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Clinical Trials Update
May 28, 2019

CBT for Body Dysmorphic Disorder

JAMA. 2019;321(20):1965. doi:10.1001/jama.2019.6679

Both cognitive behavioral therapy (CBT) and psychotherapy improved symptoms of body dysmorphic disorder (BDD) in a 2-site trial, although CBT more consistently improved symptom severity across both sites, found a JAMA Psychiatrystudy that compared the treatments. Supportive psychotherapy is most commonly prescribed for BDD though its effectiveness hasn’t been tested.

The 120 adults with BDD were enrolled across 2 hospitals where they were randomized to CBT specifically tailored for BDD or to supportive psychotherapy enhanced with BDD psychoeducation. Treatments consisted of 22 weekly individual 60-minute sessions for 24 weeks.