dashboard Cite

Body dysmorphic disorder (BDD) is a relatively common and highly impairing mental disorder that is strikingly underdiagnosed and undertreated in Child and Adolescent Mental Health Services (CAMHS). The only clinical guidelines for the management of BDD in youth were published nearly 20 years ago, when empirical knowledge was sparse. Fortunately, there has been a surge in research into BDD over the last 10 years, shedding important insights into the phenomenology, epidemiology, assessment and treatment of the disorder in young people. This review aimed to provide an overview of recent research developments of relevance to clinicians and healthcare policymakers. We summarise key findings regarding the epidemiology of BDD in youth, which indicate that the disorder usually develops during teenage years and affects approximately 2% of adolescents at any one point in time. We provide an overview of aetiological research, highlighting that BDD arises from an interplay between genetic and environmental influences. We then focus on screening and assessment strategies, arguing that these are crucial to promote detection and diagnosis of this under‐recognised condition. Additionally, we summarise the recommended treatment approaches for BDD in youth, namely cognitive behaviour therapy with or without selective serotonin reuptake inhibitors. The review concludes by highlighting key knowledge gaps and priorities for future research including, but not limited to, better understanding aetiological factors, long‐term consequences and treatment.

show abstract

“…As a parallel, we note here that a conceptually similar problem, body dysmorphic disorder by proxy, has the central feature of an individual’s preoccupation with aspects of another person’s appearance. This phenomenon had distress and impairment at similar levels to body dysmorphic disorder, had negative influence on the object of the preoccupation (e.g., child), but once identified seemed amenable to cognitive-behavioral treatment [35]. Investigation into whether a similar approach could improve the psychosocial well-being of parents and their children when parents have parental overvaluation of weight/shape is a key step.…”

Section: Discussionmentioning

confidence: 99%

Does your child's weight influence how you judge yourself as a parent? A cross-sectional study to define and examine parental overvaluation of weight/shape

Lydecker

Grilo

2017

Preventive Medicine

View full text Add to dashboard Cite

Parents are integral stakeholders in children’s health and development, and yet there is a dearth of research on parental attitudes and parents’ personal weight and eating psychopathology, which have the potential to influence pediatric obesity and eating disorder treatments meaningfully. Overvaluation of weight/shape is a core concept in eating-disorder assessment and treatment defined as self-evaluation excessively based on weight/shape, which research has demonstrated to be clinically important psychopathology. A novel and related concept, parental overvaluation of weight/shape, could be defined as parents’ self-evaluation unduly based on their child’s weight/shape, yet this concept has not been studied and its clinical importance is unknown. The aim of this study was to examine the distinctiveness of parental overvaluation of weight/shape from personal overvaluation of weight/shape, and to examine associations of parental overvaluation with parents’ psychopathology and children’s weight and eating behaviors. The current study examined differences among parents with (n=134) and without (n=872) parental overvaluation using a cross-sectional design. Parental overvaluation was more common among parents with binge-eating disorder and bulimia than obesity and healthy-weight. Parental overvaluation was modestly associated with personal overvaluation. Parents with and without parental overvaluation differed on personal eating-disorder psychopathology and children’s weight and eating behaviors. Importantly, differences remained after adjusting for personal overvaluation and child BMI. This study highlights a novel construct—parental overvaluation—associated with, but distinct from, parental eating disorders and personal overvaluation. Parental overvaluation may warrant clinical attention among parents seeking pediatric obesity or eating-disorder treatment, or treatment for personal eating disorders.

show abstract

Cognitive-Behavioral Therapy for Body Dysmorphic Disorder by Proxy

Cited by 10 publications

References 26 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

Practitioner Review: Assessment and treatment of body dysmorphic disorder in young people

Does your child's weight influence how you judge yourself as a parent? A cross-sectional study to define and examine parental overvaluation of weight/shape

Contact Info

Product

Resources

About