{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:10:35Z","timestamp":1788243035858,"version":"build-2803163510"},"reference-count":20,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Introduction:<\/i><\/b> Body dysmorphic disorder (BDD) is severe, chronic, and undertreated. Apps could substantially improve treatment access. <b><i>Objective:<\/i><\/b> We provide an initial test of the usability and efficacy of coach-supported app-based cognitive behavioral therapy (CBT) for BDD. The Perspectives app covers core treatment components: psychoeducation, cognitive restructuring, exposure with response prevention, mindfulness, attention retraining, and relapse prevention. <b><i>Methods:<\/i><\/b> A randomized waitlist-controlled trial was conducted. Adults (<i>N<\/i> = 80) with primary BDD were assigned to 12 weeks of Perspectives or waitlist. Coaches promoted engagement and answered questions via in-app messaging and phone calls. BDD severity was measured at baseline, mid-treatment, and end of treatment by blinded independent evaluators (Yale-Brown Obsessive Compulsive Scale Modified for BDD; BDD-YBOCS). Secondary outcomes included BDD-related insight, depression, quality of life, and functioning. <b><i>Results:<\/i><\/b> App uptake and satisfaction were high. In intent-to-treat analyses, Perspectives app-based CBT was associated with significantly lower BDD-YBOCS severity at end of treatment (M [SD]: 16.8 [7.5]) compared to the waitlist (26.7 [6.2]; <i>p<\/i> &#x3c; 0.001, <i>d<\/i> = 1.44). App-based CBT was associated with greater improvements across all secondary measures, with medium to large effects. <b><i>Conclusions:<\/i><\/b> Perspectives, supported by a bachelor\u2019s-level coach, is an efficacious, scalable treatment for adults with BDD. <\/jats:p>","DOI":"10.1159\/000524628","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T21:00:33Z","timestamp":1652994033000},"page":"277-285","source":"Crossref","is-referenced-by-count":70,"title":["Efficacy of App-Based Cognitive Behavioral Therapy for Body Dysmorphic Disorder with Coach Support: Initial Randomized Controlled Clinical Trial"],"prefix":"10.1159","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5316-2711","authenticated-orcid":false,"given":"Sabine","family":"Wilhelm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary","family":"Weingarden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2919-3673","authenticated-orcid":false,"given":"Jennifer L.","family":"Greenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2060-1666","authenticated-orcid":false,"given":"Susanne S.","family":"Hoeppner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5979-3151","authenticated-orcid":false,"given":"Ivar","family":"Snorrason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8609-3153","authenticated-orcid":false,"given":"Emily E.","family":"Bernstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5624-0439","authenticated-orcid":false,"given":"Thomas H.","family":"McCoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6947-2581","authenticated-orcid":false,"given":"Oliver T.","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2022,5,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291712001730"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2004.10.004"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2016.05.007"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.10.002"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02489-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2014.05.003"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/nmd.0000000000000498"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2019.08.001"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005923"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2014.08.003"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000360740"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.02.002"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.155.1.102"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097\/00004850-199606003-00015"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465813000568"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2019.10.004"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s10639-020-10424-9"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.2196\/16350"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1017\/s1092852900016436"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s11199-010-9831-1"}],"container-title":["Psychotherapy 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Psychosomatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/524628","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/524628","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:04:25Z","timestamp":1745424265000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000524628"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,7,14]]},"published-print":{"date-parts":[[2022,7,19]]}},"URL":"https:\/\/doi.org\/10.1159\/000524628","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.19794520","asserted-by":"subject"}]},"ISSN":["0033-3190","1423-0348"],"issn-type":[{"value":"0033-3190","type":"print"},{"value":"1423-0348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}