Lahore School of Behavioral Sciences, University of Lahore, Lahore, Pakistan.
Department of Applied Psychology, Government College University Faisalabad, Faisalabad, Pakistan.
J Pak Med Assoc. 2024 Aug;74(8):1488-1494. doi: 10.47391/JPMA.10974.
To evaluate the effectiveness, cost-effectiveness and feasibility of internet-based Cognitive Behavioural Therapy (CBT) in the treatment of body dysmorphic disorder.
The systematic review was conducted from August 19 to September 22, 2023, and comprised search on Cochrane Library, Embase, Google Scholar, PubMed, PsycINFO and Web of Science databases using specific key words for studies published in the English language from 2010 onwards. Grey literature and pertinent conference proceedings were also searched to include as many studies as possible that investigated internet-based cognitive behavioural therapy in the treatment of body dysmorphic disorder. Data extraction was done, and the selected studies were subjected to quality assessment, followed by a narrative synthesis of the findings.
Out of the 6,837 studies initially identified, 8(0.11%) were analysed in detail. Of the 8 studies, 4(50%) were RCTs, while 5(62.5%) had been conducted in Sweden. Therapist-guided internet-based cognitive behavioural therapy interventions consistently demonstrated efficacy with respect to reducing body dysmorphic disorder symptom severity, improving insight, and enhancing quality of life. Cost-effectiveness analyses highlighted the favourable economic aspect of internet-based cognitive behavioural therapy. Feasibility and acceptability were demonstrated by high participant engagement and satisfaction.
Internet-based cognitive behavioural therapy showed promise in addressing the treatment gap in body dysmorphic disorder care, offering accessible, cost-effective and feasible interventions.
评估基于互联网的认知行为疗法（CBT）治疗躯体变形障碍的有效性、成本效益和可行性。
系统评价于 2023 年 8 月 19 日至 9 月 22 日进行，在 Cochrane Library、Embase、Google Scholar、PubMed、PsycINFO 和 Web of Science 数据库中使用特定的关键词搜索自 2010 年以来发表的英文研究。还搜索了灰色文献和相关会议记录，以尽可能纳入研究互联网认知行为疗法治疗躯体变形障碍的研究。进行数据提取，并对选定的研究进行质量评估，然后对结果进行叙述性综合。
最初确定的 6837 项研究中，有 8 项（0.11%）进行了详细分析。这 8 项研究中，有 4 项（50%）为 RCT，而 5 项（62.5%）是在瑞典进行的。有督导的基于互联网的认知行为疗法干预措施在减轻躯体变形障碍症状严重程度、提高洞察力和提高生活质量方面始终显示出疗效。成本效益分析突出了基于互联网的认知行为疗法具有良好的经济效益。高参与率和满意度证明了其可行性和可接受性。
基于互联网的认知行为疗法有望解决躯体变形障碍护理中的治疗差距，提供可及、具有成本效益和可行的干预措施。
