Effectiveness of Interventions for Cognitive Processing in Body Dysmorphic Disorder and Body Dissatisfaction: Systematic Review

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL Cognitive Therapy and Research Pub Date : 2024-06-18 DOI:10.1007/s10608-024-10499-5

Olga López-Martín, Artemisa Rocha Dores, Miguel Peixoto, António Marques

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Abstract

Background

Body Dysmorphic Disorder (BDD) is characterised by an appearance-related cognitive deficit based on distorted ideas and beliefs about one’s own body. These lead to high body dissatisfaction (BD), which affects attention, cognitive processing and behaviour.

Objective

The aim of this review was to systematically examine the evidence for the effectiveness of psychological interventions to improve cognitive impairments in BDD and high BD.

Method

The systematic review report followed the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) statement. The databases Pubmed, WOS, Scopus and EBSCO were searched, yielding a total of 2,153 records. After applying the inclusion and exclusion criteria, 10 articles, published until September 2023, were selected. Eligible studies were assessed for potential risk of bias using the Cochrane risk of bias assessment Review Manager (RevMan) tool for the Randomized Controlled Trials and ROBINS-I tool for non-randomized studies.

Results

The results suggest that psychological interventions can reduce cognitive deficits in BDD. However, the results are supported by a limited number of very diverse studies, conducted with non-clinical, small samples, few sessions and an overall moderate risk of bias.

Conclusions

Further research is needed to confirm the efficacy of psychological interventions on cognitive deficits in BDD.

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身体畸形障碍和身体不满意的认知处理干预效果：系统回顾

背景身体畸形障碍（Body Dysmorphic Disorder，BDD）的特征是与外貌相关的认知缺陷，这种缺陷基于对自己身体的扭曲想法和信念。本综述旨在系统研究心理干预对改善 BDD 和高度 BD 患者认知障碍的有效性。检索了 Pubmed、WOS、Scopus 和 EBSCO 等数据库，共获得 2,153 条记录。在应用纳入和排除标准后，选出了 10 篇文章，这些文章的出版日期截止到 2023 年 9 月。对符合条件的研究采用科克伦偏倚风险评估审查管理器（RevMan）工具对随机对照试验进行潜在偏倚风险评估，采用 ROBINS-I 工具对非随机研究进行潜在偏倚风险评估。然而，这些结果得到了数量有限、非常多样的研究的支持，这些研究都是以非临床、小样本、少疗程和总体中度偏倚风险的方式进行的。结论需要进一步的研究来证实心理干预对 BDD 认知缺陷的疗效。

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来源期刊

Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.