Cognitive Behavioral Training Using a Mobile Application Reduces Body Image-Related Symptoms in High-Risk Female University Students: A Randomized Controlled Study

Cerea, Silvia; Ghisi, Marta; Bottesi, Gioia; Manoli, Teresa; Carraro, Eleonora; Doron, Guy

doi:10.1016/j.beth.2020.04.002

Cited by 30 publications

(35 citation statements)

References 45 publications

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“…Four of the 14 studies which applied self-report BDD measures tried to control for eating disorders. One of these studies excluded participants with elevated symptoms of an eating disorder [ 56 ], one study assessed comorbidities and reported that none of the participants were suffering from a comorbid eating disorder [ 6 ], one study excluded participants with a past or present eating disorder according to self-report [ 22 ], and one study ruled out the presence of any mental disorder according to self-report [ 11 ]. In order to address this limitation, we investigated the influence of the diagnostic method in moderator analysis.…”

Section: Discussionmentioning

confidence: 99%

Body dysmorphic disorder and self-esteem: a meta-analysis

et al. 2021

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Objective Body dysmorphic disorder (BDD) is associated with low self-esteem. The aim of this meta-analysis was to examine the strength of the cross-sectional relationship between BDD symptom severity and global self-esteem in individuals with BDD, mentally healthy controls, community or student samples, and cosmetic surgery patients. Moreover, the role of depressive symptom severity in this relationship and other moderating factors were investigated. Methods A keyword-based literature search was performed to identify studies in which BDD symptoms and global self-esteem were assessed. Random effects meta-analysis of Fisher’s z-transformed correlations and partial correlations controlling for the influence of depressive symptom severity was conducted. In addition to meta-analysis of the observed effects, we corrected the individual correlations for variance restrictions to address varying ranges of BDD symptom severity across samples. Results Twenty-five studies with a total of 6278 participants were included. A moderately negative relationship between BDD symptom severity and global self-esteem was found (r = −.42, CI = [−.48, −.35] for uncorrected correlations, r = −.45, CI = [−.51, −.39] for artifact-corrected correlations). A meta-analysis of partial correlations revealed that depressive symptom severity could partly account for the aforementioned relationship (pr = −.20, CI = [−.25, −.15] for uncorrected partial correlations, pr = −.23, CI = [−.28, −.17] for artifact-corrected partial correlations). The sample type (e.g., individuals with BDD, mentally healthy controls, or community samples) and diagnosis of BDD appeared to moderate the relationship only before artifact correction of effect sizes, whereas all moderators were non-significant in the meta-analysis of artifact-corrected correlations. Conclusions The findings demonstrate that low self-esteem is an important hallmark of BDD beyond the influence of depressive symptoms. It appears that negative evaluation in BDD is not limited to appearance but also extends to other domains of the self. Altogether, our findings emphasize the importance of addressing self-esteem and corresponding core beliefs in prevention and treatment of BDD.

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Section: Discussionmentioning

confidence: 99%

Body dysmorphic disorder and self-esteem: a meta-analysis

et al. 2021

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“…Building on previous findings supporting the GGtude platform for a variety psychological difficulty ( e.g. , Aboody et al, 2020 ; Cerea et al, 2020 , Cerea et al, 2021 ; Roncero et al, 2019 ), in this study we evaluated the effectiveness of the COVID-19 stress reduction module of the GGtude platform (GGcov). This is the first RCT study to assess the efficacy of GGcov in a Turkish cohort showing heightened COVID-19 related distress.…”

Section: Discussionmentioning

confidence: 99%

“…, Gordon et al, 2021 ; Mira et al, 2020 ; Moulaei et al, 2021 ; Sun et al, 2021 ). One mobile mental health platform with relatively robust empirical support including 6 published randomized controlled trials (RCTs) is GGtude ( Aboody et al, 2020 ; Akin-Sari et al, 2022 ; Ben-Zeev et al, 2021 ; Cerea et al, 2020 , Cerea et al, 2021 ; Roncero et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Cognitive training using a mobile app as a coping tool against COVID-19 distress: A crossover randomized controlled trial

Akın-Sarı¹,

İnözü²,

Haciomeroglu³

et al. 2022

Journal of Affective Disorders

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“…Four of the 14 studies which applied self-report BDD measures tried to control for eating disorders. One of these studies excluded participants with elevated symptoms of an eating disorder [55], one study assessed comorbidities and reported that none of the participants were suffering from a comorbid eating disorder [6], one study excluded participants with a past or present eating disorder according to self-report [22], and one study ruled out the presence of any mental disorder according to self-report [11]. In order to address this limitation, we investigated the influence of the diagnostic method in moderator analysis.…”

Section: Limitationsmentioning

confidence: 99%

Body dysmorphic disorder and self-esteem: A meta-analysis

Kuck¹,

Cafitz²,

Bürkner³

et al. 2020

Preprint

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ObjectiveThe aim of this meta-analysis was to examine the strength of the cross-sectional relationship between body dysmorphic disorder (BDD) symptom severity and global self-esteem in individuals with BDD, mentally healthy controls, community or student samples, and cosmetic surgery patients. Moreover, the role of depressive symptom severity in this relationship and other moderating factors were investigated. MethodsA keyword-based literature search was performed to identify studies in which BDD symptoms and global self-esteem were assessed. Random effects meta-analysis of Fisher’s z-transformed correlations and partial correlations controlling for the influence of depressive symptom severity was conducted. In addition to meta-analysis of the observed effects, we corrected the individual correlations for variance restrictions to address varying ranges of BDD symptom severity across samples. ResultsTwenty-five studies with a total of 6149 participants were included. A moderately negative relationship between BDD symptom severity and global self-esteem was found (r = -.42, CI = [-.48, -.35] for uncorrected correlations, r = -.45, CI = [-.51, -.39] for artifact-corrected correlations). A meta-analysis of partial correlations revealed that depressive symptom severity could partly account for the aforementioned relationship (pr = -.2, CI = [-.25, -.15] for uncorrected partial correlations, pr = -.23, CI = [-.28, -.17] for artifact-corrected partial correlations). The sample type (e.g., individuals with BDD, mentally healthy controls, or community samples) and diagnosis of BDD appeared to moderate the relationship only before artifact correction of effect sizes, whereas all moderators were non-significant in the meta-analysis of artifact-corrected correlations. ConclusionsThe findings demonstrate that low self-esteem is an important hallmark of BDD beyond the influence of depressive symptoms. It appears that negative evaluation in BDD is not limited to appearance but also extends to other domains of the self. Altogether, our findings emphasize the importance of addressing self-esteem and corresponding core beliefs in prevention and treatment of BDD.

show abstract

Cognitive Behavioral Training Using a Mobile Application Reduces Body Image-Related Symptoms in High-Risk Female University Students: A Randomized Controlled Study

Cited by 30 publications

References 45 publications

Body dysmorphic disorder and self-esteem: a meta-analysis

Body dysmorphic disorder and self-esteem: a meta-analysis

Cognitive training using a mobile app as a coping tool against COVID-19 distress: A crossover randomized controlled trial

Body dysmorphic disorder and self-esteem: A meta-analysis

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