Background:Individuals with mental health concerns face many barriers when accessing psychological treatment. Even when patients overcome these barriers, they often do not receive an evidence-based treatment. Although the current literature highlights these issues clearly across psychological disorders, the research is limited in relation to body dysmorphic disorder (BDD).Aim:The aim of this study was to examine psychological treatment barriers, treatment delivery preferences and treatment histories of individuals with symptoms of BDD.Method:A total of 122 participants with clinically significant BDD symptoms (94% female; mean age = 34.19 years, SD = 10.86) completed the cross-sectional study.Results:The most frequently reported barriers to accessing psychological treatment for individuals with BDD symptoms were the cost of treatment (41%) and the belief that the symptoms did not warrant treatment (36%). Although 69% of treatment-seeking participants reported previously receiving cognitive behavioural therapy (CBT) for BDD, only 13% of participants appeared to receive best-practice CBT. The preferred modality of future psychological treatment delivery was face-to-face treatment with a therapist once a week (63%), rather than accelerated or remote treatment approaches.Conclusions:The study suggests that there are significant barriers to accessing CBT for BDD. Reducing these barriers, as well as increasing consumer mental health literacy, is required to improve treatment access and treatment outcomes for individuals with BDD.

中文翻译：

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有躯体变形障碍症状的个体的治疗障碍、偏好和病史

背景：有心理健康问题的个体在接受心理治疗时面临许多障碍。即使患者克服了这些障碍，他们通常也得不到循证治疗。尽管目前的文献清楚地强调了心理障碍中的这些问题，但研究在身体变形障碍（BDD）方面受到限制。目的：本研究的目的是检查有症状的个体的心理治疗障碍、治疗提供偏好和治疗历史方法：共有 122 名具有临床显着 BDD 症状的参与者（94% 为女性；平均年龄 = 34.19 岁，标准差 =10.86) 完成了横断面研究。结果：对有 BDD 症状的个体进行心理治疗的最常见障碍是治疗费用 (41%) 和认为症状不值得治疗的信念 (36%)。尽管 69% 的寻求治疗的参与者报告之前接受过针对 BDD 的认知行为疗法 (CBT)，但只有 13% 的参与者似乎接受了最佳实践 CBT。未来心理治疗提供的首选方式是每周一次与治疗师面对面治疗（63%），而不是加速或远程治疗方法。结论：研究表明，为 BDD 获得 CBT 存在重大障碍。减少这些障碍，并提高消费者的心理健康素养，