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  • 1.
    Johnson, Shevaugn
    et al.
    Flinders University, Adelaide, Australia.
    Egan, Sarah J
    Curtin University, Perth, Australia.
    Andersson, Gerhard
    Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Institutet, Stockholm, Sweden.
    Carlbring, Per
    Stockholm University, Stockholm, Sweden; University of Southern Denmark, Denmark.
    Shafran, Roz
    University College of London, London, England, United Kingdom.
    Wade, Tracey D
    Flinders University, Adelaide, Australia.
    Internet-delivered cognitive behavioural therapy for perfectionism: Targeting dysmorphic concern2019In: Body image, ISSN 1740-1445, E-ISSN 1873-6807, Vol. 30, p. 44-55, article id S1740-1445(18)30489-3Article in journal (Refereed)
    Abstract [en]

    Perfectionism is an important transdiagnostic risk factor for several psychopathologies. As such, treatments targeting perfectionism have gained increased attention over recent years. While perfectionism is postulated to be an important underlying mechanism for dysmorphic concern, no research has explored the benefits of targeting perfectionism to reduce dysmorphic concern. The current study evaluated the use of Internet-delivered cognitive behavioural therapy for perfectionism (ICBT-P) with 31 participants (28 women) with high levels of dysmorphic concern to examine the impact on perfectionism, dysmorphic concern, body image disturbance, negative affect, and selective attention towards appearance-based stimuli. Using a case series design, observations were collected at baseline, at the end of a 4-week pre-treatment phase, after the 8-week ICBT-P, and 1-month post-treatment. Intent-to-treat analyses showed significant improvement from baseline to end-of-treatment and follow-up on most of the variables, with a large effect size decrease in dysmorphic concern, and decreased selective attention to BDD-body, BDD-positive, and BDD-negative words. The results of this study support the use of ICBT-P as an efficacious treatment worthy of further examination in populations who experience high levels of dysmorphic concern.

  • 2.
    Wiggins, Sally
    et al.
    University of Strathclyde, Glasgow, UK.
    Moore-Millar, Karena
    University of Strathclyde, Glasgow UK.
    Thomson, Avril
    University of Strathclyde, Glasgow UK.
    Can you pull it off?: Appearance modifying behaviours adopted by wig users with alopecia in social interactions2014In: Body image, ISSN 1740-1445, E-ISSN 1873-6807, Vol. 11, p. 156-166Article in journal (Refereed)
    Abstract [en]

    In the academic and medical literature on alopecia, wigs (hair prostheses) are typically recommended as a coping strategy: a device to camouflage, conceal, or cover hair loss, and cope with the psychological impact of a dramatic change in body image. This paper used Goffman's (1959) theory of impression management to demonstrate (a) the social significance of self-presentation, and (b) how adults with alopecia managed their wig use in their daily lives. Data from 14 interviews, two focus groups and six video diaries with 22 Caucasian adults (19 females, 3 males; 29-74 years, SD= 13.75) with alopecia in Scotland were analysed using discursive psychology. The analysis detailed how participants managed their wig use and behaviours in relation to social interaction with different categories of people. The paper raises concerns about health and medical discourse about wigs as a coping mechanism, and provides practical suggestions for wig users in social settings

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