Volume 23, Issue 4 (Winter 2018)                   IJPCP 2018, 23(4): 394-407 | Back to browse issues page


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1- Department of Psychology, Faculty of Literature and Social Sciences, University of Kurdistan, Sanandaj, Iran
2- Department of Psychology, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran , E-mail: m.zemestani@uok.ac.ir
3- Department of Psychology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
4- Branch of Hypnotherapy, Psychiatric Committee, Iranian Psychiatric Association, Tehran, Iran
Abstract:   (1843 Views)
Objectives This study examined the effect of cognitive behavioral hypnotherapy on Body Dysmorphic Disorder (BDD), depression, and disability of patients.
Methods In this article, we present a single subject experimental design with multiple baselines. The subjects of the study were patients with BDD in Sanandaj city. Purposive sampling was used, and after obtaining diagnostic interview and qualifications of the study, subjects underwent the treatment process. The Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder (BDD-YBOCS), Beck Depression Inventory (DBI-II), Sheehan Disability Scale (SDS), Millon Clinical Multiaxial Inventory-III (MCMI-III) and clinical interview were used as diagnostic tools. Cognitive-behavioral hypnotherapy was employed for 15 sessions of one and a half hours and for two sessions per week. For data analysis, we used a single-case analysis using graphs and comparison of mean and median positions.
Results  The results showed that participants’ scores in BDD, depression, and disability decreased noticeably. Treatment outcomes were continued up to four months of follow-up period as well.
Conclusion Cognitive-behavioral hypnotherapy is effective in improving BDD, depression, and disability of these patients.
 
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Type of Study: Original Research | Subject: Psychiatry and Psychology
Received: 2016/06/21 | Accepted: 2017/04/15 | Published: 2018/01/1

References
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). Arlington: American Psychiatric Association Publish-ing; 2013.
2. Phillips KA. Quality of life for patients with Body Dysmorphic Disorder. The Journal of Nervous and Mental Disease. 2000; 188(3):170-5. doi: 10.1097/00005053-200003000-00007 [DOI:10.1097/00005053-200003000-00007]
3. Wilhelm S, Phillips KA, Steketee G. Cognitive-behavioral treatment manual for Body Dysmorphic Disorder. New York: Guilford; 2013.
4. Ipser JC, Sander C, Stein DJ. Pharmacotherapy and psychotherapy for Body Dysmorphic Disorder. Cochrane Database of Systematic Reviews. 2009; 1. doi: 10.1002/14651858.cd005332 [DOI:10.1002/14651858.CD005332]
5. Wilhelm S, Phillips KA, Fama JM, Greenberg JL, Steketee G. Modular cognitive–behavioral therapy for Body Dysmorphic Disorder. Behavior Therapy. 2011; 42(4):624-33. doi: 10.1016/j.beth.2011.02.002 [DOI:10.1016/j.beth.2011.02.002]
6. Williams J, Hadjistavropoulos T, Sharpe D. A meta-analysis of psychological and pharmacological treatments for Body Dysmorphic Disorder. Behaviour Research and Therapy. 2006; 44(1):99-111. doi: 10.1016/j.brat.2004.12.006 [DOI:10.1016/j.brat.2004.12.006]
7. Wilhelm S, Phillips KA, Didie E, Buhlmann U, Greenberg JL, Fama JM, Keshaviah A, Steketee G. Modular cognitive-behavioral therapy for Body Dys-morphic Disorder: A randomized controlled trial. Behavior Therapy. 2014; 45(3):314-27. doi: 10.1016/j.beth.2013.12.007 [DOI:10.1016/j.beth.2013.12.007]
8. Prazeres AM, Nascimento AL, Fontenelle LF. Cognitive-behavioral therapy for Body Dysmorphic Disorder: A review of its efficacy. Neuropsychiatric Dis-ease and Treatment. 2013; 9:307. doi: 10.2147/ndt.s41074 [DOI:10.2147/NDT.S41074]
9. Willson R, Veale D, Freeston M. Imagery rescripting for Body Dysmorphic Disorder: A multiple-baseline single case experimental design. Behavior Thera-py. 2016; 47(2):248–61. doi: 10.1016/j.beth.2015.08.006 [DOI:10.1016/j.beth.2015.08.006]
10. Veale D. Advances in a cognitive behavioural model of Body Dysmorphic Disorder. Body Image. 2004; 1(1):113-25. doi: 10.1016/s1740-1445(03)00009-3 [DOI:10.1016/S1740-1445(03)00009-3]
11. Neziroglu F, Khemlani-Patel S, Veale D. Social learning theory and cognitive behavioral models of Body Dysmorphic Disorder. Body Image. 2008; 5(1):28-38. doi: 10.1016/j.bodyim.2008.01.002 [DOI:10.1016/j.bodyim.2008.01.002]
12. Veale D, Neziroglu F. Body Dysmorphic Disorder: A treatment manual. Hoboken, New Jersey: John Wiley & Sons; 2010. [DOI:10.1002/9780470684610]
13. Araoz DL. The new hypnosis. New York: Brunner-Mazel; 1985.
14. Golden WL, Dowd ET, Friedberg F. Hypnotherapy: A modern approach. Oxford: Pergamon Press; 1987.
15. Alladin A, Amundson J. Cognitive hypnotherapy as a transdiagnostic protocol for emotional disorders. International Journal of Clinical and Experimental Hypnosis. 2016; 64(2):147-66. doi: 10.1080/00207144.2016.1131585 [DOI:10.1080/00207144.2016.1131585]
16. Alladin A. Cognitive hypnotherapy: A new vision and strategy for research and practice. American Journal of Clinical Hypnosis. 2012; 54(4):249-62. doi: 10.1080/00029157.2012.654528 [DOI:10.1080/00029157.2012.654528]
17. Alladin A. Healing the wounded self: Combining hypnotherapy with ego state therapy. American Journal of Clinical Hypnosis. 2013; 56(1):3-22. doi: 10.1080/00029157.2013.796282 [DOI:10.1080/00029157.2013.796282]
18. Alladin A. The wounded self: New approach to understanding and treating anxiety disorders. American Journal of Clinical Hypnosis. 2014; 56(4):368-88. doi: 10.1080/00029157.2014.880045 [DOI:10.1080/00029157.2014.880045]
19. Brown DP, Fromm E. Hypnotherapy and hypnoanalysis. Abingdon: Routledge; 1986.
20. Ewin DM, Eimer BN. Ideomotor signals for rapid hypnoanalysis: A How-to-manual. Sangamon County, Illinois: Charles C Thomas Publisher; 2006.
21. Watkins JG, Barabasz A. Advanced hypnotherapy: Hypnodynamic techniques. Abingdon: Routledge; 2007.
22. Watkins JG. The affect bridge: A hypnoanalytic technique. International Journal of Clinical and Experimental Hypnosis. 1971; 19(1):21-7. doi: 10.1080/00207147108407148 [DOI:10.1080/00207147108407148]
23. Yapko MD. Trancework: An introduction to the practice of clinical hypnosis. Abingdon: Routledge; 2012.
24. Barabasz AF, Watkins JG. Hypnotherapeutic techniques. Abingdon: Routledge; 2005.
25. Hammond DC. Hypnotic induction & suggestion. Bloomingdale, Illinois: American Society of Clinical Hypnosis; 1998.
26. Alladin A, Alibhai A. Cognitive hypnotherapy for depression: an empirical investigation. International Journal of Clinical and Experimental Hypnosis. 2007; 55(2):147-66. doi: 10.1080/00207140601177897 [DOI:10.1080/00207140601177897]
27. Kirsch I, Montgomery G, Sapirstein G. Hypnosis as an adjunct to cognitive-behavioral psychotherapy: A meta-analysis.Consulting and Clinical Psycholo-gy. 1995; 63(2):214-20. doi: 10.1037//0022-006x.63.2.214 [DOI:10.1037//0022-006X.63.2.214]
28. Phillips KA. An open-label study of escitalopram in Body Dysmorphic Disorder. International Clinical Psychopharmacology. 2006; 21(3):177-9. doi: 10.1097/01.yic.0000194378.65460.ef [DOI:10.1097/01.yic.0000194378.65460.ef]
29. Phillips KA, Hart AS, Menard W. Psychometric evaluation of the Yale–Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS). Journal of Obsessive-Compulsive and Related Disorders. 2014; 3(3):205-8. doi: 10.1016/j.jocrd.2014.04.004 [DOI:10.1016/j.jocrd.2014.04.004]
30. Rabeie M. Khoramdel K. Kalantari M. Molavi H. [Factor structure, reliability and validity of Yale-Brown obsessive-compulsive scale modification of Body Dysmorphic Disorder among students (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2009, 2010; 15(4):343-350
31. Fata L, Birashk B, Atef-Vahid MK, Dobson KS. [Meaning assignment structures/ schemas, emotional states and cognitive processing of emotional infor-mation: Comparision of two conceptual frameworks (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2005; 11(3):312- 326.
32. Kaviani H. [Validity and reliability of hospital anxiety and depression scale (HADS), general health questionnaire (GHQ-28), Mood Adjectives Checklist, & BDI in clinical population in comparison with healthy group; Research report (Persian)]. Tehran: Tehran University of Medical Sciences; 2008.
33. Sharifi AA, Molavi H, Namdari K. [The validity of MCMI-III (Millon) scales (Persian)]. Knowledge & Research in Applied Psychology. 2005; 9(34):27-38.
34. Sheehan DV, Harnett-Sheehan K, Raj BA. The measurement of disability. International Clinical Psychopharmacology. 1996; 11(3):89-95. doi: 10.1097/00004850-199606003-00015 [DOI:10.1097/00004850-199606003-00015]
35. Amin-Esmaeili M, Motevalian A, Rahimi-Movaghar A, Hajebi A, Hefazi M, Radgoodarzi R, Sharifi V. The Translation and Psychometric Assessment of the Persian Version of the Sheehan Disability Scale. Iranian Journal of Psychiatry. 2014; 9(3):125-32. PMCID: PMC4277800 [PMID] [PMCID]
36. Rush Jr J, First MB, Blacker D. Handbook of psychiatric measures. Arlington: American Psychiatric Publishing; 2007.
37. Neziroglu F, McKay D, Todaro J, Yaryura-Tobias JA. Effect of cognitive behavior therapy on persons with Body Dysmorphic Disorder and comorbid axis II diagnoses. Behavior Therapy. 1997; 27(1):67-77. doi: 10.1016/s0005-7894(96)80036-0 [DOI:10.1016/S0005-7894(96)80036-0]
38. Veale D, Gournay K, Dryden W, Boocock A, Shah F, Willson R, Walburn J. Body Dysmorphic Disorder: a cognitive behavioural model and pilot random-ised controlled trial. Behaviour Research and Therapy. 1996; 34(9):717-29. doi: 10.1016/0005-7967(96)00025-3 [DOI:10.1016/0005-7967(96)00025-3]
39. McKay D, Todaro J, Neziroglu F, Campisi T, Moritz EK, Yaryura-Tobias JA. Body Dysmorphic Disorder: A preliminary evaluation of treatment and maintenance using exposure with response prevention. Behaviour Research and Therapy. 1997; 35(1):67-70. doi: 10.1016/s0005-7967(96)00082-4 [DOI:10.1016/S0005-7967(96)00082-4]
40. Geremia GM, Neziroglu F. Cognitive therapy in the treatment of Body Dysmorphic Disorder. Clinical Psychology & Psychotherapy. 2001; 8(4):243-51. doi: 10.1002/cpp.284 [DOI:10.1002/cpp.284]
41. Rosen JC, Reiter J, Orosan P. Cognitive-behavioral body image therapy for Body Dysmorphic Disorder. Journal of Consulting and Clinical Psychology. 1995; 63(2):263-69. doi: 10.1037//0022-006x.63.2.263 [DOI:10.1037//0022-006X.63.2.263]
42. Wilhelm S, Otto MW, Lohr B, Deckersbach T. Cognitive behavior group therapy for Body Dysmorphic Disorder: a case series. Behaviour Research and Therapy. 1999; 37(1):71-5. doi: 10.1016/s0005-7967(98)00109-0 [DOI:10.1016/S0005-7967(98)00109-0]
43. Golden WL. Cognitive hypnotherapy for anxiety disorders. American Journal of Clinical Hypnosis. 2012; 54(4):263-74. doi: 10.1080/00029157.2011.650333 [DOI:10.1080/00029157.2011.650333]
44. Bryant RA, Moulds ML, Guthrie RM, Nixon RDV. The additive benefit of hypnosis and cognitive-behavioral therapy in treating acute stress disorder. Jour-nal of Consulting and Clinical Psychology. 2005; 73(2):334–40. doi: 10.1037/0022-006x.73.2.334 [DOI:10.1037/0022-006X.73.2.334]
45. Barabasz M. Cognitive hypnotherapy with bulimia. American Journal of Clinical Hypnosis. 2012; 54(4):353-64. doi: 10.1080/00029157.2012.658122 [DOI:10.1080/00029157.2012.658122]
46. Elkins G, Johnson A, Fisher W. Cognitive hypnotherapy for pain management. American Journal of Clinical Hypnosis. 2012; 54(4):294-310. doi: 10.1080/00029157.2011.654284 [DOI:10.1080/00029157.2011.654284]
47. Jensen MP. Hypnosis for chronic pain management. New York: Oxford University Press; 2013.
48. Graci GM, Hardie JC. Evidenced-based hypnotherapy for the management of sleep disorders. International Journal of Clinical and Experimental Hypnosis. 2007; 55(3):288-302. doi: 10.1080/00207140701338662 [DOI:10.1080/00207140701338662]
49. Lynn SJ, Carde-a E. Hypnosis and the treatment of posttraumatic conditions: An evidence-based approach. International Journal of Clinical and Experi-mental Hypnosis. 2007; 55(2):167-88. doi: 10.1080/00207140601177905 [DOI:10.1080/00207140601177905]
50. Alladin A. Cognitive hypnotherapy: An integrated approach to the treatment of emotional disorders. Hoboken, New Jersey: John Wiley & Sons; 2008. [DOI:10.1002/9780470773239] [PMID] [PMCID]
51. Moene FC, Spinhoven P, Hoogduin KA, Dyck RV. A randomized controlled clinical trial of a hypnosis-based treatment for patients with conversion disor-der, motor type. International Journal of Clinical and Experimental Hypnosis. 2003; 51(1):29-50. doi: 10.1076/iceh.51.1.29.14067 [DOI:10.1076/iceh.51.1.29.14067]
52. Mataix-Cols D, Fernández de la Cruz L, Isomura K, Anson M, Turner C, Monzani B, et al. A pilot randomized controlled trial of cognitive-behavioral therapy for adolescents with Body Dysmorphic Disorder. Journal of the American Academy of Child & Adolescent Psychiatry. 2015; 54(11):895–904. doi: 10.1016/j.jaac.2015.08.011 [DOI:10.1016/j.jaac.2015.08.011]
53. Ritter V, Stangier U. Seeing in the Mind's eye: Imagery rescripting for patients with Body Dysmorphic Disorder. A single case series. Journal of Behavior Therapy and Experimental Psychiatry. 2016; 50:187-95. doi: 10.1016/j.jbtep.2015.07.007 [DOI:10.1016/j.jbtep.2015.07.007]
54. Holmes EA, Mathews A. Mental imagery in emotion and emotional disorders. Clinical Psychology Review. 2010; 30(3):349-62. doi: 10.1016/j.cpr.2010.01.001 [DOI:10.1016/j.cpr.2010.01.001]
55. Phillips KA, Stout RL. Associations in the longitudinal course of Body Dysmorphic Disorder with major depression, obsessive–compulsive disorder, and social phobia. Journal of Psychiatric Research. 2006; 40(4):360-9. doi: 10.1016/j.jpsychires.2005.10.001 [DOI:10.1016/j.jpsychires.2005.10.001]
56. Tosi DJ, Baisden BS. Cognitive-experiential therapy and hypnosis. Clinical hypnosis: A multidisciplinary approach. In: Alladin A, editor. Cognitive Hypnotherapy: An Integrated Approach to the Treatment of Emotional Disorders. Hoboken, New Jersey: John Wiley & Sons; 2008.
57. Alladin A. Cognitive hypnotherapy: An integrated approach to the treatment of emotional disorders. Hoboken, New Jersey: John Wiley & Sons; 2008. [DOI:10.1002/9780470773239] [PMID] [PMCID]
58. Lazarus, Arnold A. A multimodal framework for clinical hypnosis. In: Alladin A, Editor. Cognitive hypnotherapy: An integrated approach to the treat-ment of emotional disorders. Hoboken, New Jersey: John Wiley & Sons; 2008.
59. Barrios AA. Posthypnotic suggestion as higher-order conditioning: A methodological and experimental analysis. International Journal of Clinical and Ex-perimental Hypnosis. 1973; 21(1):32-50. doi: 10.1080/00207147308409303 [DOI:10.1080/00207147308409303]
60. Alladin A. Cognitive hypnotherapy with depression. Journal of Cognitive Psychotherapy. 1994; 8(4):275-88.
61. Chapman RA. The clinical use of hypnosis in cognitive behavior therapy: a practitioner's casebook. Berlin: Springer; 2005.
62. Alladin A. Special issue: Evidence-based practice in clinical hypnosis—Part II. International Journal of Experimental and Clinical Hypnosis. 2007; 55(3):251-371.
63. Araoz DL. Negative self-hypnosis. Journal of Contemporary Psychotherapy. 1981; 12(1):45-52. doi: 10.1007/bf00946233 [DOI:10.1007/BF00946233]
64. Araoz DL. The new hypnosis. New York: Brunner-Mazel; 1977.