Thursday, February 4, 2016

Perceived ugliness can be cured with CGT via the Internet – forskning.se

The sufferers have an elevated risk of suicide and the diagnosis is associated with sickness and suffering. Nevertheless, body dysmorphic disorder has long been a neglected state in health care and it can be difficult to get the right kind of help.

The study – the first randomized treatment study done – published in the British Medical Journal, and can help that more people diagnosed with body dysmorphic disorder can receive care.

Every third patient was good
order to increase access to treatment for this population, a new type of cognitive behavioral therapy, cGT, conducted on the Internet developed and tested in the largest treatment study ever conducted in this patient population. Every third patient was completely cured after twelve weeks of treatment.

– The results showed that Internet-based CBT was superior to counseling and treatment effect of Internet-based CBT is comparable with that achieved with traditional CBT, says the study’s first author Jesper Enander at the Department of clinical Neuroscience at Karolinska Institutet.

of the 94 patients who participated, many had been ill for several years and have had previous contacts with the health service. One in five participants had previously made between one and six plastic surgeries to try to correct the perceived wrong with the look.

Depression declined
The study participants were randomized to one of two treatments: Internet-based CBT or a control group consisting of counseling. The group that was assigned to support the call was later offered CGT.

Right after the treatment was completed, half of the people in the CBT group reduced their symptoms significantly, and the third was thus completely healed. The treatment also increased the quality of life for participants and reduced depressive symptoms. Half of those who had an ongoing depression at baseline were no longer depressed after they have completed treatment.

The researchers hope that the treatment will eventually become available within the regular health care system, so that more people suffering from permit access to effective treatment.

Many people without care
– Many people with body dysmorphic disorder are today without treatment, partly because the state is relatively unknown in the healthcare sector, but also because people with body dysmorphic disorder do not seek care because of fear of being perceived as superficial or not to be taken seriously in the face of health care.

– the majority of study participants also expressed that it was just that they could make reading on the internet that it was that made them sought care at all, says Christian Rück at the Department of clinical Neuroscience at Karolinska Institutet, who led the study.

the study was funded by ALF funds from Karolinska Institutet and Stockholm county Council, the Swedish Research Council and the Swedish Medical Association.

Publication: “Therapist-guided Internet-based cognitive behavioral therapy for body dysmorphic disorder: A single- blind randomized controlled trial, “Jesper Enander, Erik Andersson, David Mataix-Cols, Linn Lichtenstein, Catherine Alstrom, Gerhard Andersson, Brjánn Ljótsson, Christian Ruck, the British Medical Journal, BMJ 2016; 352: i241, online 2 February, 2016.

for questions, please contact: Christian Rück, associate Professor, Chief physician, Department of clinical Neuroscience, Phone: 070-4843392, Email: christian.ruck@ki.se
Jesper Enander, PhD, psychologist, Department of clinical Neuroscience,

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