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

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. ISSN 0005-7894.

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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.

Item Type: Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine > RC0435 Psychiatry
Divisions: Faculty of Social and Applied Sciences > School of Psychology, Politics and Sociology
Depositing User: Martin Anson
Date Deposited: 14 Jan 2016 16:43
Last Modified: 13 Nov 2017 11:34
URI: https://create.canterbury.ac.uk/id/eprint/14223

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Last edited: 29/06/2016 12:23:00