Cognitive Behaviour Therapy for Adolescents with Body Dysmorphic Disorder: A Case Series
Cognitive Behaviour Therapy for Adolescents with Body Dysmorphic Disorder: A Case Series
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DOI：
10.1017/s1352465812000100
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发表时间：
2012-07-01
影响因子：
1.8
通讯作者：
Mataix-Cols, David
中科院分区：
文献类型：
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作者：
Krebs, Georgina;Turner, Cynthia;Mataix-Cols, David
背景：身体畸形障碍（BDD）在青少年中相对常见，并可能产生严重的负面后果。然而，迄今为止，在年轻人中治疗BDD几乎没有得到经验的关注，认知行为疗法（CBT）在这一人群中的证据基础仅限于少数单一病例报告。目的：本研究旨在调查与CBT相关的治疗结果，主要包括暴露和反应预防，在一组年轻BDD患者中。方法：6名被诊断为BDD的青少年在父母的参与下接受了一个适合发育的BDD CBT疗程。分别使用耶鲁-布朗强迫症量表（BDD- ybocs）和贝克抑郁量表-青年量表，在治疗前、治疗后和3个月或6个月的随访中评估BDD和抑郁症状。结果：BDD- ybocs评分显示，治疗后BDD症状改善44%，随访时改善57%。考虑到BDD-YBOCS评分>= 30%的降低，6名青少年中有4名被归类为治疗应答者。在治疗应答者中观察到抑郁症状的改善，而在无应答者中则没有。结论：这些发现表明CBT对青少年BDD的潜在疗效，包括暴露和反应预防，并强调需要进一步的对照试验。
Background: Body dysmorphic disorder (BDD) is relatively common in adolescents and can have serious negative consequences. However, the treatment of BDD in young people has received virtually no empirical attention to date, and the evidence-base for cognitive behaviour therapy (CBT) in this population is limited to a small number of single case reports. Aims: This study aimed to investigate treatment outcomes associated with CBT, primarily consisting of exposure and response prevention, in a group of young people with BDD. Method: Six adolescents with a diagnosis of BDD received a course of developmentally appropriate CBT for BDD with parental involvement. BDD and depressive symptoms were evaluated at pretreatment, post-treatment and at 3- or 6-month follow-up, using the Yale-Brown Obsessive Compulsive Scale for BDD (BDD-YBOCS) and the Beck Depression Inventory-Youth, respectively. Results: Scores on the BDD-YBOCS indicated a 44% improvement in BDD symptoms at post-treatment and a 57% improvement at follow-up for the group. Considering response as a >= 30% reduction in BDD-YBOCS score, four of the six adolescents were classified as treatment responders. Improvements in depressive symptoms were observed among the treatment responders, but not the non-responders. Conclusions: These findings indicate the potential efficacy of CBT, including exposure and response prevention for adolescents with BDD, and highlight the need for further controlled trials.