Perceptual Abnormalities and Their Malleability in BDD

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorCentre for Addiction and Mental Health

About this trial

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 risk for relapse. Results from this study will provide a comprehensive mechanistic model of brain, behavioral, and emotional contributors to abnormal perceptual processing, as well as how malleable it is with visual modulation techniques. This will lay the groundwork for next-step translational perceptual retraining approaches.

Eligibility criteria

Qualifiers

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

Disqualifiers

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

Trial design

Treatments tested in this trial

  • attentional modulation
  • perceptual modulation
  • naturalistic viewing

Treatment groups

146 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Centre for Addiction and Mental Health

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator

University of Alabama at Birmingham

Collaborator

University of Toronto

Collaborator