OJMP  Vol.4 No.2 , April 2015
Develop and Validate a Metacognitive-Cognitive-Behavioral Model for Body Dysmorphic Disorder
The purpose of this study was to develop and validate a metacognitive-cognitive-behavioral model for body dysmorphic disorder. A sample of 800 participants (400 males and 400 females) was selected randomly and questionnaires were administered to them. Structure analysis was used to test the factor structure validity of the metacognitive-cognitive-behavioral model for body dysmorphic disorder. Results of the structure analysis revealed and supported a metacognitive-cognitive-behavioral model for body dysmorphic disorder. Also, the results showed that the model had the best fit to the data and was closely related to the theoretical assumptions. The model presented in this study illustrates a multidimensional approach that the model focuses on the metacognitive-cognitive-behavioral dimensions; hence, the model presented in this study is a new explanatory model. The model may prompt future research into body dysmorphic disorder and facilitate clinical treatment and case formulation.

Cite this paper
Donyavi, V. , Rabiei, M. , Nikfarjam, M. and Rahnejat, A. (2015) Develop and Validate a Metacognitive-Cognitive-Behavioral Model for Body Dysmorphic Disorder. Open Journal of Medical Psychology, 4, 45-52. doi: 10.4236/ojmp.2015.42005.
[1]   Van Ameringen, M., Patterson, B. and Simpson, W. (2014) DSM-5 Obsessive-Compulsive and Related Disorders: Clinical Implications of New Criteria. Depress and Anxiety, 31, 487-493.

[2]   Vulink, N.C., Sigurdsson, V., Kon, M., Bruijnzeel-Koomen, C.A., Westenberg, H.G. and Denys, D. (2006) Body Dysmorphic Disorder in 3% - 8% of Patients in Outpatient Dermatology and Plastic Surgery Clinics. Ned Tijdschr Geneeskd, 150, 97-100. [Vulink, N.C., Sigurdsson, V., Kon, M., Bruijnzeel-Koomen, C.A., Westenberg, H.G. and Denys, D. (2006) Stoornis in de lichaamsbeleving bij 3% - 8% van de patienten op de poliklinieken Dermatologie en Plastische Chirurgie. Ned Tijdschr Geneeskd, 150, 97-100.]

[3]   Williams, J., Hadjistavropoulos, T. and Sharpe, D. (2006) A Meta-Analysis of Psychological and Pharmacological Treatments for Body Dysmorphic Disorder. Behaviour Research and Therapy, 44, 99-111.

[4]   Rabiei, M., Mulkens, S., Kalantari, M., Molavi, H. and Bahrami, F. (2012) Metacognitive Therapy for Body Dysmorphic Disorder Patients in Iran: Acceptability and Proof of Concept. Journal of Behavior Therapy and Experimental Psychiatry, 43, 724-729.

[5]   Rabiei, M., Salahian, A., Bahrami, F. and Palahang H. (2011) Construction and Standardization of the Body Dysmorphic Metacognition Questionnaire. Journal of Mazandaran University of Medical Sciences, 21, 43-52.

[6]   Wells, A. (2000) Emotional Disorders and Metacognition: Innovative Cognitive Therapy. John Wiley & Sons, Chichester, New York, 236 p.

[7]   Wells, A. and Matthews, G. (1996) Modelling Cognition in Emotional Disorder: The S-REF Model. Behaviour Research and Therapy, 34, 881-888.

[8]   Papageorgiou, C. and Wells, A. (2003) An Empirical Test of a Clinical Metacognitive Model of Rumination and Depression. Cognitive Therapy and Research, 27, 261-273.

[9]   Cooper, M. and Osman, S. (2007) Metacognition in Body Dysmorphic Disorder—A Preliminary Exploration. Journal of Cognitive Psychotherapy, 21, 148-155.

[10]   Veale, D. (2004) Advances in a Cognitive Behavioural Model of Body Dysmorphic Disorder. Body Image, 1, 113-125.

[11]   Hollander, E. and Benzaquen, S.D. (1997) The Obsessive-Compulsive Spectrum Disorders. International Review of Psychiatry, 9, 99-109.

[12]   Weissman, A. and Beck, A. (1978) Development and Validation of the Dysfunctional Attitude Scale: A Preliminary Investigation. Paper Presented at the Annual Meeting of the American Educational Research Association, Toronto, Ontario.

[13]   Ebrahimi, A., Samouei, R., Mousavii, S.G. and Bornamanesh, A.R. (2013) Development and Validation of 26-Item Dysfunctional Attitude Scale. Asia-Pacific Psychiatry, 5, 101-107.

[14]   Briere, J. (2000) The Cognitive Distortion Scale Professional Manual. Psychological Assessment Resources, Odessa.

[15]   Hollon, S. and Kendall, P. (1980) Cognitive Self-Statements in Depression: Development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research, 4, 383-395.

[16]   Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N. and Ebrahimkhani, N. (2006) Psychometric Properties of a Persian-Language Version of the Automatic Thoughts Questionnaire: ATQ-Persian. The International Journal of Social Psychiatry, 52, 127-137.

[17]   Rabiei, M., Khormdel, K., Kalantari, K. and Molavi, H. (2010) Validity of the Yale-Brown Obsessive Compulsive Scale Modified for Body Dysmorphic Disorder (BDD) in Students of the University of Isfahan. Iranian Journal of Psychiatry and Clinical Psychology, 15, 343-350.

[18]   Cooper, M. (2003) Emotional Disorders and Metacognition: Innovative Cognitive Therapy. British Journal of Clinical Psychology, 42, 105-106.

[19]   Donyavi, V., Rabiei, M., Nikfarjam, M. and Nezhady, BM. (2015) Body Image and Meta-Worry as Mediators of Body Dysmorphic Disorder. International Journal of Clinical Medicine, 6, 170-176.