Long term outcome of cognitive behavior therapy for body dysmorphic disorder: a naturalistic case series of 1 to 4 years after a controlled trial

Journal article


Veale, D., Miles, S. and Anson, M. 2015. Long term outcome of cognitive behavior therapy for body dysmorphic disorder: a naturalistic case series of 1 to 4 years after a controlled trial. Behavior Therapy. 46 (6), pp. 775-785. https://doi.org/10.1016/j.beth.2015.06.003
AuthorsVeale, D., Miles, S. and Anson, M.
Abstract

Background: There is some evidence for the efficacy of cognitive behavior therapy (CBT) for body dysmorphic disorder (BDD) after 1-6 months but none in the long-term. Aims: The aim of this study was to follow-up the participants in a randomized controlled trial of CBT versus anxiety management to determine whether or not the treatment gains were maintained over time. Method: Thirty of the original 39 participants who had CBT were followed up over 1-4 years and assessed using a number of clinician and self-report measures, which included the primary outcome measure of the Yale-Brown Obsessive Compulsive Scale modified for BDD. Results: Outcome scores generally maintained over time from end of treatment to long-term follow-up. There was a slight deterioration from n=20 (51.3%) to n=18 (46.2%) who met improvement criteria at long-term follow-up. Eleven (28.2%) were in full remission and 22 (56.4%) were in partial remission. Conclusions: The gains made were generally maintained at long-term follow-up. However, there were a significant number of participants who maintained chronic symptoms after treatment and may need a longer-term or more complex intervention and active medication management.

Year2015
JournalBehavior Therapy
Journal citation46 (6), pp. 775-785
PublisherElsevier
ISSN0005-7894
Digital Object Identifier (DOI)https://doi.org/10.1016/j.beth.2015.06.003
Publication dates
PrintNov 2015
Publication process dates
Deposited14 Jan 2016
Accepted09 Jun 2015
Output statusPublished
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https://repository.canterbury.ac.uk/item/879yx/long-term-outcome-of-cognitive-behavior-therapy-for-body-dysmorphic-disorder-a-naturalistic-case-series-of-1-to-4-years-after-a-controlled-trial

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