Evidence map›Paper›PMID 33230025›Full record

ArticleInternational clinical psychopharmacology2021

Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology.

David Castle, Francesca Beilharz, Katharine A Phillips, Vlasios Brakoulias, Lynne M Drummond, Eric Hollander, Konstantinos Ioannidis, Stefano Pallanti, Samuel R Chamberlain, Susan L Rossell and 6 more

Open access · greenAbstract readConsensus Statement
In one paragraph

Article in International clinical psychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 63 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Body dysmorphic disorder: Diagnostic challenges and current management.JAAPA : official journal of the American Academy of Physician Assistants · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Body dysmorphic disorder.Nature reviews. Disease primers · 2024
    Review
  10. Article
  11. Review
  12. Review
  13. Body dysmorphic disorder and the ugly truth of Australian healthcare.The Australian and New Zealand journal of psychiatry · 2023
    Article
  14. Article
  15. Telephone-Administered Cognitive Behavioral Therapy for Body Dysmorphic Disorder: Case Series.International journal of environmental research and public health · 2022
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 13 institutions in 6 countries.

David CastleDepartment of Psychiatry, University of Melbourne and St Vincent's Hospital.
Francesca BeilharzCentre for Mental Health, Swinburne University, Melbourne, Australia.
Katharine A PhillipsNew York-Presbyterian Hospital and Professor of Psychiatry, Weill Cornell Medical College, New York, New York, USA.
Vlasios BrakouliasSchool of Medicine, Western Sydney University and Western Sydney Local Health District, Sydney, Australia.
Lynne M DrummondNational Services for OCD/BDD, SW London and St George's NHS Trust, London, UK.
Eric HollanderAlbert Einstein College of Medicine, Bronx, New York, USA.
Konstantinos IoannidisDepartment of Psychiatry, University of Cambridge, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
Stefano PallantiAlbert Einstein College of Medicine, Bronx, New York, USA.
Samuel R ChamberlainDepartment of Psychiatry, University of Southampton.
Susan L RossellCentre for Mental Health, Swinburne University and St Vincent's Hospital, Melbourne, Australia.
David VealeDepartment of Psychology, King's College London and the South London and Maudsley NHS Foundation Trust, London, UK.
Sabine WilhelmDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Cambridge, Massachusetts, USA.
Michael Van AmeringenDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Bernardo Dell'OssoDepartment of Biomedical and Clinical Sciences Luigi Sacco, University of Milan, Luigi Sacco Hospital, Milan, Italy.
Jose M MenchonDepartment of Psychiatry, Bellvitge University Hospital-IDIBELL, University of Barcelona, Cibersam, Barcelona, Spain.
Naomi A FinebergDepartment of Clinical and Pharmaceutical Sciences, University of Hertfordshire and Hertfordshire Partnership University NHS Foundation Trust, Hatfield, UK.
Albert Einstein College of Medicine · USCambridgeshire and Peterborough NHS Foundation Trust · GBSwinburne University of Technology · AUHertfordshire Partnership University NHS Foundation Trust · GBKing's College London · GBLuigi Sacco Hospital · ITMassachusetts General Hospital · USMcMaster University · CAPresbyterian Hospital · USSouth West London and St George's Mental Health NHS Trust · GBSydney Local Health District · AUUniversitat de Barcelona · ESUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Body dysmorphic disorder (BDD) is characterized by a preoccupation with a perceived appearance flaw or flaws that are not observable to others. BDD is associated with distress and impairment of functioning. Psychiatric comorbidities, including depression, social anxiety, and obsessive-compulsive disorder are common and impact treatment. Treatment should encompass psychoeducation, particularly addressing the dangers associated with cosmetic procedures, and may require high doses of selective serotonin reuptake inhibitors* (SSRI*) and protracted periods to establish full benefit. If there is an inadequate response to SSRIs, various adjunctive medications can be employed including atypical antipsychotics*, anxiolytics*, and the anticonvulsant levetiracetam*. However, large-scale randomized controlled trials are lacking and BDD is not an approved indication for these medications. Oxytocin* may have a potential role in treating BDD, but this requires further exploration. Cognitive-behavioural therapy has good evidence for efficacy for BDD, and on-line and telephone-assisted forms of therapy are showing promise. CBT for BDD should be customized to address such issues as mirror use, perturbations of gaze, and misinterpretation of others' emotions, as well as overvalued ideas about how others view the individual.

Indexed as

Body Dysmorphic DisordersEuropeHumansSocieties, Medical

Identifiers

PMID33230025
PMCPMC7846290
OpenAlexW3110396742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.