Internet-based, therapist-guided, cognitive-behavioural therapy for body dysmorphic disorder with global eligibility for inclusion: an uncontrolled pilot study
Internet-based, therapist-guided, cognitive-behavioural therapy for body dysmorphic disorder with global eligibility for inclusion: an uncontrolled pilot study
复制标题
DOI：
10.1136/bmjopen-2018-024693
复制
发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Ruck, Christian
中科院分区：
文献类型：
--
作者：
Gentile, Andrew J.;La Lima, Christopher;Ruck, Christian
目标 认知行为疗法 (CBT) 已被证明是治疗身体变形障碍 (BDD) 的有效方法，但世界各地获得治疗的机会有限。增加访问的一种方法是通过互联网远程管理 CBT。这项研究代表了首次远程提供治疗师支持的、基于互联网的 CBT 治疗，不受地理位置限制，其目的是评估这种治疗是否可以安全地跨越国际边界进行，其结果与之前的 BDD-NET 试验相当。设计非对照临床试验。主要通过互联网广告招募来自 9 个不同国家的参与者 (n=32)。干预 BDD-NET 是一项为期 12 周的治疗，由先前证明在瑞典版本。位于瑞典的一个二级护理中心的治疗师通过异步电子信息在整个治疗过程中提供积极的指导和反馈。主要结果测量临床医生使用的耶鲁-布朗强迫性 BDD 量表 (BDD-YBOCS)。在治疗前、治疗中期（6周）、治疗后和3个月随访时评估症状严重程度。 结果 BDDYBOCS评分有显着改善（F(3, 71.63)=31.79，p
Objectives Cognitive-behavioural therapy (CBT) has been shown to be an effective treatment for body dysmorphic disorder (BDD), but access to treatment around the world is limited. One way to increase access is to administer CBT remotely via the internet. This study represents the first effort to remotely deliver a therapist-supported, internet-based CBT treatment with no restrictions on enrolment based on geographical location, and it aims to assess whether this treatment can be delivered safely across international borders, with outcomes comparable to previous BDD-NET trials.Design Uncontrolled clinical trial.Participants Patients (n=32) in nine different countries were recruited primarily through internet advertisements.Intervention BDD-NET is a 12-week treatment, consisting of eight treatment modules previously shown to be effective in a Swedish version.Setting Therapists based at a single, secondary care centre in Sweden provided active guidance and feedback throughout the treatment via asynchronous electronic messages.Main outcome measure The clinician-administered Yale-Brown Obsessive Compulsive Scale for BDD (BDD-YBOCS). Symptom severity was assessed pretreatment, midtreatment (6 weeks), post-treatment and at the 3-month follow-up.Results There were significant improvements on BDDYBOCS scores (F(3, 71.63)=31.79, p