Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Eating and Weight Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Clin Psychol Rev. 2018 Nov;65:163-174. doi: 10.1016/j.cpr.2018.08.006. Epub 2018 Aug 29.
Mirror exposure therapy is a clinical trial validated treatment component that improves body image and body satisfaction. Mirror exposure therapy has been shown to benefit individuals with high body dissatisfaction and patients with eating disorders (ED) in clinical trials. Mirror exposure is an optional component of cognitive behavioral therapy (CBT), an effective treatment for body dysmorphic disorder (BDD). However, most clinical trials of mirror exposure therapy have been small or uncontrolled and have included few male subjects. Adverse events have been reported during mirror exposure clinical trials. We discuss how individuals respond when looking in a mirror and how mirrors can be used therapeutically, and we critically evaluate the evidence in favor of mirror exposure therapy. We discuss clinical indications and technical considerations for the use of mirror exposure therapy.
镜像暴露疗法是一种经过临床试验验证的治疗方法，可改善身体意象和身体满意度。临床试验表明，镜像暴露疗法对身体不满度高的个体和饮食障碍（ED）患者有益。镜像暴露是认知行为疗法（CBT）的一个可选组成部分，对身体畸形障碍（BDD）的治疗有效。然而，大多数镜像暴露疗法的临床试验规模较小或未得到控制，且纳入的男性受试者较少。在镜像暴露临床试验中报告了不良事件。我们讨论了个体在照镜子时的反应方式，以及镜子如何在治疗中使用，并批判性地评估了支持镜像暴露疗法的证据。我们讨论了镜像暴露疗法的临床适应证和技术注意事项。
