Trial Outcomes & Findings for Cognitive-Behavioral Therapy and Supportive Psychotherapy for Body Dysmorphic Disorder (NCT NCT01453439)

NCT ID: NCT01453439

Last Updated: 2020-07-15

Results Overview

The Yale-Brown Obsessive Compulsive Scale Modified for BDD (BDD-YBOCS) is a 12-item, semi-structured, clinician-administered measure of BDD symptom severity. The scale's items are summed to yield a total score with a range from 0 to 48, with higher scores indicating more severe BDD symptoms. Treatment effects on BDD symptom severity were analyzed separately for the treatment period (i.e., weeks 0-24) and the follow-up period (i.e., weeks 24 to 50).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

120 participants

Primary outcome timeframe

Change in BDD-YBOCS from baseline (week 0) to post-treatment (week 24), assessed every 4 weeks. Followup phase data was measured at week 37 and week 50.

Results posted on

2020-07-15

Participant Flow

Participant milestones

Participant milestones
Measure
Cognitive Behavior Therapy (CBT)
Cognitive Behavior Therapy (CBT) is considered the psychosocial treatment of choice for BDD. It is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD. CBT is the only fully developed psychosocial treatment for BDD.
Supportive Psychotherapy (SPT)
SPT is a widely received psychosocial treatment by persons with BDD.
Treatment Phase
STARTED
61
59
Treatment Phase
COMPLETED
44
48
Treatment Phase
NOT COMPLETED
17
11
Follow-up
STARTED
44
48
Follow-up
COMPLETED
39
37
Follow-up
NOT COMPLETED
5
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Cognitive Behavior Therapy (CBT)
Cognitive Behavior Therapy (CBT) is considered the psychosocial treatment of choice for BDD. It is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD. CBT is the only fully developed psychosocial treatment for BDD.
Supportive Psychotherapy (SPT)
SPT is a widely received psychosocial treatment by persons with BDD.
Treatment Phase
Withdrawal by Subject
13
10
Treatment Phase
Suicidal Ideation
2
0
Treatment Phase
Need for higher level of care
1
1
Treatment Phase
Therapist conflict of interest
1
0
Follow-up
Withdrawal by Subject
0
1
Follow-up
Lost to Follow-up
5
10

Baseline Characteristics

Cognitive-Behavioral Therapy and Supportive Psychotherapy for Body Dysmorphic Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cognitive Behavior Therapy (CBT)
n=61 Participants
Cognitive Behavior Therapy (CBT) is considered the psychosocial treatment of choice for BDD. It is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD. CBT is the only fully developed psychosocial treatment for BDD.
Supportive Psychotherapy (SPT)
n=59 Participants
SPT is a widely received psychosocial treatment by persons with BDD.
Total
n=120 Participants
Total of all reporting groups
Age, Continuous
34.5 years
STANDARD_DEVIATION 14.5 • n=5 Participants
33.4 years
STANDARD_DEVIATION 11.5 • n=7 Participants
33.9 years
STANDARD_DEVIATION 12.9 • n=5 Participants
Sex: Female, Male
Female
46 Participants
n=5 Participants
46 Participants
n=7 Participants
92 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
13 Participants
n=7 Participants
28 Participants
n=5 Participants
Race/Ethnicity, Customized
White, Non-Hispanic
47 Participants
n=5 Participants
53 Participants
n=7 Participants
100 Participants
n=5 Participants
Race/Ethnicity, Customized
White, Hispanic
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian/Pacific Islander
6 Participants
n=5 Participants
1 Participants
n=7 Participants
7 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Region of Enrollment
United States
61 Participants
n=5 Participants
59 Participants
n=7 Participants
120 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Change in BDD-YBOCS from baseline (week 0) to post-treatment (week 24), assessed every 4 weeks. Followup phase data was measured at week 37 and week 50.

Population: Intent to treat analysis on 120 subjects randomized to either CBT vs SPT. Some of the assessments visits were missed due to patient cancellations or study dropouts. The exact numbers analyzed are as specified below.

The Yale-Brown Obsessive Compulsive Scale Modified for BDD (BDD-YBOCS) is a 12-item, semi-structured, clinician-administered measure of BDD symptom severity. The scale's items are summed to yield a total score with a range from 0 to 48, with higher scores indicating more severe BDD symptoms. Treatment effects on BDD symptom severity were analyzed separately for the treatment period (i.e., weeks 0-24) and the follow-up period (i.e., weeks 24 to 50).

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=61 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=59 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Week 12
19.67 score on a scale
Standard Deviation 8.21
22.80 score on a scale
Standard Deviation 8.90
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
week 16
17.74 score on a scale
Standard Deviation 9.21
22.13 score on a scale
Standard Deviation 9.33
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Week 20
15.95 score on a scale
Standard Deviation 9.32
19.02 score on a scale
Standard Deviation 9.44
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Week 24
13.34 score on a scale
Standard Deviation 9.46
18.67 score on a scale
Standard Deviation 9.77
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Week 37
12.30 score on a scale
Standard Deviation 9.84
17.46 score on a scale
Standard Deviation 9.81
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Week 50
12.31 score on a scale
Standard Deviation 10.75
16.90 score on a scale
Standard Deviation 10.94
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Baseline
32.21 score on a scale
Standard Deviation 4.72
31.49 score on a scale
Standard Deviation 4.94
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Week 4
26.92 score on a scale
Standard Deviation 6.20
27.27 score on a scale
Standard Deviation 6.41
Body Dysmorphic Disorder Symptoms (as Measured by the BDD-YBOCS)
Week 8
24.34 score on a scale
Standard Deviation 7.70
25.09 score on a scale
Standard Deviation 7.57

SECONDARY outcome

Timeframe: Measured every 4 weeks during treatment, and at the 3-(wk 37) and 6-month(wk 50) follow-up visits

Population: Intent to treat analysis on 120 subjects randomized to either CBT vs SPT. Some of the assessments visits were missed due to patient cancellations or study dropouts. The exact numbers analyzed are as specified below.

The Brown Assessment of Beliefs Scale (BABS) is a 7-item, semi-structured, clinician-administered measure that was used to assess insight regarding BDD-related beliefs (e.g., "I look deformed"). The first six items of the BABS were summed to obtain a total score ranging from 0 to 24, with higher scores reflecting poorer insight. Treatment effects on BABS score were analyzed separately for the treatment period (i.e., weeks 0-24) and the follow-up period (i.e., weeks 24 to 50).

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=61 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=59 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Insight Regarding BDD Beliefs (as Measured by the BABS)
Baseline
17.2459016 units on a scale
Standard Deviation 4.2608909
15.4067797 units on a scale
Standard Deviation 4.1817281
Insight Regarding BDD Beliefs (as Measured by the BABS)
Week 4
14.7500000 units on a scale
Standard Deviation 5.2538501
13.3090909 units on a scale
Standard Deviation 5.0584463
Insight Regarding BDD Beliefs (as Measured by the BABS)
Week 8
14.5128205 units on a scale
Standard Deviation 5.9066056
12.8500000 units on a scale
Standard Deviation 5.0765928
Insight Regarding BDD Beliefs (as Measured by the BABS)
Week 12
10.8837209 units on a scale
Standard Deviation 5.8562515
11.1304348 units on a scale
Standard Deviation 6.0428422
Insight Regarding BDD Beliefs (as Measured by the BABS)
week 16
10.8571429 units on a scale
Standard Deviation 7.2769983
9.7608696 units on a scale
Standard Deviation 5.3465868
Insight Regarding BDD Beliefs (as Measured by the BABS)
Week 20
9.8461538 units on a scale
Standard Deviation 6.5435322
10.0277778 units on a scale
Standard Deviation 5.8235292
Insight Regarding BDD Beliefs (as Measured by the BABS)
Week 24
8.3636364 units on a scale
Standard Deviation 7.5823875
7.9791667 units on a scale
Standard Deviation 5.8908136
Insight Regarding BDD Beliefs (as Measured by the BABS)
Week 37
6.6279070 units on a scale
Standard Deviation 7.0000791
8.3170732 units on a scale
Standard Deviation 5.8199614
Insight Regarding BDD Beliefs (as Measured by the BABS)
Week 50
7.1578947 units on a scale
Standard Deviation 7.9679300
7.3783784 units on a scale
Standard Deviation 5.7848046

SECONDARY outcome

Timeframe: Measured every week during treatment, but analysis was performed only on BDI-II assessments close to assessment visits; wk 0, 4, 8, 12, 16, 20 and 24. Followup phase data was measured at week 37 and week 50.

Population: Intent to treat analysis on 120 subjects randomized to either CBT vs SPT. Some of the assessments visits were missed due to patient cancellations or study dropouts. The exact numbers analyzed are as specified below.

The Beck Depression Inventory-Second Edition (BDI-II) is a widely used 21-item self-report scale that assesses the severity of depressive symptoms during the past 2 weeks. Total scale scores range from 0 to 63, with higher scores indicating greater symptom severity. Treatment effects on depression were analyzed separately for the treatment period (i.e., weeks 0-24) and the follow-up period (i.e., weeks 24 to 50).

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=61 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=59 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Depressive Symptoms (as Measured by the BDI-II)
Baseline
22.1639344 units on a scale
Standard Deviation 13.1923972
22.8620690 units on a scale
Standard Deviation 13.6117187
Depressive Symptoms (as Measured by the BDI-II)
Week 4
18.6923077 units on a scale
Standard Deviation 11.7215044
21.4035088 units on a scale
Standard Deviation 14.9938793
Depressive Symptoms (as Measured by the BDI-II)
Week 8
16.9591837 units on a scale
Standard Deviation 13.4953066
19.3076923 units on a scale
Standard Deviation 14.3178737
Depressive Symptoms (as Measured by the BDI-II)
week 16
13.4000000 units on a scale
Standard Deviation 12.9446374
17.5416667 units on a scale
Standard Deviation 15.3220163
Depressive Symptoms (as Measured by the BDI-II)
Week 12
15.2000000 units on a scale
Standard Deviation 13.1037815
19.6041667 units on a scale
Standard Deviation 14.8563900
Depressive Symptoms (as Measured by the BDI-II)
Week 20
11.4545455 units on a scale
Standard Deviation 11.3474811
15.9302326 units on a scale
Standard Deviation 14.2300744
Depressive Symptoms (as Measured by the BDI-II)
Week 24
10.5348837 units on a scale
Standard Deviation 12.2966291
15.6041667 units on a scale
Standard Deviation 14.2541365
Depressive Symptoms (as Measured by the BDI-II)
Week 37
9.2307692 units on a scale
Standard Deviation 11.4120470
12.8611111 units on a scale
Standard Deviation 13.9328036
Depressive Symptoms (as Measured by the BDI-II)
Week 50
12.0606061 units on a scale
Standard Deviation 15.3030622
13.6666667 units on a scale
Standard Deviation 13.6541855

SECONDARY outcome

Timeframe: Measured at week 0, 4, 12, 16, and 24 during treatment. Follow-up phase data was measured at week 37 and at week 50.

Population: Intent to treat analysis on 120 subjects randomized to either CBT vs SPT. Some of the assessments visits were missed due to patient cancellations or study dropouts. The exact numbers analyzed are as specified below.

The Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LESQ-SF) is a 16-item, self-report questionnaire that assesses life satisfaction over the past week. Questions 1-14 are then summed to a total score, and the total score is reported as a percentage maximum possible, such that the % score range is 0% to 100%, with higher scores indicating greater quality of life. Treatment effects on life satisfaction were analyzed separately for the treatment period (i.e., weeks 0-24) and the follow-up period (i.e., weeks 24 to 50).

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=61 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=59 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Life Satisfaction (Q-LESQ-SF)
Baseline
48.7500000 units on a scale
Standard Deviation 15.0603393
50.6961259 units on a scale
Standard Deviation 16.6428814
Life Satisfaction (Q-LESQ-SF)
Week 4
49.6648352 units on a scale
Standard Deviation 15.8763522
51.7857143 units on a scale
Standard Deviation 18.0729259
Life Satisfaction (Q-LESQ-SF)
Week 12
61.0119048 units on a scale
Standard Deviation 17.3217504
57.6190476 units on a scale
Standard Deviation 17.6382690
Life Satisfaction (Q-LESQ-SF)
Week 16
60.8894231 units on a scale
Standard Deviation 15.9117634
57.3457792 units on a scale
Standard Deviation 19.9192124
Life Satisfaction (Q-LESQ-SF)
week 24
68.2055749 units on a scale
Standard Deviation 19.3905036
63.9437690 units on a scale
Standard Deviation 19.0175684
Life Satisfaction (Q-LESQ-SF)
Week 37
69.1849817 units on a scale
Standard Deviation 17.5141781
64.3339768 units on a scale
Standard Deviation 17.0683239
Life Satisfaction (Q-LESQ-SF)
Week 50
66.5095899 units on a scale
Standard Deviation 21.2768017
65.8928571 units on a scale
Standard Deviation 19.3884669

SECONDARY outcome

Timeframe: Measured twice during the study (week 0 [pre-treatment] and at week 4)

Population: The analysis population for this analysis was limited to those participants who completed the questionnaire (n=6 missing responses in the CBT arm, n=5 missing responses in the SPT arm at baseline), and decrease by week 4 due to study drop-out or missed assessments.

The Treatment Credibility/Expectancy Rating scale is a 4-item self-report questionnaire that assesses patients' judgments about the credibility of the treatment rationale, expectancy of change, and treatment acceptability. Treatment credibility is based on the mean score of the first three items, which are measured on 10-point Likert scales, so that mean scores range from 1 (lowest/worst) to 10 (highest/most). Treatment credibility was assessed at the baseline assessment (before treatment assignment) and after 1 month of treatment when patients are more familiar with the treatment protocol and rationale.

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=55 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=54 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Treatment Credibility (Credibility/Expectancy Rating Scale)
Week 0
7.10 score on a scale
Standard Deviation 1.79
6.64 score on a scale
Standard Deviation 1.84
Treatment Credibility (Credibility/Expectancy Rating Scale)
Week 4
7.19 score on a scale
Standard Deviation 1.68
6.28 score on a scale
Standard Deviation 1.84

SECONDARY outcome

Timeframe: Measured three times during the study (week 0 [pre-treatment], week 12, and week 24 [post-treatment])

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured three times during the study (week 0 [pre-treatment], week 12, and week 24 [post-treatment])

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured three times during the study (week 0 [pre-treatment], week 12, and week 24 [post-treatment])

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured at baseline, week 4, week 12, week 16, and week 24. Follow-up phase data was measured at week 37 and at week 50.

Population: Intent to treat analysis on 120 subjects randomized to either CBT vs SPT. Some of the assessments visits were missed due to patient cancellations or study dropouts. The exact numbers analyzed are as specified below.

The Sheehan Disability Scale (SDS) is a 5-item self-report measure of functional impairment/disability. Items 1-3 (disability in work, social life/leisure, and family life/home responsibilities, respectively) are scored on Likert-scales that range from 0 (not at all) to 10 (extreme). The three items are then summed to yield an SDS total score, ranging from 0 (unimpaired) to 30 (highly impaired). Treatment effects on functional impairment were analyzed separately for the treatment period (i.e., weeks 0-24) and the follow-up period (i.e., weeks 24 to 50).

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=61 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=59 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Sheehan Disability Scale (SDS)
Week 4
15.1000000 score on a scale
Standard Deviation 6.3927574
15.5000000 score on a scale
Standard Deviation 7.0056000
Sheehan Disability Scale (SDS)
Week 12
11.7142857 score on a scale
Standard Deviation 7.4023257
12.2222222 score on a scale
Standard Deviation 7.8534558
Sheehan Disability Scale (SDS)
Week 16
9.7250000 score on a scale
Standard Deviation 7.6660674
11.7272727 score on a scale
Standard Deviation 8.2019953
Sheehan Disability Scale (SDS)
week 24
7.9024390 score on a scale
Standard Deviation 8.2970021
9.0869565 score on a scale
Standard Deviation 7.2105666
Sheehan Disability Scale (SDS)
Week 37
6.4871795 score on a scale
Standard Deviation 6.3613628
9.2162162 score on a scale
Standard Deviation 7.7428646
Sheehan Disability Scale (SDS)
Week 50
6.6388889 score on a scale
Standard Deviation 8.1980931
8.3666667 score on a scale
Standard Deviation 7.8013409
Sheehan Disability Scale (SDS)
Baseline
16.3333333 score on a scale
Standard Deviation 5.5621806
17.4406780 score on a scale
Standard Deviation 6.0522757

SECONDARY outcome

Timeframe: The CSQ-8 was assessed twice: at week 12 [mid-treatment] and at week 24 [post-treatment]

Population: The analysis population for this outcome was limited to those who were still in the study by week 12 (mid-treatmtent) and who completed the questionnaire.

The Client Satisfaction Questionnaire (CSQ-8) is an 8-item self-report questionnaire that assesses satisfaction with clinical services received and has a score range of 8-32, where higher scores indicate higher satisfaction.

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=47 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=52 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Treatment Satisfaction (CSQ-8)
Week 12
28.02 score on a scale
Standard Deviation 2.88
26.60 score on a scale
Standard Deviation 3.82
Treatment Satisfaction (CSQ-8)
Week 24
29.40 score on a scale
Standard Deviation 3.56
27.56 score on a scale
Standard Deviation 4.07

SECONDARY outcome

Timeframe: Measured twice during the study (week 0 [pre-treatment] and at week 4)

Population: The analysis population for this analysis was limited to those participants who completed the questionnaire (n=6 missing responses in the CBT arm, n=5 missing responses in the SPT arm at baseline), and decrease by week 4 due to study drop-out or missed assessments.

The Treatment Credibility/Expectancy Rating scale is a 4-item self-report questionnaire that assesses patients' judgments about the credibility of the treatment rationale, expectancy of change, and treatment acceptability. Treatment expectancy is a single item rating of "By the end of therapy, how much improvement in your anxiety do you think will occur?", rated on a scale from 0% to 100%. It was assessed at the baseline assessment (before treatment assignment) and after 1 month of treatment when patients are more familiar with the treatment protocol and rationale.

Outcome measures

Outcome measures
Measure
Cognitive Behavior Therapy (CBT)
n=55 Participants
Cognitive-behavioral therapy (CBT) is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD.
Supportive Psychotherapy (SPT)
n=54 Participants
SPT is the most common psychosocial treatment received by persons with BDD.
Treatment Expectancy (Credibility/Expectancy Rating Scale)
Week 4
56.00 Percent improvement expected (0-100%)
Standard Deviation 20.40
46.73 Percent improvement expected (0-100%)
Standard Deviation 20.55
Treatment Expectancy (Credibility/Expectancy Rating Scale)
Week 0
58.36 Percent improvement expected (0-100%)
Standard Deviation 20.71
50.19 Percent improvement expected (0-100%)
Standard Deviation 19.28

Adverse Events

Cognitive Behavior Therapy (CBT)

Serious events: 5 serious events
Other events: 34 other events
Deaths: 0 deaths

Supportive Psychotherapy (SPT)

Serious events: 3 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cognitive Behavior Therapy (CBT)
n=61 participants at risk
Cognitive Behavior Therapy (CBT) is considered the psychosocial treatment of choice for BDD. It is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD. CBT is the only fully developed psychosocial treatment for BDD.
Supportive Psychotherapy (SPT)
n=59 participants at risk
SPT is a widely received psychosocial treatment by persons with BDD.
Psychiatric disorders
Suicidal ideation
1.6%
1/61 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
1.7%
1/59 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Psychiatric disorders
Increase in BDD and depressive Symptoms
1.6%
1/61 • Number of events 2 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
0.00%
0/59 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Psychiatric disorders
Self-harm
1.6%
1/61 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
0.00%
0/59 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Gastrointestinal disorders
Negative reaction to anesthesia
1.6%
1/61 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
0.00%
0/59 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
General disorders
Pain felt in one arm for a couple of days
1.6%
1/61 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
0.00%
0/59 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Infections and infestations
Mononucleosis
0.00%
0/61 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
1.7%
1/59 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Cardiac disorders
Cardiac surgery
1.6%
1/61 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
0.00%
0/59 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Immune system disorders
Anaphylactic shock
0.00%
0/61 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
1.7%
1/59 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.

Other adverse events

Other adverse events
Measure
Cognitive Behavior Therapy (CBT)
n=61 participants at risk
Cognitive Behavior Therapy (CBT) is considered the psychosocial treatment of choice for BDD. It is a time-limited treatment that includes cognitive restructuring, mindfulness/attention retraining, exposure, and response prevention, specifically tailored for BDD. CBT is the only fully developed psychosocial treatment for BDD.
Supportive Psychotherapy (SPT)
n=59 participants at risk
SPT is a widely received psychosocial treatment by persons with BDD.
Psychiatric disorders
Increased anxiety and/or depression
13.1%
8/61 • Number of events 12 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
22.0%
13/59 • Number of events 14 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Psychiatric disorders
Increase in other psychiatric symptoms
13.1%
8/61 • Number of events 8 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
5.1%
3/59 • Number of events 3 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Psychiatric disorders
Suicidal ideation and/or self-harm
6.6%
4/61 • Number of events 6 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
1.7%
1/59 • Number of events 1 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Injury, poisoning and procedural complications
Injury, poisoning, and procedural complications
14.8%
9/61 • Number of events 16 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
8.5%
5/59 • Number of events 6 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Nervous system disorders
Nervous system disorders
6.6%
4/61 • Number of events 4 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
5.1%
3/59 • Number of events 3 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders
3.3%
2/61 • Number of events 2 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
5.1%
3/59 • Number of events 3 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Social circumstances
Social circumstances
3.3%
2/61 • Number of events 2 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
5.1%
3/59 • Number of events 3 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
Surgical and medical procedures
Surgical and medical procedures
3.3%
2/61 • Number of events 2 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.
6.8%
4/59 • Number of events 4 • Adverse event data was collected every 4 weeks at the beginning of therapy sessions, at the post-treatment visit, and at the 3- and 6-month follow-up visits (for a total of 1 year for each participant who completed the full study protocol). At these assessments, participants were probed for adverse events that occurred since the last adverse event assessment (usually 4 weeks prior).
Participants were asked 4 questions about: (1) any major physical health problems or major physical injuries; (2) seeing a physical health or mental health provider for any reason; (3) any hospitalizations; or (4) any other major problems or concerns, all pertaining to the time since they were assessed last. Any "yes" resulted in a full event report. All serious adverse events are reported. Of non-serious events, only those affecting \>5% in either treatment group are reported.

Additional Information

Dr. Sabine Wilhelm, Ph.D.

Massachusetts General Hospital

Phone: +1(617)724-6146

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place