Massachusetts General Hospital/Harvard Medical School.
Massachusetts General Hospital/Harvard Medical School.
Behav Ther. 2024 Nov;55(6):1249-1288. doi: 10.1016/j.beth.2024.04.002. Epub 2024 Apr 10.
Body dysmorphic disorder (BDD) is an underrecognized, challenging illness with severe comorbidities, demanding urgent advancements in treatment strategies. This state-of-the-science review describes current research on existing BDD treatments, beginning with a detailed discussion of cognitive-behavioral therapy (CBT), the primary psychosocial intervention for BDD, and its foundational theories. We emphasize the significant progress in the field, including the efficacy of face-to-face CBT, the promising outcomes of digital interventions for broadening access to care, and emerging treatments that warrant further exploration. The review also addresses the critical gap of targeted interventions for youth, considering the diseases' typical onset during adolescence. Our review also sheds light on the significant gap in research dedicated to testing these treatments in underserved communities, stressing the importance of including these populations in research and culturally informed and adapted, if necessary, care. The review concludes with recommendations for future directions, outlining areas for ongoing treatment development and research to expand the scope and efficacy of interventions for BDD.
躯体变形障碍（BDD）是一种认识不足的、具有挑战性的疾病，伴有严重的共病，迫切需要在治疗策略上取得进展。本现状综述描述了现有 BDD 治疗方法的研究现状，首先详细讨论了认知行为疗法（CBT），这是 BDD 的主要心理社会干预措施及其基础理论。我们强调了该领域的重大进展，包括面对面 CBT 的疗效、数字干预扩大治疗机会的有希望的结果，以及值得进一步探索的新兴治疗方法。该综述还讨论了针对青少年的针对性干预措施的关键空白，考虑到该疾病通常在青春期发病。我们的综述还揭示了专门针对服务不足社区测试这些治疗方法的研究中的重大空白，强调了在研究中纳入这些人群的重要性，并在必要时提供文化上知情和适应的护理。该综述最后提出了未来方向的建议，概述了正在进行的治疗开发和研究领域，以扩大 BDD 干预措施的范围和效果。
