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Annual Review of Clinical Psychology

Volume 11, 2015

Clinical Features, Cognitive Biases, and Treatment of Body Dysmorphic Disorder

Abstract

In the past two decades, research advances have enhanced our understanding of the clinical features, cognitive biases, and treatment of body dysmorphic disorder (BDD). In this review, we critically examine the current state of the evidence on the proposed cognitive and emotional processing mechanisms of BDD. We describe how major findings in these areas made unique contributions to the development of an empirically informed cognitive-behavioral model of BDD, which in turn facilitated the translation of research to treatment strategies. Finally, we outline important areas of future research.

Keyword(s): body image, cognitive bias, cognitive-behavioral model, cognitive-behavioral therapy
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2015-03-28
2024-04-16
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Literature Cited

  1. Alavi M, Kalafi Y, Dehbozorgi GR, Javadpour A. 2011. Body dysmorphic disorder and other psychiatric morbidity in aesthetic rhinoplasty candidates. J. Plast. Reconstr. Aesthet. Surg. 64:738–41 [Google Scholar]
  2. Albertini RS, Phillips KA. 1999. Thirty-three cases of body dysmorphic disorder in children and adolescents. J. Am. Acad. Child Adolesc. Psychiatry 38:453–59 [Google Scholar]
  3. Aldea MA, Storch EA, Geffken GR, Murphy TK. 2009. Intensive cognitive-behavioral therapy for adolescents with body dysmorphic disorder. Clin. Case Stud. 8:113–21 [Google Scholar]
  4. Am. Psychiatr. Assoc 1980. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: Am. Psychiatr. Publ, 3rd ed..
  5. Am. Psychiatr. Assoc 1987. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: Am. Psychiatr. Publ, 3rd ed., rev..
  6. Am. Psychiatr. Assoc 2000. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: Am. Psychiatr. Publ, 4th. ed., text rev.
  7. Am. Psychiatr. Assoc 2013. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: Am. Psychiatr. Assoc, 5th ed..
  8. Beck AT, Clark DA. 1997. An information processing model of anxiety: automatic and strategic processes. Behav. Res. Ther. 35:49–58 [Google Scholar]
  9. Berger T, Caspar F, Richardson R, Kneubühler B, Sutter D, Andersson G. 2011. Internet-based treatment of social phobia: a randomized controlled trial comparing unguided with two types of guided self-help. Behav. Res. Ther. 49:158–69 [Google Scholar]
  10. Bjornsson AS, Didie ER, Grant JE, Menard W, Stalker E, Phillips KA. 2013. Age at onset and clinical correlates in body dysmorphic disorder. Compr. Psychiatry 54:893–903 [Google Scholar]
  11. Bohne A, Wilhelm S, Keuthen NJ, Florin I, Baer L, Jenike MA. 2002. Prevalence of body dysmorphic disorder in a German college student sample. Psychiatry Res. 109:101–4 [Google Scholar]
  12. Bradshaw JL, Gates A, Patterson K. 1976. Hemispheric differences in processing visual stimuli. Q. J. Exp. Psychol. 28:667–81 [Google Scholar]
  13. Brockmeyer T, Ingenerf K, Walther S, Wild B, Hartmann M. et al. 2014. Training cognitive flexibility in patients with anorexia nervosa: a pilot randomized controlled trial of cognitive remediation therapy. Int. J. Eat. Disord. 47:24–31 [Google Scholar]
  14. Buhlmann U, Cook LM, Fama JM, Wilhelm S. 2007. Perceived teasing experiences in body dysmorphic disorder. Body Image 4:381–85 [Google Scholar]
  15. Buhlmann U, Etcoff NL, Wilhelm S. 2006. Emotion recognition bias for contempt and anger in body dysmorphic disorder. J. Psychiatr. Res. 40:105–11Demonstrated an emotion recognition bias in BDD for misinterpreting facial expressions as angry and contemptuous. [Google Scholar]
  16. Buhlmann U, Etcoff NL, Wilhelm S. 2008a. Facial attractiveness ratings and perfectionism in body dysmorphic disorder and obsessive-compulsive disorder. J. Anxiety Disord. 22:540–47 [Google Scholar]
  17. Buhlmann U, Glaesmer H, Mewes R, Fama JM, Wilhelm S. et al. 2010. Updates on the prevalence of body dysmorphic disorder: a population-based survey. Psychiatry Res. 178:171–75 [Google Scholar]
  18. Buhlmann U, Gleiß MJL, Rupf L, Zschenderlein K, Kathmann N. 2011a. Modifying emotion recognition deficits in body dysmorphic disorder: an experimental investigation. Depress. Anxiety 28:924–31 [Google Scholar]
  19. Buhlmann U, McNally RJ, Etcoff NL, Tuschen-Caffier B, Wilhelm S. 2004. Emotion recognition deficits in body dysmorphic disorder. J. Psychiatr. Res. 38:201–6 [Google Scholar]
  20. Buhlmann U, McNally RJ, Wilhelm S, Florin I. 2002a. Selective processing of emotional information in body dysmorphic disorder. J. Anxiety Disord. 16:289–98 [Google Scholar]
  21. Buhlmann U, Reese HE, Renaud S, Wilhelm S. 2008b. Clinical considerations for the treatment of body dysmorphic disorder with cognitive-behavioral therapy. Body Image 5:39–49 [Google Scholar]
  22. Buhlmann U, Rupf L, Gleiss MJL, Zschenderlein K, Kathmann N. 2014. Seeing “changes” that aren't there: facial and object discrimination in body dysmorphic disorder. Compr. Psychiatry 55:468–74 [Google Scholar]
  23. Buhlmann U, Teachman BA, Kathmann N. 2011b. Evaluating implicit attractiveness beliefs in body dysmorphic disorder using the Go/No-Go Association Task. J. Behav. Ther. Exp. Psychiatry 42:192–97 [Google Scholar]
  24. Buhlmann U, Teachman BA, Naumann E, Fehlinger T, Rief W. 2009. The meaning of beauty: implicit and explicit self-esteem and attractiveness beliefs in body dysmorphic disorder. J. Anxiety Disord. 23:694–702 [Google Scholar]
  25. Buhlmann U, Wilhelm S. 2004. Cognitive factors in body dysmorphic disorder. Psychiatr. Ann. 34:922–26 [Google Scholar]
  26. Buhlmann U, Wilhelm S, McNally RJ, Tuschen-Caffier B, Baer L, Jenike MA. 2002b. Interpretive biases for ambiguous information in body dysmorphic disorder. CNS Spectr. 7:436–43Reported a negative interpretive bias for ambiguous information in BDD. [Google Scholar]
  27. Buhlmann U, Winter A, Kathmann N. 2013. Emotion recognition in body dysmorphic disorder: application of the Reading the Mind in the Eyes Task. Body Image 10:247–50 [Google Scholar]
  28. Chosak A, Marques L, Greenberg JL, Jenike E, Dougherty DD, Wilhelm S. 2008. Body dysmorphic disorder and obsessive-compulsive disorder: similarities, differences and the classification debate. Expert Rev. Neurother. 8:1209–18 [Google Scholar]
  29. Clerkin EM, Teachman BA. 2008. Perceptual and cognitive biases in individuals with body dysmorphic disorder symptoms. Cogn. Emot. 22:1327–39 [Google Scholar]
  30. Clerkin EM, Teachman BA. 2009. Automatic and strategic measures as predictors of mirror gazing among individuals with body dysmorphic disorder symptoms. J. Nerv. Ment. Dis. 197:589–98 [Google Scholar]
  31. Cohen LJ, Kingston P, Bell A, Kwon J, Aronowitz B, Hollander E. 2000. Comorbid personality impairment in body dysmorphic disorder. Compr. Psychiatry 41:4–12 [Google Scholar]
  32. Coles ME, Phillips KA, Menard W, Pagano ME, Fay C. et al. 2006. Body dysmorphic disorder and social phobia: cross-sectional and prospective data. Depress. Anxiety 23:26–33 [Google Scholar]
  33. Conrado LA, Hounie AG, Diniz JB, Fossaluza V, Torres AR. et al. 2010. Body dysmorphic disorder among dermatologic patients: prevalence and clinical features. J. Am. Acad. Dermatol. 63:235–43 [Google Scholar]
  34. Crerand CE, Menard W, Phillips KA. 2010. Surgical and minimally invasive cosmetic procedures among persons with body dysmorphic disorder. Ann. Plast. Surg. 65:11–16 [Google Scholar]
  35. Deckersbach T, Savage CR, Phillips KA, Wilhelm S, Buhlmann U. et al. 2000. Characteristics of memory dysfunction in body dysmorphic disorder. J. Int. Neuropsychol. Soc. 6:673–81Reported a tendency for patients with BDD to overfocus on small details of a complex figure. [Google Scholar]
  36. Doehrmann O, Ghosh SS, Polli FE, Reynolds GO, Horn F. et al. 2013. Predicting treatment response in social anxiety disorder from functional magnetic resonance imaging. JAMA Psychiatry 70:87–97 [Google Scholar]
  37. Dufresne RG, Phillips KA, Vittorio CC, Wilkel CS. 2001. A screening questionnaire for body dysmorphic disorder in a cosmetic dermatologic surgery practice. Dermatol. Surg. 27:457–62 [Google Scholar]
  38. Ekman P, Friesen W. 1975. Unmasking the Face: A Guide to Recognizing Emotions from Facial Cues Englewood Cliffs, NJ: Prentice-Hall
  39. Ekman P, Friesen W. 1976. Pictures of Facial Affect Palo Alto, CA: Consult. Psychol. Press
  40. Evans MA, Shedden JM, Hevenor SJ, Hahn MC. 2000. The effect of variability of unattended information on global and local processing: evidence for lateralization at early stages of processing. Neuropsychologia 38:225–39 [Google Scholar]
  41. Fang A, Sawyer AT, Aderka IM, Hofmann SG. 2013. Psychological treatment of social anxiety disorder improves body dysmorphic concerns. J. Anxiety Disord. 7:684–91 [Google Scholar]
  42. Feusner JD, Bystritsky A, Hellemann G, Bookheimer S. 2010a. Impaired identity recognition of faces with emotional expressions in body dysmorphic disorder. Psychiatry Res. 179:318–23 [Google Scholar]
  43. Feusner JD, Hembacher E, Moller H, Moody TD. 2011. Abnormalities of object visual processing in body dysmorphic disorder. Psychol. Med. 41:2385–97 [Google Scholar]
  44. Feusner JD, Moller H, Altstein L, Sugar C, Bookheimer S. et al. 2010b. Inverted face processing in body dysmorphic disorder. J. Psychiatr. Res. 44:1088–94 [Google Scholar]
  45. Feusner JD, Moody T, Hembacher E, Townsend J, McKinley M. et al. 2010c. Abnormalities of visual processing and frontostriatal systems in body dysmorphic disorder. Arch. Gen. Psychiatry 67:197–205 [Google Scholar]
  46. Feusner JD, Townsend J, Bystritsky A, Bookheimer S. 2007. Visual information processing of faces in body dysmorphic disorder. Arch. Gen. Psychiatry 64:1417–26 [Google Scholar]
  47. Feusner JD, Yaryura-Tobias J, Saxena S. 2008. The pathophysiology of body dysmorphic disorder. Body Image 5:3–12 [Google Scholar]
  48. Grant JE, Menard W, Phillips KA. 2006. Pathological skin picking in individuals with body dysmorphic disorder. Gen. Hosp. Psychiatry 28:487–93 [Google Scholar]
  49. Greenberg JL, Markowitz S, Petronko MR, Taylor CE, Wilhelm S, Wilson GT. 2010. Cognitive-behavioral therapy for adolescent body dysmorphic disorder. Cogn. Behav. Pract. 17:248–58 [Google Scholar]
  50. Greenberg JL, Reuman L, Hartmann AS, Kasarskis I, Wilhelm S. 2014. Visual hot spots: an eye tracking study of attention bias in body dysmorphic disorder. J. Psychiatr. Res. 57:125–32 [Google Scholar]
  51. Greenwald AG, McGhee DE, Schwartz JLK. 1998. Measuring individual differences in implicit cognition: the implicit association test. J. Personal. Soc. Psychol. 74:1464–80 [Google Scholar]
  52. Grocholewski A, Kliem S, Heinrichs N. 2012. Selective attention to imagined facial ugliness is specific to body dysmorphic disorder. Body Image 9:261–69Showed biases in visual attention in BDD using eye-tracking technology (see also Greenberg et al. 2014). [Google Scholar]
  53. Gunstad J, Phillips KA. 2003. Axis I comorbidity in body dysmorphic disorder. Compr. Psychiatry 44:270–76 [Google Scholar]
  54. Hanes KR. 1998. Neuropsychological performance in body dysmorphic disorder. J. Int. Neuropsychol. Soc. 4:167–71 [Google Scholar]
  55. Hartmann AS, Greenberg JL, Wilhelm S. 2013. The relationship between anorexia nervosa and body dysmorphic disorder. Clin. Psychol. Rev. 33:675–85 [Google Scholar]
  56. Herbst N, Voderholzer U, Thiel N, Schaub R, Knaevelsrud C. et al. 2014. No talking, just writing! Efficacy of an internet-based cognitive behavioral therapy with exposure and response prevention in obsessive compulsive disorder. Psychother. Psychosom. 83:165–75 [Google Scholar]
  57. Hofmann SG, Fang A, Gutner CA. 2014. Cognitive enhancers for the treatment of anxiety disorders. Restor. Neurol. Neurosci. 32:183–95 [Google Scholar]
  58. Hofmann SG, Smits JA, Rosenfield D, Simon N, Otto NW. et al. 2013. D-cycloserine as an augmentation strategy with cognitive-behavioral therapy for social anxiety disorder. Am. J. Psychiatry 170:751–58 [Google Scholar]
  59. Hollander E, Allen A, Kwon J, Aronowitz B, Schmeidler J. et al. 1999. Clomipramine versus desipramine crossover trial in body dysmorphic disorder: selective efficacy of a serotonin reuptake inhibitor in imagined ugliness. Arch. Gen. Psychiatry 56:1033–39 [Google Scholar]
  60. Hollander E, Cohen L, Simeon D, Rosen J, DeCaria C, Stein DJ. 1994. Fluvoxamine treatment of body dysmorphic disorder. J. Clin. Psychopharmacol. 14:75–77 [Google Scholar]
  61. Horowitz K, Gorfinkle K, Lewis O, Phillips KA. 2002. Body dysmorphic disorder in an adolescent girl. J. Am. Acad. Child Adolesc. Psychiatry 41:1503–9 [Google Scholar]
  62. Insel T, Cuthbert B, Garvey M, Heinssen R, Pine DS. et al. 2010. Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. Am. J. Psychiatry 167:748–51 [Google Scholar]
  63. Insel TR. 2014. The NIMH Research Domain Criteria (RDoC) project: precision medicine for psychiatry. Am. J. Psychiatry 171:395–97 [Google Scholar]
  64. Kelly MM, Walters C, Phillips KA. 2010. Social anxiety and its relationship to functional impairment in body dysmorphic disorder. Behav. Ther. 41:143–53 [Google Scholar]
  65. Kerwin L, Hovav S, Helleman G, Feusner JD. 2014. Impairment in local and global processing and set-shifting in body dysmorphic disorder. J. Psychiatr. Res. 57:41–50Reported deficits in global and local processing in BDD (see also Feusner et al. 2007). [Google Scholar]
  66. Kittler JE, Menard W, Phillips KA. 2007. Weight concerns in individuals with body dysmorphic disorder. Eat. Behav. 8:115–20 [Google Scholar]
  67. Koran LM, Abujaoude E, Large MD, Serpe RT. 2008. The prevalence of body dysmorphic disorder in the United States adult population. CNS Spectr. 13:316–22 [Google Scholar]
  68. Krebs G, Turner C, Heyman I, Mataix-Cols D. 2012. Cognitive behavior therapy for adolescents with body dysmorphic disorder: a case series. Behav. Cogn. Psychother. 40:452–61 [Google Scholar]
  69. Kushner MG, Kim SW, Donahue C, Thuras P, Adson D. et al. 2007. D-cycloserine augmented exposure therapy for obsessive-compulsive disorder. Biol. Psychiatry 62:835–38 [Google Scholar]
  70. Lopez C, Tchanturia K, Stahl D, Treasure J. 2009. Weak central coherence in eating disorders: a step towards looking for an endophenotype of eating disorders. J. Clin. Exp. Neuropsychol. 31:117–25 [Google Scholar]
  71. Marques LM, Weingarden HM, LeBlanc NJ, Wilhelm S. 2011. Treatment utilization and barriers to treatment engagement among people with body dysmorphic symptoms. J. Psychosom. Res. 70:286–93 [Google Scholar]
  72. Neziroglu F, Khemlani-Patel S, Veale D. 2008. Social learning theory and cognitive behavioral models of body dysmorphic disorder. Body Image 5:28–38 [Google Scholar]
  73. Neziroglu F, McKay D, Todaro J, Yaryura-Tobias JA. 1996. Effect of cognitive behavior therapy on persons with body dysmorphic disorder and comorbid Axis II diagnoses. Behav. Ther. 27:67–77 [Google Scholar]
  74. Neziroglu F, Stevens KP, McKay D, Yaryura-Tobias JA. 2001. Predictive validity of the overvalued ideas scale: outcome in obsessive-compulsive and body dysmorphic disorders. Behav. Res. Ther. 39:745–56 [Google Scholar]
  75. Osman S, Cooper M, Hackmann A, Veale D. 2004. Spontaneously occurring images and early memories in people with body dysmorphic disorder. Memory 12:428–36 [Google Scholar]
  76. Perugi G, Giannotti D, Di Vaio S, Frare F, Saettoni M, Cassano GB. 1996. Fluvoxamine in the treatment of body dysmorphic disorder (dysmorphophobia). Int. Clin. Psychopharmacol. 11:247–54 [Google Scholar]
  77. Phillips KA. 1998. Body dysmorphic disorder: clinical aspects and treatment strategies. Bull. Menninger Clin. 62:4 Suppl. AA33–48 [Google Scholar]
  78. Phillips KA. 2004. Psychosis in body dysmorphic disorder. J. Psychiatr. Res. 38:63–72Showed that 84% of BDD patients either were delusional or had poor insight. [Google Scholar]
  79. Phillips KA. 2006a. An open-label study of escitalopram in body dysmorphic disorder. Int. Clin. Psychopharmacol. 21:177–79 [Google Scholar]
  80. Phillips KA. 2006b. The presentation of body dysmorphic disorder in medical settings. Prim. Psychiatry 13:51–59 [Google Scholar]
  81. Phillips KA. 2007. Suicidality in body dysmorphic disorder. Prim. Psychiatry 14:58–66 [Google Scholar]
  82. Phillips KA. 2009. Understanding Body Dysmorphic Disorder: An Essential Guide New York: Oxford Univ. Press
  83. Phillips KA, Albertini RS, Rasmussen SA. 2002. A randomized placebo-controlled trial of fluoxetine in body dysmorphic disorder. Arch. Gen. Psychiatry 59:381–88 [Google Scholar]
  84. Phillips KA, Atala KD, Pope HG. 1995. Diagnostic instruments for body dysmorphic disorder Paper presented at Annu. Meet. Am. Psychiatr. Assoc., 148th, Miami, FL
  85. Phillips KA, Diaz SF. 1997. Gender differences in body dysmorphic disorder. J. Nerv. Ment. Dis. 185:570–77 [Google Scholar]
  86. Phillips KA, Dwight MM, McElroy SL. 1998. Efficacy and safety of fluvoxamine in body dysmorphic disorder. J. Clin. Psychiatry 59:165–71 [Google Scholar]
  87. Phillips KA, Grant J, Siniscalchi J, Albertini RS. 2001. Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder. Psychosomatics 42:504–10 [Google Scholar]
  88. Phillips KA, Hollander E. 2008. Treating body dysmorphic disorder with medication: evidence, misconceptions, and a suggested approach. Body Image 5:13–27 [Google Scholar]
  89. Phillips KA, McElroy SL. 2000. Personality disorders and traits in patients with body dysmorphic disorder. Compr. Psychiatry 41:229–36 [Google Scholar]
  90. Phillips KA, McElroy SL, Keck PE, Hudson JI. 1994. A comparison of delusional and nondelusional body dysmorphic disorder in 100 cases. Psychopharmacol. Bull. 30:179–86 [Google Scholar]
  91. Phillips KA, McElroy SL, Keck PE, Pope HG, Hudson JI. 1993. Body dysmorphic disorder: 30 cases of imagined ugliness. Am. J. Psychiatry 150:302–8 [Google Scholar]
  92. Phillips KA, Menard W. 2006. Suicidality in body dysmorphic disorder: a prospective study. Am. J. Psychiatry 163:1280–82 [Google Scholar]
  93. Phillips KA, Menard W, Fay C. 2006. Gender similarities and differences in 200 individuals with body dysmorphic disorder. Compr. Psychiatry 47:77–87 [Google Scholar]
  94. Phillips KA, Menard W, Fay C, Weisberg R. 2005. Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder. Psychosomatics 46:317–25 [Google Scholar]
  95. Phillips KA, Menard W, Quinn E, Didie ER, Stout RL. 2013. A 4-year prospective observational follow-up study of course and predictors of course in body dysmorphic disorder. Psychol. Med. 43:1109–17 [Google Scholar]
  96. Phillips KA, Najjar F. 2003. An open-label study of citalopram in body dysmorphic disorder. J. Clin. Psychiatry 64:715–20 [Google Scholar]
  97. Phillips KA, Nierenberg AA, Brendel G, Fava M. 1996. Prevalence and clinical features of body dysmorphic disorder in atypical major depression. J. Nerv. Ment. Dis. 184:125–29 [Google Scholar]
  98. Phillips KA, Rogers J. 2011. Cognitive-behavioral therapy for youth with body dysmorphic disorder: current status and future directions. Child Adolesc. Psychiatr. Clin. N. Am. 20:287–304 [Google Scholar]
  99. Pretorius N, Arcelus J, Beecham J, Dawson H, Doherty F. et al. 2009. Cognitive-behavioural therapy for adolescents with bulimic symptomatology: the acceptability and effectiveness of internet-based delivery. Behav. Res. Ther. 47:729–36 [Google Scholar]
  100. Reese HE, McNally RJ, Wilhelm S. 2010. Facial asymmetry detection in patients with body dysmorphic disorder. Behav. Res. Ther. 48:936–40 [Google Scholar]
  101. Reese HE, McNally RJ, Wilhelm S. 2011. Probabilistic reasoning in patients with body dysmorphic disorder. J. Behav. Ther. Exp. Psychiatry 42:270–76 [Google Scholar]
  102. Rief W, Buhlmann U, Wilhelm S, Borkenhagen A, Brahler E. 2006. The prevalence of body dysmorphic disorder: a population-based survey. Psychol. Med. 36:877–86 [Google Scholar]
  103. Rosen JC, Reiter J, Orosan P. 1995. Cognitive-behavioral body image therapy for body dysmorphic disorder. J. Consult. Clin. Psychol. 63:263–69 [Google Scholar]
  104. Salkovskis PM. 1985. Obsessional-compulsive problems: a cognitive-behavioural analysis. Behav. Res. Ther. 23:571–83 [Google Scholar]
  105. Sarwer DB. 2002. Awareness and identification of body dysmorphic disorder by aesthetic surgeons: results of a survey of American Society for Aesthetic Plastic Surgery Members. Aesthet. Surg. J. 6:531–55 [Google Scholar]
  106. Savage CR, Baer L, Keuthen NJ, Brown HD, Rauch SL, Jenike MA. 1999. Organizational strategies mediate nonverbal memory impairment in obsessive-compulsive disorder. Biol. Psychiatry 45:905–16 [Google Scholar]
  107. Siegle GJ, Thompson WK, Collier A, Berman SR, Feldmiller J. et al. 2012. Toward clinically useful neuroimaging in depression treatment: prognostic utility of subgenual cingulate activity for determining depression outcome in cognitive therapy across studies, scanners, and patient characteristics. Arch. Gen. Psychiatry 69:913–24 [Google Scholar]
  108. Stangier U, Adam-Schwebe S, Müller T, Wolter M. 2008. Discrimination of facial appearance stimuli in body dysmorphic disorder. J. Abnorm. Psychol. 117:435–43 [Google Scholar]
  109. Storch EA, Merlo LJ, Bengtson M, Murphy TK, Lewis MH. et al. 2007. D-cycloserine does not enhance exposure-response prevention therapy in obsessive-compulsive disorder. Int. Clin. Psychopharmacol. 22:230–37 [Google Scholar]
  110. Storch EA, Murphy TK, Goodman WK, Geffken GR, Lewin AB. et al. 2010. A preliminary study of D-cycloserine augmentation of cognitive-behavioral therapy in pediatric obsessive-compulsive disorder. Biol. Psychiatry 68:1073–76 [Google Scholar]
  111. Veale D. 2000. Outcome of cosmetic surgery and “DIY” surgery in patients with body dysmorphic disorder. Psychiatr. Bull. 24:218–21 [Google Scholar]
  112. Veale D. 2004. Advances in a cognitive behavioral model of body dysmorphic disorder. Body Image 1:113–25 [Google Scholar]
  113. Veale D, Gournay K, Dryden W, Boocock A, Shah F. et al. 1996. Body dysmorphic disorder: a cognitive behavioural model and pilot randomised controlled trial. Behav. Res. Ther. 34:717–29 [Google Scholar]
  114. Wilhelm S. 2006. Feeling Good About the Way You Look: A Program for Overcoming Body Image Problems New York: Guilford
  115. Wilhelm S, Buhlmann U, Tolin DF, Meunier SA, Pearlson GD. et al. 2008. Augmentation of behavior therapy with D-cycloserine for obsessive-compulsive disorder. Am. J. Psychiatry 165:335–41 [Google Scholar]
  116. Wilhelm S, Neziroglu F. 2002. Cognitive theory of body dysmorphic disorder. Cognitive Approaches to Obsessions and Compulsions RO Frost, G Steketee 203–14 Amsterdam: Pergamon/Elsevier Sci. [Google Scholar]
  117. Wilhelm S, Otto MW, Zucker BG, Pollack MH. 1997. Prevalence of body dysmorphic disorder in patients with anxiety disorders. J. Anxiety Disord. 11:499–502 [Google Scholar]
  118. Wilhelm S, Phillips KA, Fama JM, Greenberg JL, Steketee G. 2011. Modular cognitive-behavioral therapy for body dysmorphic disorder. Behav. Ther. 42:624–33 [Google Scholar]
  119. Wilhelm S, Phillips KA, Didie E, Buhlmann U, Greenberg JL. et al. 2014. Modular cognitive behavioral therapy for body dysmorphic disorder: a randomized controlled trial. Behav. Ther. 45:314–27A recent randomized-controlled trial that tested CBT-BDD versus a wait-list control. [Google Scholar]
  120. Wilhelm S, Phillips KA, Steketee G. 2013. Cognitive-Behavioral Therapy for Body Dysmorphic Disorder: A Treatment Manual New York: GuilfordProvided treatment guidelines in a manual for CBT-BDD.
  121. Williams J, Hadjistavropoulos T, Sharpe D. 2006. A meta-analysis of psychological and pharmacological treatments for body dysmorphic disorder. Behav. Res. Ther. 44:99–111 [Google Scholar]
  122. Windheim K, Veale D, Anson M. 2011. Mirror gazing in body dysmorphic disorder and healthy controls: effects of duration of gazing. Behav. Res. Ther. 49:555–64 [Google Scholar]
  123. Wright MR. 1987. The male aesthetic patient. Arch. Otolaryngol. Head Neck Surg. 113:724–27 [Google Scholar]
  124. Yazel L, Tager J. 1999. The serial-surgery murder. Glamour 97:108 [Google Scholar]
/content/journals/10.1146/annurev-clinpsy-032814-112849
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Clinical Features, Cognitive Biases, and Treatment of Body Dysmorphic Disorder
Annual Review of Clinical Psychology 11, 187 (2015); https://doi.org/10.1146/annurev-clinpsy-032814-112849
/content/journals/10.1146/annurev-clinpsy-032814-112849
/content/journals/10.1146/annurev-clinpsy-032814-112849
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