Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology

Body dysmorphic disorder (BDD) is characterized by a preoccupation with a perceived appearance flaw or flaws that are not observable to others. BDD is associated with distress and impairment of functioning. Psychiatric comorbidities, including depression, social anxiety, and obsessive-compulsive dis...

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Autores: Castle, David, Beilharz, Francesca, Phillips, Katharine A., Brakoulias, Vlasios, Drummond, Lynne M., Hollander, Eric, 1957-, Ioannidis, Konstantinos, Pallanti, Stefano, Chamberlain, Samuel R., Rossell, Susan L., Veale, David, Wilhelm, Sabine, Van Ameringen, Michael, Dell'Osso, Bernardo, Menchón Magriñá, José Manuel, Fineberg, Naomi A.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/177241
Acesso em linha:https://hdl.handle.net/2445/177241
Access Level:acceso abierto
Palavra-chave:Psicopatologia
Teràpia cognitiva
Neurosi obsessiva
Pathological psychology
Cognitive therapy
Obsessive-compulsive disorder
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spelling Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of NeuropsychopharmacologyCastle, DavidBeilharz, FrancescaPhillips, Katharine A.Brakoulias, VlasiosDrummond, Lynne M.Hollander, Eric, 1957-Ioannidis, KonstantinosPallanti, StefanoChamberlain, Samuel R.Rossell, Susan L.Veale, DavidWilhelm, SabineVan Ameringen, MichaelDell'Osso, BernardoMenchón Magriñá, José ManuelFineberg, Naomi A.PsicopatologiaTeràpia cognitivaNeurosi obsessivaPathological psychologyCognitive therapyObsessive-compulsive disorderBody dysmorphic disorder (BDD) is characterized by a preoccupation with a perceived appearance flaw or flaws that are not observable to others. BDD is associated with distress and impairment of functioning. Psychiatric comorbidities, including depression, social anxiety, and obsessive-compulsive disorder are common and impact treatment. Treatment should encompass psychoeducation, particularly addressing the dangers associated with cosmetic procedures, and may require high doses of selective serotonin reuptake inhibitors* (SSRI*) and protracted periods to establish full benefit. If there is an inadequate response to SSRIs, various adjunctive medications can be employed including atypical antipsychotics*, anxiolytics*, and the anticonvulsant levetiracetam*. However, large-scale randomized controlled trials are lacking and BDD is not an approved indication for these medications. Oxytocin* may have a potential role in treating BDD, but this requires further exploration. Cognitive-behavioural therapy has good evidence for efficacy for BDD, and on-line and telephone-assisted forms of therapy are showing promise. CBT for BDD should be customized to address such issues as mirror use, perturbations of gaze, and misinterpretation of others' emotions, as well as overvalued ideas about how others view the individual.Wolters Kluwer Health Inc.2021202120202021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion15 p.application/pdfhttps://hdl.handle.net/2445/177241Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1097/YIC.0000000000000342International Clinical Psychopharmacology, 2020, vol. 36, num. 2, p. 61-75https://doi.org/10.1097/YIC.0000000000000342cc by-nc-nd (c) Castle et al., 2020http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1772412026-05-29T05:05:01Z
dc.title.none.fl_str_mv Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
title Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
spellingShingle Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
Castle, David
Psicopatologia
Teràpia cognitiva
Neurosi obsessiva
Pathological psychology
Cognitive therapy
Obsessive-compulsive disorder
title_short Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
title_full Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
title_fullStr Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
title_full_unstemmed Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
title_sort Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology
dc.creator.none.fl_str_mv Castle, David
Beilharz, Francesca
Phillips, Katharine A.
Brakoulias, Vlasios
Drummond, Lynne M.
Hollander, Eric, 1957-
Ioannidis, Konstantinos
Pallanti, Stefano
Chamberlain, Samuel R.
Rossell, Susan L.
Veale, David
Wilhelm, Sabine
Van Ameringen, Michael
Dell'Osso, Bernardo
Menchón Magriñá, José Manuel
Fineberg, Naomi A.
author Castle, David
author_facet Castle, David
Beilharz, Francesca
Phillips, Katharine A.
Brakoulias, Vlasios
Drummond, Lynne M.
Hollander, Eric, 1957-
Ioannidis, Konstantinos
Pallanti, Stefano
Chamberlain, Samuel R.
Rossell, Susan L.
Veale, David
Wilhelm, Sabine
Van Ameringen, Michael
Dell'Osso, Bernardo
Menchón Magriñá, José Manuel
Fineberg, Naomi A.
author_role author
author2 Beilharz, Francesca
Phillips, Katharine A.
Brakoulias, Vlasios
Drummond, Lynne M.
Hollander, Eric, 1957-
Ioannidis, Konstantinos
Pallanti, Stefano
Chamberlain, Samuel R.
Rossell, Susan L.
Veale, David
Wilhelm, Sabine
Van Ameringen, Michael
Dell'Osso, Bernardo
Menchón Magriñá, José Manuel
Fineberg, Naomi A.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Psicopatologia
Teràpia cognitiva
Neurosi obsessiva
Pathological psychology
Cognitive therapy
Obsessive-compulsive disorder
topic Psicopatologia
Teràpia cognitiva
Neurosi obsessiva
Pathological psychology
Cognitive therapy
Obsessive-compulsive disorder
description Body dysmorphic disorder (BDD) is characterized by a preoccupation with a perceived appearance flaw or flaws that are not observable to others. BDD is associated with distress and impairment of functioning. Psychiatric comorbidities, including depression, social anxiety, and obsessive-compulsive disorder are common and impact treatment. Treatment should encompass psychoeducation, particularly addressing the dangers associated with cosmetic procedures, and may require high doses of selective serotonin reuptake inhibitors* (SSRI*) and protracted periods to establish full benefit. If there is an inadequate response to SSRIs, various adjunctive medications can be employed including atypical antipsychotics*, anxiolytics*, and the anticonvulsant levetiracetam*. However, large-scale randomized controlled trials are lacking and BDD is not an approved indication for these medications. Oxytocin* may have a potential role in treating BDD, but this requires further exploration. Cognitive-behavioural therapy has good evidence for efficacy for BDD, and on-line and telephone-assisted forms of therapy are showing promise. CBT for BDD should be customized to address such issues as mirror use, perturbations of gaze, and misinterpretation of others' emotions, as well as overvalued ideas about how others view the individual.
publishDate 2020
dc.date.none.fl_str_mv 2020
2021
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/177241
url https://hdl.handle.net/2445/177241
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1097/YIC.0000000000000342
International Clinical Psychopharmacology, 2020, vol. 36, num. 2, p. 61-75
https://doi.org/10.1097/YIC.0000000000000342
dc.rights.none.fl_str_mv cc by-nc-nd (c) Castle et al., 2020
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Castle et al., 2020
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 15 p.
application/pdf
dc.publisher.none.fl_str_mv Wolters Kluwer Health Inc.
publisher.none.fl_str_mv Wolters Kluwer Health Inc.
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869415610684801024
score 15,228081

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