Empirically defining treatment response and remission in body dysmorphic disorder using a short self-report instrument

The most recent publication from our lab features an empirical evaluation of the Appearance Anxiety Inventory (AAI) to determine treatment response after cognitive behaviour therapy for body dysmorphic disorder (BDD), as well as remission from BDD. The AAI is frequently used in clinical practice and is self-reported by patients, making it an easily available tool. The article was published last week in Behavior Therapy and is available for free.

In the article, we found that a ≥40% reduction on the AAI from pre-treatment to post-treatment was the best cut-off for treatment response, and that an AAI score of ≤13 was the best cut-off for full or partial remission from BDD. We conclude that the AAI can be a useful tool to complement clinician assessments in treatment evaluation.

Figure 1. Optimal cut-offs for treatment response
Figure 2. Optimal cut-offs for remission

New study: internet-based treatment for BDD

We have just launched our first study of a English-language version of our BDD treatment that has been shown to be effective in Swedish studies.

It is a 12-week internet-based CBT treatment that is open for adults with Body Dysmorhic Disorder (BDD). Read more about BDD and how to register for the study at bddstudy.com.

At this time, the study is open to residents of Sweden only. We are hoping that it will open to international participants in the future.

New teammember: Christopher LaLima

Christopher LaLima, student at Hofstra in New York, who has worked in our pilot study of iCBT for OCD at Columbia University is now joining us here in Sweden for a year. He will work in our BDD project. Today was his first day at work and it started with some drama: he lost his passport on his way to work and our search and rescue efforts yielded nothing. But there is a happy ending: a very nice person replied to our SOS on Instagram and had heard that the passport had been found in the bus and now Chris has his passport back. Anyway, Chris you are very welcome in our group! (And hold on to you passport).

Chris wondering where he left his passport. But still trying not to look too freaked out about it.
Chris wondering where he left his passport. But still trying not to look too freaked out about it.

2014 in review: highlights

Dear friends,

2014 has been a good year. We have contributed to 18 publications, presented at several congresses, Evelyn Andersson and Volen Ivanov have had their half-time seminars on their steady way to a PhD and Erik Andersson was the first out of our lab to defend his thesis. We have also staged what may be the Worlds first blind breaking party. On a more serious note, several of our treatment studies have helped people who suffer. We have published the first internetbased CBT study for Body Dysmorhic Disorder with Jesper Enander as first author and stay tuned for more on BDD in 2015. We hope to do even more in 2015. If you wish to donate to our research to make it possible, contact christian.ruck@ki.se .

Oh yeah, he did it. Erik Andersson, PhD, being admired by Sabine Wilhelm and Christian Rück.
Oh yeah, he did it. Erik Andersson, PhD, being admired by Sabine Wilhelm and Christian Rück.

Skärmavbild 2014-03-18 kl. 10.25.05
Volen Ivanov in one of 2014’s many media appearences.


Evelyn Andersson at her half-time seminar
Evelyn Andersson at her half-time seminar

Meet us at the APA meeting in New York



Several team members will present at the upcoming APA meeting:


Saturday May 3, 3:30 P.M. – 5:00 P.M.

Room 1E11, Level 1. Jacob K. Javits Convention Center

Internet-Delivered Cognitive Behavior Therapy for Body Dysmorphic Disorder: A Pilot Study

Jesper Enander, M.Sc.


Sunday May 4, 12:30 P.M. – 2:00 P.M.

Room 1E11, Level 1

Hoarding Disorder in Adolescence: Phenomenology and Clinical Correlates

Volen Z. Ivanov, M.Sc.


Tuesday May 6, 2:30 P.m. – 4:00 P.m.

New Research Poster Session 2, Halls 3A/3B, Level 3

Poster: NR8-26: Acceptance-Based CBT for Body Dysmorphic Disorder: A Pilot Study

Johanna Linde, M.Sc.