Therapist guided internet based cognitive behavioural therapy for body dysmorphic disorder: single blind randomised controlled trial

Enander, Jesper; Andersson, Erik; Mataix‐Cols, David; Lichtenstein, Linn; Alström, Katarina; Andersson, Gerhard; Ljótsson, Brjánn; Rück, Christian

doi:10.1136/bmj.i241

Cited by 87 publications

(139 citation statements)

References 35 publications

(41 reference statements)

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“…A possible interpretation of this result is that the different attrition rates reached 2.9%–60.8% by therapist support with self-care components [28,32,33] compared with the 7.0%–31.3% rates by exclusive therapist support [29-31,46,47]. This finding supported the fact that exclusive therapist support was preferred to reduce stress symptoms, whether by phone, email, text, or interactive computer interface [10,11]. Our review highlighted that support via website reminder or tracking [28], website contact system [29], or phone calls [33] increased retention to therapist-supported iCBT.…”

Section: Discussionmentioning

confidence: 63%

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau¹,

Htun²,

Wong³

et al. 2017

J Med Internet Res

116

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BackgroundA growing number of meta-analyses have supported the application of therapist-supported Internet-based cognitive behavior therapy (iCBT) for psychological disorders across different populations, but relatively few meta-analyses have concentrated on postpartum women.ObjectiveThis meta-analysis evaluated the efficacy of therapist-supported iCBT in improving stress, anxiety, and depressive symptoms among postpartum women.MethodsA total of 10 electronic databases were used to search for published and unpublished trials. Cochrane Collaboration tool for assessing risk of bias was utilized to measure methodological quality. Meta-analysis was performed using the RevMan software (Review Manager version 5.3 for Windows from the Nordic Cochrane Centre, the Cochrane Collaboration, 2014). Among the 789 studies identified, 8 randomized controlled trials were selected, involving 1523 participants across 6 countries.ResultsMore than half (65%) of the eligible studies had a low risk of bias with no heterogeneity. Results revealed that therapist-supported iCBT significantly improved stress (d=0.84, n=5), anxiety (d=0.36, n=6), and depressive symptoms (d=0.63, n=8) of the intervention group compared with those of the control group at post-intervention.ConclusionsThis review revealed that therapist-supported iCBT significantly improves stress, anxiety, and depressive symptoms among postpartum women with small to large effects. Future effectiveness studies should establish the essential components, format, and approach of iCBT with optimal levels of human support to maximize a long-term effect.

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Section: Discussionmentioning

confidence: 63%

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Lau¹,

Htun²,

Wong³

et al. 2017

J Med Internet Res

116

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“…The detection of subthreshold-BDD in adolescence may open new pathways for BDD treatment, as adult research indicates that subthreshold-BDD symptoms may respond to non-BDD focused treatments such as attentional retraining or cognitive behavioral therapy for social anxiety (Fang et al, 2013). Additionally, internet-delivered CBT with minimal therapist support is an effective treatment for those with milder BDD presentations (Enander et al, 2016). Low-intensity treatments for subthreshold or mild BDD in adolescence may be beneficial both in increasing the availability of low cost treatment at the early stages of the disorder and in preventing the escalation of subthreshold-BDD into a full-syndrome presentation.…”

Section: Discussionmentioning

confidence: 99%

Subthreshold body dysmorphic disorder in adolescents: Prevalence and impact

Schneider

Mond

Turner

et al. 2017

Psychiatry Research

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The aim of the current study was to establish the prevalence of subthreshold body dysmorphic disorder (subthreshold-BDD) in a community sample of adolescents, and to compare disorder correlates in individuals with subthreshold-BDD to those with probable full-syndrome BDD (probable-BDD) and those without BDD (non-BDD). Self-report questionnaires assessing DSM-IV BDD criteria, past mental health service use, and symptoms of body dysmorphic disorder, anxiety, depression, obsessive-compulsive disorder and eating disorders, were completed by 3149 Australian high school students (mean age =14.6 years, 63.5% male). Male participants also completed measures assessing quality of life, muscularity concerns, emotional symptoms, conduct problems, hyperactivity, and peer problems. The prevalence of subthreshold-BDD was 3.4%, and probable-BDD was 1.7%. Compared to the non-BDD group, subthreshold-BDD was associated with elevated symptoms of comorbid psychopathology and greater past mental health service use, and in male-only measures, with poorer quality of life and elevated muscularity concerns. Subthreshold-BDD participants reported significantly lower mental health service use, and fewer symptoms of depression, eating disorders, and hyperactivity than probable-BDD participants, however, other comorbid symptoms did not differ significantly between these groups. These findings indicate that subthreshold-BDD is associated with substantial difficulties for adolescents in the general community. BDD screening should include subthreshold presentations, as these may be an important target for early intervention programs.

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“…Treatments that have been shown to be effective for BDD are serotonin-reuptake inhibitors and cognitive behavioural therapy (Crerand et al 2005;Enander et al 2016;Phillips and Hollander 2008;Veale et al 2014;Wilhelm et al 2014). …”

Section: Body Dysmorphic Disorder (Bdd) Is a Psychiatric Disorder Defmentioning

confidence: 99%

‘I will be at death’s door and realize that I’ve wasted maybe half of my life on one body part’: the experience of living with body dysmorphic disorder

Brohede

Wijma

et al. 2016

International Journal of Psychiatry in Clinical Practice

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Therapist guided internet based cognitive behavioural therapy for body dysmorphic disorder: single blind randomised controlled trial

Abstract: ObjeCtivesTo evaluate the efficacy of therapist guided internet based cognitive behavioural therapy (CBT) programme for body dysmorphic disorder (BDD-NET) compared with online supportive therapy.

Cited by 87 publications

References 35 publications

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Therapist-Supported Internet-Based Cognitive Behavior Therapy for Stress, Anxiety, and Depressive Symptoms Among Postpartum Women: A Systematic Review and Meta-Analysis

Subthreshold body dysmorphic disorder in adolescents: Prevalence and impact

‘I will be at death’s door and realize that I’ve wasted maybe half of my life on one body part’: the experience of living with body dysmorphic disorder

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