Weingarden Hilary, Hoeppner Susanne S, Snorrason Ivar, Greenberg Jennifer L, Phillips Katharine A, Wilhelm Sabine
Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts, USA.
New York-Presbyterian Hospital and Weill Cornell Medical College, New York City, New York, USA.
Depress Anxiety. 2021 Mar 16. doi: 10.1002/da.23148.
Little data exist on remission rates following psychotherapy for body dysmorphic disorder (BDD).
Using data from a large study of therapist-delivered cognitive behavior therapy (CBT) versus supportive psychotherapy (SPT) for BDD (N = 120), we estimated remission rates at treatment endpoint, and rates of delayed remission, sustained remission, and recurrence at 6-month follow-up. We also examined improvement in broader mental health outcomes among remitters.
Full or partial remission rates at end-of-treatment were significantly higher following CBT (68%) than SPT (42%). At 6-month follow-up, an additional 10% (CBT) and 14% (SPT) experienced delayed remission, 52% (CBT) and 27% (SPT) experienced sustained remission, and 20% (CBT) and 14% (SPT) experienced recurrence. Remission was never achieved by 18% (CBT) and 45% (SPT). Participants in remission at end-of-treatment experienced significant improvements in functional impairment, depression severity, BDD-related insight, and quality of life compared to nonremitters.
Full or partial remission rates are high following CBT for BDD and higher than after SPT.
关于躯体变形障碍（BDD）心理治疗后的缓解率数据较少。
利用一项针对BDD的治疗师主导的认知行为疗法（CBT）与支持性心理疗法（SPT）的大型研究数据（N = 120），我们估计了治疗终点时的缓解率，以及6个月随访时的延迟缓解率、持续缓解率和复发率。我们还研究了缓解者在更广泛心理健康结果方面的改善情况。
CBT治疗后治疗结束时的完全或部分缓解率（68%）显著高于SPT（42%）。在6个月随访时，另外10%（CBT）和14%（SPT）出现延迟缓解，52%（CBT）和27%（SPT）持续缓解，20%（CBT）和14%（SPT）复发。18%（CBT）和45%（SPT）从未实现缓解。与未缓解者相比，治疗结束时缓解的参与者在功能损害、抑郁严重程度、BDD相关洞察力和生活质量方面有显著改善。
BDD的CBT治疗后完全或部分缓解率较高，且高于SPT治疗后。
