Status:

RECRUITING

Perceptual Abnormalities and Their Malleability in BDD

Lead Sponsor:

Centre for Addiction and Mental Health

Collaborating Sponsors:

National Institute of Mental Health (NIMH)

University of Alabama at Birmingham

Conditions:

Body Dysmorphic Disorder

Eligibility:

All Genders

18-40 years

Phase:

NA

Brief Summary

A core symptom of body dysmorphic disorder (BDD) is perceptual distortions for appearance, which contributes to poor insight and delusionality, limits engagement in treatment, and puts individuals at ...

Detailed Description

Individuals with body dysmorphic disorder (BDD) misperceive specific aspects of one's own appearance to be conspicuously flawed or defective, despite these being unnoticeable or appearing minuscule to...

Eligibility Criteria

Inclusion

  • Body dysmorphic disorder: Inclusion:
  • males or females
  • ages 18-40
  • meet Diagnostic and Statistical Manual-5 (DSM-5) criteria for Body Dysmorphic Disorder
  • have a Body Dysmorphic Disorder version of the Yale-Brown Obsessive-Compulsive Disorder Scale (BDD-YBOCS) score of ≥20
  • primary appearance concerns of the face or head area
  • medication naïve or medication free for at least 8 weeks prior to enrollment
  • Subclinical body dysmorphic disorder: Inclusion:
  • males or females
  • ages 18-40
  • have a score on the Dysmorphic Concern Questionnaire of ≥8 \[1 standard deviation (STD) above population norms\] - primary appearance concerns of the face or head area
  • medication naïve or medication free for at least 8 weeks prior to enrollment
  • Healthy controls: Inclusion
  • Healthy males and females from any racial or ethnic background - ages 18-40
  • have a score on the Dysmorphic Concern Questionnaire of \<8

Exclusion

  • Body dysmorphic disorder: Exclusion
  • concurrent major Axis I disorders including substance use disorders, aside from anxiety disorders or depressive disorders, as these comorbidities are very common and the sample would otherwise be non-representative; however BDD must be the primary diagnosis.
  • lifetime: bipolar disorder or psychotic disorder.
  • psychotropic medications, aside from a short half-life sedative/hypnotic for insomnia, or a short half-life benzodiazepine as needed for anxiety but not exceeding a frequency of 3 doses in one week and not to be taken on the days of the training or MRI scan
  • current cognitive-behavioral therapy
  • Exclusion:
  • Subclinical body dysmorphic disorder: Exclusion
  • meet full DSM-5 criteria for Body Dysmorphic Disorder
  • current Axis I disorders including substance use disorders
  • lifetime: bipolar disorder or psychotic disorder
  • psychotropic medications, aside from a short half-life sedative/hypnotic for insomnia, or a short half-life benzodiazepine as needed for anxiety but not exceeding a frequency of 3 doses in one week and not to be taken on the days of the training or MRI scan
  • current cognitive-behavioral therapy

Key Trial Info

Start Date :

December 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2026

Estimated Enrollment :

146 Patients enrolled

Trial Details

Trial ID

NCT04373629

Start Date

December 1 2020

End Date

June 1 2026

Last Update

November 14 2025

Active Locations (1)

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1

Centre for Addiction and Mental Health

Toronto, Ontario, Canada, M6J 1H3