Efficacy of App-Based Cognitive Behavioral Therapy for Body Dysmorphic Disorder with Coach Support: Initial Randomized Controlled Clinical Trial.
Efficacy of App-Based Cognitive Behavioral Therapy for Body Dysmorphic Disorder with Coach Support: Initial Randomized Controlled Clinical Trial.
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DOI：
10.1159/000524628
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发表时间：
2022
影响因子：
22.8
通讯作者：
Harrison, Oliver T.
中科院分区：
文献类型：
--
作者：
Wilhelm, Sabine;Weingarden, Hilary;Greenberg, Jennifer L.;Hoeppner, Susanne S.;Snorrason, Ivar;Bernstein, Emily E.;McCoy, Thomas H.;Harrison, Oliver T.
身体畸形障碍（BDD）是一种严重、慢性且治疗不足的疾病。应用程序可以大大提高治疗的可及性。我们对教练支持的基于应用程序的认知行为疗法（CBT）治疗BDD的可用性和有效性进行了初步测试。Perspectives应用程序涵盖了核心治疗组件：心理教育、认知重组、暴露与反应预防、正念、注意力再训练和复发预防。进行了一项随机候补对照试验。患有原发性BDD的成人（N = 80）被分配到12周的透视或等待名单。教练们通过应用内消息和电话来提高参与度并回答问题。BDD的严重程度在基线、治疗中期和治疗结束时由盲法独立评估者（耶鲁-布朗强迫症量表修改BDD； BDD- ybocs）测量。次要结局包括bdd相关的洞察力、抑郁、生活质量和功能。应用的使用率和满意度都很高。在意向治疗分析中，基于Perspectives应用程序的CBT与治疗结束时BDD-YBOCS严重程度（M [SD]: 16.8[7.5]）显著低于等待列表（26.7 [6.2];p < 0.001, d = 1.44）。基于应用程序的CBT与所有次要测量的更大改善相关，具有中等到较大的效果。在学士水平教练的支持下，透视疗法是一种有效的、可扩展的成年BDD治疗方法。
Body dysmorphic disorder (BDD) is severe, chronic, and undertreated. Apps could substantially improve treatment access. We provide an initial test of the usability and efficacy of coach-supported app-based cognitive behavioral therapy (CBT) for BDD. The Perspectives app covers core treatment components: psychoeducation, cognitive restructuring, exposure with response prevention, mindfulness, attention retraining, and relapse prevention. A randomized waitlist-controlled trial was conducted. Adults (N = 80) with primary BDD were assigned to 12 weeks of Perspectives or waitlist. Coaches promoted engagement and answered questions via in-app messaging and phone calls. BDD severity was measured at baseline, mid-treatment, and end of treatment by blinded independent evaluators (Yale-Brown Obsessive Compulsive Scale Modified for BDD; BDD-YBOCS). Secondary outcomes included BDD-related insight, depression, quality of life, and functioning. App uptake and satisfaction were high. In intent-to-treat analyses, Perspectives app-based CBT was associated with significantly lower BDD-YBOCS severity at end of treatment (M [SD]: 16.8 [7.5]) compared to the waitlist (26.7 [6.2]; p < 0.001, d = 1.44). App-based CBT was associated with greater improvements across all secondary measures, with medium to large effects. Perspectives, supported by a bachelor’s-level coach, is an efficacious, scalable treatment for adults with BDD.
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影响因子：
5
作者：
Weingarden, Hilary;Matic, Aleksandar;Wilhelm, Sabine
通讯作者：
Wilhelm, Sabine
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC
影响因子：
2.9
作者：
Gentile, Andrew J.;La Lima, Christopher;Ruck, Christian
通讯作者：
Ruck, Christian
影响因子：
3.3
作者：
Koran, Lorrin M.;Abuiaoude, Elias;Serpe, Richard T.
通讯作者：
Serpe, Richard T.
影响因子：
5.5
作者：
Jost NS;Jossen SL;Rothen N;Martarelli CS
通讯作者：
Martarelli CS