ArticleBMC psychiatry2020
Treatment utilization and treatment barriers in individuals with body dysmorphic disorder.
Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 92 citations in OpenAlex.
- Efficacy of an internet-based, therapist-guided cognitive behavioral therapy intervention for adolescents and young adults with body dysmorphic disorder: a randomized controlled trial.BMC psychiatry · 2025Trial
- Efficacy of App-Based Cognitive Behavioral Therapy for Body Dysmorphic Disorder with Coach Support: Initial Randomized Controlled Clinical Trial.Psychotherapy and psychosomatics · 2022Trial
- Characteristics and 12-month outcomes of clinically-referred children and young people at risk of body dysmorphic disorder.Social psychiatry and psychiatric epidemiology · 2026Article
- The Mediating Effect of Body Mass Index on the Association Between Problematic Social Media Use and Body Dysmorphic Concerns: A Cross-Sectional Study Among Young Lebanese Adults.Public health challenges · 2026Article
- Disseminating cognitive-behavioral therapy for body dysmorphic disorder: Evaluating the efficacy of online provider training.Internet interventions · 2026Article
- Primary Psychiatric Disorders: Dermatology Perspectives.Indian dermatology online journal · 2026Article
- Low-Burden Detection of Clinical Worsening in Body Dysmorphic Disorder Using Smartphone Sensor and Demographic Data.Behavior therapy · 2026Observational
- The Relationship Between Body Dysmorphic Symptoms, Depressive Symptoms and Suicidality - A Mediation Analysis.Clinical psychology in Europe · 2026Article
- Cognitive Behavioral Therapy for Muscle Dysmorphia and Anabolic Steroid-Related Psychopathology: A Randomized Controlled Trial.Pharmaceuticals (Basel, Switzerland) · 2025Article
- Risk of self-harm in patients with body dysmorphic disorder: a population-based cohort study.Frontiers in psychiatry · 2025Article
- Single-dose psilocybin alters resting state functional networks in patients with body dysmorphic disorder.Psychedelics · 2025Article
- Staying isolated indoors means that nobody sees me": ontological (in)security and living with significant appearance concerns before, during, and 'since' COVID-19.International journal of qualitative studies on health and well-being · 2024Article
- Advancing Psychosocial Treatment for Body Dysmorphic Disorder: A State-of-the-Science Review.Behavior therapy · 2024Review
- Quantifying body size estimation accuracy and body dissatisfaction in body dysmorphic disorder using a digital avatar.Comprehensive psychiatry · 2024Article
- Prevalence of Body Dysmorphic Disorder in Private Aesthetic Clinical Settings in Four Latin American Countries: A Cross-Sectional Study.Aesthetic plastic surgery · 2024Article
- Body Dysmorphic Disorder in Aesthetic and Reconstructive Plastic Surgery-A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2024Review
- Telephone-Administered Cognitive Behavioral Therapy for Body Dysmorphic Disorder: Case Series.International journal of environmental research and public health · 2022Article
- A smartphone app for the prevention and early intervention of body dysmorphic disorder: Development and evaluation of the content, usability, and aesthetics.Internet interventions · 2022Article
- Future of mental health in the metaverse.General psychiatry · 2022Review
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough effective treatments are available, most individuals with body dysmorphic disorder (BDD) do not receive an appropriate diagnosis or treatment. We aimed to examine treatment utilization and barriers to treatment, and to identify associated socio-demographic and clinical characteristics.
methodsGerman individuals completed an online self-report survey of appearance concerns. A sample of N = 429 individuals met criteria for BDD. We examined the frequency of treatment utilization and barriers, analyzed comparisons between treated and untreated individuals and assessed the relationships of socio-demographic and clinical features with mental health treatment utilization and treatment barriers, respectively.
resultsOnly 15.2% of the individuals with BDD had been diagnosed with BDD, and lifetime rates of mental health treatment were low (39.9%). Individuals endorsed multiple barriers to mental health treatment, especially shame, low perceived need and a preference for cosmetic and medical treatments. Associated features were identified, including age, a BDD diagnosis, body dysmorphic symptom severity, a likely major depressive disorder, prior cosmetic surgery, and insight.
conclusionsThe results of this largest study to date highlight that BDD is still underrecognized and undertreated even in a country with extensive mental health care and few financial barriers. We discuss modifiable factors and strategies to foster awareness of BDD in sufferers and professionals to improve treatment dissemination and to reduce treatment barriers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.