Surgical and Nonpsychiatric Medical Treatment of Patients With Body Dysmorphic Disorder

Phillips, Katharine A.; Grant, Jon E.; Siniscalchi, Jason M.; Albertini, Ralph S.

doi:10.1176/appi.psy.42.6.504

Cited by 316 publications

(148 citation statements)

References 30 publications

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“…(c) Cosmetic treatment module : This module contains psychoeducation for patients who are considering cosmetic treatment (e.g., surgical, dermatologic) for BDD symptoms. A majority of BDD patients receive cosmetic treatment for their perceived appearance flaws; however, cosmetic treatments do not appear effective for BDD (Phillips, Grant, Siniscalchi, & Albertini, 2001). Cognitive and motivational strategies are used to address maladaptive beliefs about the perceived benefits of surgery as well as to enhance patients’ engagement in CBT.…”

Section: Methodsmentioning

confidence: 99%

Modular Cognitive–Behavioral Therapy for Body Dysmorphic Disorder

et al. 2011

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This study pilot tested a newly developed modular cognitive–behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22 weeks. Standardized clinician ratings and self-report measures were used to assess BDD and related symptoms pre- and posttreatment and at 3- and 6-month follow-ups. At posttreatment, BDD and related symptoms (e.g., mood) were significantly improved. Treatment gains were maintained at follow-up. A relatively low drop-out rate, high patient satisfaction ratings, and patient feedback indicated that the treatment was highly acceptable to patients. To our knowledge, this represents the first test of a broadly applicable, individual psychosocial treatment for BDD.

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Section: Methodsmentioning

confidence: 99%

Modular Cognitive–Behavioral Therapy for Body Dysmorphic Disorder

et al. 2011

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“…However, cosmetic phalloplasty is still regarded as experimental without any adequate outcome measures or evidence of safety (Ghanem, Glina, Assalian, & Buvat, 2013). Furthermore, the diagnosis of BDD may be associated with a poor outcome in most cosmetic procedures (Crerand, Menard, & Phillips, 2010;Phillips, Grant, Siniscalchi, & Albertini, 2001;Tignol, Biraben-Gotzamanis, Martin-Guehl, Grabot, & Aouizerate, 2007;Veale, De Haro, & Lambrou, 2003). Therefore, a surgeon who offers phalloplasty to men with BDD would be unwise.…”

Section: Introductionmentioning

confidence: 99%

Phenomenology of men with body dysmorphic disorder concerning penis size compared to men anxious about their penis size and to men without concerns: A cohort study

et al. 2015

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Men with body dysmorphic disorder (BDD) may be preoccupied with the size or shape of the penis, which may be causing significant shame or impairment. Little is known about the characteristics and phenomenology of such men and whether they can be differentiated from men with small penis anxiety (SPA) (who do not have BDD), and men with no penile concerns. Twenty-six men with BDD, 31 men with SPA, and 33 men without penile concerns were compared on psychopathology, experiences of recurrent imagery, avoidance and safety-seeking behaviours. Men with BDD had significantly higher scores than both the SPA group and no penile concern group for measures of imagery, avoidance, safety seeking and general psychopathology. The groups differed on the phenomenology of BDD specific to penile size preoccupation clearly from the worries of SPA, which in turn were different to those of the men without concerns. The common avoidance and safety seeking behaviours were identified in such men that may be used clinically.

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“…Available data suggest that cosmetic treatment is almost never effective for BDD, can make symptoms worse, and can trigger legal action or even violent behavior towards clinicians who provide such treatment [27,28,29]. …”

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confidence: 99%