TY - JOUR T1 - Effectiveness Of Acceptance And Commitment Therapy In Body Dysmorphic Disorder: A Systematic Review TT - Beden Dismorfik Bozukluğunda Kabul ve Kararlılık Terapisi Etkililiği: Sistematik Bir İnceleme AU - Genç, Murat AU - Yalçınkaya Alkar, Özden PY - 2025 DA - April Y2 - 2025 DO - 10.18506/anemon.1525427 JF - Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi PB - Muş Alparslan Üniversitesi WT - DergiPark SN - 2149-4622 SP - 449 EP - 467 VL - 13 IS - 1 LA - en AB - Body dysmorphic disorder (BDD) is a serious mental health disorder that has recently increased in incidence and is co-diagnosed with problems such as suicide and depression. Acceptance and commitment therapy (ACT) has recently been frequently mentioned in the treatment of BDD. In this systematic review, it is aimed to examine the effectiveness of ACT in the treatment of BDD and to present a general clinical picture according to the results of the studies conducted in the relevant field. All studies in English language until June 2024 were systematically searched in Pubmed, Scopus and Web of Science databases using the PRISMA guideline, and a total of 7 articles that met the research criteria were included in the study. The reviewed studies were conducted in four different countries (USA, Iran, Sweden, Australia) with a total of 155 people (134 women; 21 men) with different sessions (3 sessions-3 years). In conclusion, ACT techniques were found to reduce the negative symptoms of BDD and increase life satisfaction. Additionally, ACTs were found to be effective in gaining psychological flexibility, less self-stigmatisation, coping with suicidal thoughts, reducing symptoms of depression and body dissatisfaction. A number of recommendations for future researchers and clinicians are also given. KW - Systematic Review KW - Body Dysmorphic Disorder KW - Acceptance and Commitment Therapy KW - ACT KW - BDD N2 - Beden dismorfik bozukluğu (BDD), son zamanlarda görülme sıklığı artan intihar ve depresyon gibi problemlerle eş tanılı ciddi bir akıl sağlığı bozukluğudur. Kabul ve kararlılık terapisi (ACT) alan çalışmaları incelendiğinde BDD tedavisinde kendisinden son zamanlarda sıklıkla söz ettirmektedir. Bu sistematik derlemede, BDD tedavisinde ACT etkililiğinin incelenmesi ve ilgili alanda yapılan çalışmaların sonuçlarına göre genel bir klinik tablo sunulması amaçlanmaktadır. İngilizce dilindeki ve Haziran 2024'e kadar olan tüm çalışmalar PRISMA kılavuzu kullanılarak Pubmed, Scopus ve Web of Science veritabanlarında sistematik olarak tarandı ve araştırma kriterlerine uyan toplamda 7 makale çalışmaya alınmıştır. İncelenen çalışmalar dört farklı ülkede (ABD, İran, İsveç, Avustralya) toplam 155 kişi (134 kadın; 21 erkek) ile farklı seanslarla (3 seans-3 yıl) gerçekleştirilmiştir. Sonuç olarak ACT teknikliklerinin BDD’nin olumsuz belirtilerini azalttığı ve yaşam doyumunu arttırdığı bulunmuştur. Buna ek olarak ACT'lerin psikolojik esneklik kazanılmasında, daha az kendini damgalamada, intihar düşünceleriyle baş etmede, depresyon belirtilerinin ve vücut memnuniyetsizliğinin azaltılasında etkili olduğu bulunmuştur. Gelecekteki araştırmacı ve klinisyenlere bir takım öneriler de verilmiştir. CR - Alsaidan, M. S., Altayar, N. S., Alshmmari, S. H., Alshammari, M. M., Alqahtani, F. T., & Mohajer, K. A. (2020). The prevalence and determinants of body dysmorphic disorder among young social media users: a cross-sectional study. Dermatology Reports, 12(3), 70-76. https://doi.org/10.4081/dr.2020.8774 CR - Albertini, R. S., & Phillips, K. A. (1999). Thirty‐three cases of body dysmorphic disorder in children and adolescents. J CR - Am Acad Child Adolesc Psychiatry, 38(4), 453-459. https://doi.org/10.1097/00004583-199904000-00019 CR - American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association. CR - Arch, J. J., Eifert, G. H., Davies, C., Vilardaga, J. C. P., Rose, R. D., & Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. J Consult Clin Psychol, 80(5), 750-765. https://doi.org/10.1037/a0028310 CR - Bai, Z., Luo, S., Zhang, L., Wu, S. & Chi, I. (2020). Acceptance and commitment therapy (ACT) to reduce depression: A systematic review and meta-analysis. Journal of Affective Disorders, 260, 728-737. https://doi.org/10.1016/j.jad.2019.09.040 CR - Bakıroğlu, C. T. (2013). Sosyalleşme ve kimlik inşası ekseninde sosyal paylaşım ağları. Akademik Bilişim, 13, 1047-1054. CR - Bahreini, Z., Kahrazehi, F., & Nikmanesh, Z. (2022). The effectiveness of mindfulness-based cognitive therapy on psychological well-being and positive and negative emotions in adolescent girls with body dysmorphic syndrome. International Journal of Research in Nursing, 8(2), 64-79. http://dx.doi.org/DOI:%2010.22034/IJRN.8.2.7 CR - Baş, S. & Dirik, G. (2019). Kanser tanısı olan kişilerde kabul ve kararlılık terapisi uygulamaları: sistematik bir derleme. Psikoloji Çalışmaları, 39(2), 459-485. https://doi.org/10.26650/SP2019-0025 CR - Bjornsson, A. S., Didie, E. R., & Phillips, K. A. (2022). Body dysmorphic disorder. Dialogues in Clinical Neuroscience. 12(2), 221-232. https://doi.org/10.31887/DCNS.2010.12.2/abjornsson CR - Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology, 57(2), 243-255. https://doi.org/10.1002/1097-4679(200102)57 CR - Bohlmeijer, E. T., Fledderus, M., Rokx, T. A. J. J., & Pieterse, M. E. (2011). Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49(1), 62-67. https://doi.org/10.1016/j.brat.2010.10.003 CR - Bonacquisti, A., Cohen, M. J., & Schiller, C. E. (2017). Acceptance and commitment therapy for perinatal mood and anxiety disorders: Development of an inpatient group intervention. Archives of Women's Mental Health, 20, 645-654. https://doi.org/10.1007/s00737-017-0735-8 CR - Buhlmann, U., Glaesmer, H., Mewes, R., Fama, J. M., Wilhelm, S., Brähler, E., & Rief, W. (2010). Updates on the prevalence of body dysmorphic disorder: a population-based survey. Psychiatry Research, 178(1), 171-175. https://doi.org/10.1016/j.psychres.2009.05.002 CR - Buhlmann, U., Marques, L. M., & Wilhelm, S. (2012). Traumatic experiences in individuals with body dysmorphic disorder. Journal of Nervous and Mental Disease, 200(1), 95-98. https://doi.org/10.1097/NMD.0b013e31823f6775 CR - Burckhardt, R., Manicavasagar, V., Batterham, P. J. & Hadzi-Pavlovic, D. (2016). A randomized controlled trial of strong minds: A school-based mental health program combining acceptance and commitment therapy and positive psychology. Journal of School Psychology, 57, 41-52. https://doi.org/10.1016/j.jsp.2016.05.008 CR - Callaghan, G. M., Duenas, J. A., Nadeau, S. E., Darrow, S. M., Van der Merwe, J. & Misko, J. (2012). An empirical model of body image disturbance using behavioral principles found in functional analytic psychotherapy and acceptance and commitment therapy. International Journal of Behavioral Consultation and Therapy, 7(2-3), 16-24. https://doi.org/10.1037/h0100932 CR - Codd, R. T., Twohig, M. P., Crosby, J. M. & Enno, A. (2011). Treatment of three anxiety disorder cases with acceptance and commitment therapy in a private practice. Journal of Cognitive Psychotherapy, 25(3), 203-217. https://doi.org/10.1891/0889-8391.25.3.203 CR - Crerand, C. E., Phillips, K. A., Menard, W. & Fay, C. (2005). Nonpsychiatric medical treatment of body dysmorphic disorder. Psychosomatics, 46(6), 549-555. https://doi.org/10.1176/appi.psy.46.6.549 CR - Colapinto, J. (2019). Structural family therapy. Encyclop Couple Fam Ther, 2820-2828. https://doi.org/10.1007/978-3-319-49425-8_334 CR - Daneshi, R., Hafezi, F. & Homaei, R. (2021). Effectiveness of acceptance and commitment therapy in body dysmorphic disorder and rumination in ındividuals with vitiligo. Journal of Health Research in Community, 7(3), 42-52. CR - de Souza, T. S. C., Patrial, M. T. C. R. D. O., Meneguetti, A. F. C., de Souza, M. S. C., Meneguetti, M. E., & Rossato, V. F. (2021). Body dysmorphic disorder in rhinoplasty candidates: prevalence and functional correlations. Aesthetic Plastic Surgery, 45, 641-648. https://doi.org/10.1007/s00266-020-01930-9 CR - Dehbaneh, M. A. (2019). Effectiveness of acceptance and commitment therapy in improving interpersonal problems, quality of life, and worry in patients with body dysmorphic disorder. Electronic Journal of General Medicine, 16(1), 1-7. https://doi.org/10.29333/ejgm/93468 CR - Didie, E. R., Tortolani, C. C., Pope, C. G., Menard, W., Fay, C. & Phillips, K. A. (2006). Childhood abuse and neglect in body dysmorphic disorder. Child Abuse & Neglect, 30(10), 1105-1115. https://doi.org/10.1016/j.chiabu.2006.03.007 CR - Ducasse, D., Jaussent, I., Arpon-Brand, V., Vienot, M., Laglaoui, C., Béziat, Calati, R., Carriere, I., S., Guillaume, S., Courter, P., & Olié, E. (2018). Acceptance and commitment therapy for the management of suicidal patients: a randomized controlled trial. Psychotherapy and Psychosomatics, 87(4), 211-222. https://doi.org/10.1159/000488715 CR - Enander, J., Andersson, E., Mataix-Cols, D., Lichtenstein, L., Alström, K., Andersson, G., Ljotsson, B., & Rück, C. (2016). Therapist guided internet based cognitive behavioural therapy for body dysmorphic disorder: single blind randomised controlled trial. Bmj, 352. https://doi.org/10.1136/bmj.i241 CR - Farrell, L. J., Gregertsen, E. C., Donovan, C. L., Pammenter, A. & Zimmer-Gembeck, M. (2016). Maternal rejection and idealized value of appearance: Exploring the origins of body dysmorphic concerns among young adults. J Cog Psychother, 30(3), 154-167. http://dx.doi.org/10.1891/0889-8391.30.3.154 CR - Feros, D. L., Lane, L., Ciarrochi, J. & Blackledge, J. T. (2013). Acceptance and commitment therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psycho‐oncology, 22(2), 459-464. https://doi.org/10.1002/pon.2083 CR - Folke, F., Von Bahr, M., Assadi-Talaremi, V., & Ramnero, J. (2012). Exposure and response prevention in the treatment of body dysmorphic disorder: A case series. Pragmatic Case Studies in Psychotherapy, 8(4), 255-287. https://doi.org/10.14713/pcsp.v8i4.1799 CR - Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18, 181-192. https://doi.org/10.1016/j.jcbs.2020.09.009 CR - Grégoire, S., Lachance, L., Bouffard, T., & Dionne, F. (2018). The use of acceptance and commitment therapy to promote mental health and school engagement in university students: A multisite randomized controlled trial. Behavior Therapy, 49(3), 360-372. https://doi.org/10.1016/j.beth.2017.10.003 CR - Griffiths, C., Williamson, H., Zucchelli, F., Paraskeva, N., & Moss, T. (2018). A systematic review of the effectiveness of acceptance and commitment therapy (ACT) for body image dissatisfaction and weight self-stigma in adults. Journal of Contemporary Psychotherapy, 48, 189-204. https://doi.org/10.1007/s10879-018-9384-0 CR - Gu, Y. Q., & Zhu, Y. (2023). A randomized controlled trial of mindfulness-based cognitive therapy for body dysmorphic disorder: Impact on core symptoms, emotion dysregulation, and executive functioning. J Behav Ther Exp Psychiatry, 81, 101869. https://doi.org/10.1016/j.jbtep.2023.101869 CR - Habibollahi, A. & Soltanizadeh, M. (2016). Efficacy of acceptance and commitment therapy on body dissatisfaction and fear of negative evaluation in girl adolescents with body dysmorphic disorder. Journal of Mazandaran University of Medical Sciences, 25(134), 278-290. CR - Harris, R. (2006). Embracing your demons: An overview of acceptance and commitment therapy. Psychotherapy in Australia, 12(4), 70-6. CR - Harris, R. (2019). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger. CR - Harrison, A., de la Cruz, L. F., Enander, J., Radua, J., & Mataix-Cols, D. (2016). Cognitive-behavioral therapy for body dysmorphic disorder: A systematic review and meta-analysis of randomized controlled trials. Clinical Psychology Review, 48, 43-51. https://doi.org/10.1016/j.cpr.2016.05.007 CR - Hartman, L. M. (1983). A metacognitive model of social anxiety: Implications for treatment. Clinical Psychology Review, 3(4), 435-456. https://doi.org/10.1016/0272-7358(83)90023-5 CR - Hartmann, A. S., Thomas, J. J., Greenberg, J. L., Rosenfield, E. H., & Wilhelm, S. (2015). Accept, distract, or reframe? An exploratory experimental comparison of strategies for coping with intrusive body image thoughts in anorexia nervosa and body dysmorphic disorder. Psychiatry Research, 225(3), 643-650. https://doi.org/10.1016/j.psychres.2014.11.031 CR - Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639-665. https://doi.org/10.1016/S0005-7894(04)80013-3 CR - Hayes, S. C., Strosahl, K. D. & Wilson, K. G. (1999). Acceptance and Commitment Therapy (p. 6). Guilford. Hong, K., Nezgovorova, V., Uzunova, G., Schlussel, D., & Hollander, E. (2019). Pharmacological treatment of body dysmorphic disorder. Current Neuropharmacology, 17(8), 697-702. https://doi.org/10.2174/1570159X16666180426153940 CR - Hughes, L. S., Clark, J., Colclough, J. A., Dale, E. & McMillan, D. (2017). Acceptance and commitment therapy (ACT) for chronic pain. The Clinical Journal of Pain, 33(6), 552-568. https://doi.org/10.1097/AJP.0000000000000425 CR - Işık Ş., Ergüner-Tekinalp B., Üzbe-Atalay N., & Kaynak Ü. (2021). Psikolojik Danışmada Güncel Kuramlar. Pegem Akademi. CR - Jiménez, F. J. R. (2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. Int J Psychol Psychol Ther, 12(3), 333-358. CR - Krebs, G., Clark, B. R., Ford, T. J., & Stringaris, A. (2025). Epidemiology of body dysmorphic disorder and appearance preoccupation in youth: prevalence, comorbidity and psychosocial impairment. J Am Acad Child Adolesc Psychiatry, 64(1), 30-40. https://doi.org/10.1016/j.jaac.2024.01.017 CR - Kuck, N., Dietel, F. A., Nohr, L., Vahrenhold, J., & Buhlmann, U. (2022). A smartphone app for the prevention and early intervention of body dysmorphic disorder: Development and evaluation of the content, usability, and aesthetics. Internet Interventions, 28, 100521. https://doi.org/10.1016/j.invent.2022.10052 CR - Kul, A. & Türk, F. (2020). Kabul ve adanmışlık terapisi (ACT) üzerine bir derleme çalışması. OPUS Int J Soc Res, 16(29), 3773-3805. https://doi.org/10.26466/opus.741907 CR - Leeds‐Hurwitz, W. (1987). The social history of the natural history of an interview: A multidisciplinary investigation of social communication. Research on Language and Social Interaction, 20(1-4), 1-51. https://doi.org/10.1080/08351818709389274 CR - Leigh, E., Chiu, K., & Clark, D. M. (2021). Self-focused attention and safety behaviours maintain social anxiety in adolescents: An Experimental Study. Plos One, 16(2), e0247703. https://doi.org/10.1371/journal.pone.0247703 CR - Levin, M. E., Pistorello, J., Seeley, J. R., & Hayes, S. C. (2014). Feasibility of a prototype web-based acceptance and commitment therapy prevention program for college students. J Am Coll Health, 62(1), 20-30. https://doi.org/10.1080/07448481.2013.843533 CR - Linde, J., Luoma, J. B., Rück, C., Ramnerö, J., & Lundgren, T. (2023). Acceptance and compassion-based therapy targeting shame in body dysmorphic disorder: A multiple baseline study. Behavior Modification, 47(3), 693-718. https://doi.org/10.1177/01454455221129989 CR - Linde, J., Rück, C., Bjureberg, J., Ivanov, V. Z., Djurfeldt, D. R., & Ramnerö, J. (2015). Acceptance-based exposure therapy for body dysmorphic disorder: A pilot study. Behavior Therapy, 46(4), 423-431. https://doi.org/10.1016/j.beth.2015.05.002 CR - Luoma, J. B., & Vilardaga, J. P. (2013). Improving therapist psychological flexibility while training acceptance and commitment therapy: A pilot study. Cognitive Behaviour Therapy, 42(1), 1-8. https://doi.org/10.1080/16506073.2012.701662 CR - Luoma, J. B., Hayes, S. C., & Walser, R. D. (2007). Learning ACT: An acceptance & commitment therapy skills-training manual for therapists. New Harbinger. CR - Meuret, A. E., Twohig, M. P., Rosenfield, D., Hayes, S. C., & Craske, M. G. (2012). Brief acceptance and commitment therapy and exposure for panic disorder: A pilot study. Cognitive and Behavioral Practice, 19(4), 606-618. https://doi.org/10.1016/j.cbpra.2012.05.004 CR - Moghanloo, V. A., Moghanloo, R. A., & Moazezi, M. (2015). Effectiveness of acceptance and commitment therapy for depression, psychological well-being and feeling of guilt in 7-15 years old diabetic children. Iranian Journal of CR - Pediatrics, 25(4), 1-5. https://doi.org/10.5812/ijp.2436 Minuchin, S., & Fishman, H. C. (1981). Family therapy techniques. Harvard University. CR - Norouzi, M., Zargar, F., & Norouzi, F. (2017). Effectiveness of acceptance and commitment therapy on interpersonal problems and difficulties in emotion regulation among university students. Iran J Psychiatry Behav Sci, 11(3). https://doi.org/10.5812/ijpbs.8005 CR - Omidian, E., Rafienia, P., & Rahimian Booger, E. (2015). The effect of cognitive-behavioral group therapy on disturbed body image and body dysmorphic disorder among students. Journal of Research and Health, 5(3), 288-297. CR - Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Bmj, 372. https://doi.org/10.1136/bmj.n71 CR - Pardede, J. A., Keliat, B. A., & Wardani, I. Y. (2020). The symptoms of low self-esteem decline after being given acceptance and commitment therapy. Adv Practice Nurs, 5(170), 10-37421. https://doi.org/10.37421/apn.2020.05.170 CR - Perkins, A. (2019). Body dysmorphic disorder: The drive for perfection. Nursing Made Incredibly Easy, 17(1), 32-38. https://doi.org/10.1097/01.NME.0000549614.97772.88 CR - Phillips, K. A. (2007). Suicidality in body dysmorphic disorder. Primary Psychiatry, 14(12), 58. https://doi.org/10.1037/e721432007-007 CR - Pickard, J. A., Lumby, C., & Deane, F. P. (2021). True beauty lies within: therapist interview of a client who received acceptance and commitment therapy for body dysmorphic disorder. Clinical Psychologist, 25(2), 234-239. https://doi.org/10.1080/13284207.2021.1948304 CR - Pondehnezhadan, A., & Fard, R. J. (2018). Effectiveness of schema therapy on body-image, self-concept, maladaptive schemas in patients with body dysmorphic disorder. Middle East Journal of Family Medicine, 7(10), 162. https://doi.org/10.5742/MEWFM.2018.93211 CR - Rosen, J. C., Reiter, J., & Orosan, P. (1995). Cognitive-behavioral body image therapy for body dysmorphic disorder. J Consult Clin Psychol, 63(2), 263. https://doi.org/10.1037/e721432007-007 CR - Rowe, S. L., Gembeck, M. J. Z., Rudolph, J., & Nesdale, D. (2015). A longitudinal study of rejecting and autonomy-restrictive parenting, rejection sensitivity, and socioemotional symptoms in early adolescents. J Abnorm Child Psychol, 43, 1107-1118. https://doi.org/10.1007/s10802-014-9966-6 CR - Prazeres, A. M., Nascimento, A. L., & Fontenelle, L. F. (2013). Cognitive-behavioral therapy for body dysmorphic disorder: a review of its efficacy. Neuropsychiatric Disease and Treatment, 307-316. https://doi.org/10.2147/NDT.S41074 CR - Ryding, F. C., & Kuss, D. J. (2020). The use of social networking sites, body image dissatisfaction, and body dysmorphic disorder: A systematic review of psychological research. Psychology of Popular Media, 9(4), 412-435. https://psycnet.apa.org/doi/10.1037/ppm0000264 CR - Sadri Damirch, E., Esmaeili Ghazivaoloii, F., Fathi, D., Mehraban, S., & Ahmadboukani, S. (2019). Effectiveness of group psychotherapy based on admission and commitment to body dysmorphic obsessive-compulsive disorder in women with breast cancer. Iranian Rehabilitation Journal, 17(4), 351-358. https://doi.org/10.32598/irj.17.4.351 CR - Sarıgül, Z., & Karaaziz, M. (2024). Beden dismorfik bozukluğunun bilişsel davranışçı terapi yöntemi ile tedavisinin incelenmesi üzerine sistematik bir derleme. Sosyal, Beşeri ve İdari Bilimler Dergisi, 7(9), 695-704. CR - Schieber, K., Kollei, I., de Zwaan, M., & Martin, A. (2015). Classification of body dysmorphic disorder—What is the advantage of the new DSM-5 criteria?. Journal of Psychosomatic Research, 78(3), 223-227. https://doi.org/10.1016/j.jpsychores.2015.01.002 CR - Schut, C., Dalgard, F. J., Bewley, A., Evers, A. W., Gieler, U., Lien, L., ... & ESDAP Study collaborators. (2022). Body dysmorphia in common skin diseases: results of an observational, cross‐sectional multicentre study among dermatological outpatients in 17 European countries. British Journal of Dermatology, 187(1), 115-125. https://doi.org/10.1111/bjd.21021 CR - Selvi, K., Parling, T., Ljótsson, B., Welch, E., & Ghaderi, A. (2021). Two randomized controlled trials of the efficacy of acceptance and commitment therapy‐based educational course for body shape dissatisfaction. Scandinavian Journal of Psychology, 62(2), 249-258. https://doi.org/10.1111/sjop.12684 CR - Singh, A. R., & Veale, D. (2019). Understanding and treating body dysmorphic disorder. Indian Journal of Psychiatry, 61(1), 131-135 https://doi.org/10.4103/psychiatry.IndianJPsychiatry_528_18 CR - Sulistyo, P. T. S., Sukamto, M. E., & Ibrahim, N. (2022). Social media pressure and the body dysmorphic disorder tendency in women: The mediating role of perfectionism. Psikohumaniora: Jurnal Penelitian Psikologi, 7(2), 137-152. https://doi.org/10.21580/pjpp.v7i2.10637 CR - Sun, M. D. & Rieder, E. A. (2022). Psychosocial issues and body dysmorphic disorder in aesthetics: Review and debate. Clinics in Dermatology, 40(1), 4-10. https://doi.org/10.1016/j.clindermatol.2021.08.008 CR - Swain, J., Hancock, K., Hainsworth, C., & Bowman, J. (2013). Acceptance and commitment therapy in the treatment of anxiety: a systematic review. Clinical Psychology Review, 33(8), 965-978. https://doi.org/10.1016/j.cpr.2013.07.002 CR - Taillon, A., O'Connor, K., Dupuis, G., & Lavoie, M. (2013). Inference‐based therapy for body dysmorphic disorder. Clinical Psychology & Psychotherapy, 20(1), 67-76. https://doi.org/10.1002/cpp.767 CR - Tamam, L., & Demirkol, M. E. (2019). Obsesif kompulsif bozukluk ve ilişkili bozukluklar. Bütüncül Tıp: Birinci Basamakta ve Aile Hekimliğinde Güncel Tanı-Tedavi, 1, 1644-1646. CR - Tighe, J., Nicholas, J., Shand, F. & Christensen, H. (2018). Efficacy of acceptance and commitment therapy in reducing suicidal ideation and deliberate self-harm: systematic review. JMIR Mental Health, 5(2), e10732. https://doi.org/10.2196/10732 CR - Twohig, M. P., & Levin, M. E. (2017). Acceptance and commitment therapy as a treatment for anxiety and depression: a review. Psychiatric Clinics, 40(4), 751-770. https://doi.org/10.1016/j.psc.2017.08.009 CR - Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H., & Woidneck, M. R. (2010). A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive-compulsive disorder. Journal Of Consulting and Clinical Psychology, 78(5), 705. https://doi.org/10.1037/a0020376 CR - Unbrin, A., Shazhadi, M., & Jabeen, M. (2024). Reviewing CBT ıntervention for body dysmorphic disorder: A systematic literature. Journal of Development and Social Sciences, 5(1), 349-358. https://doi.org/10.47205/jdss.2024(5-I)32 CR - Vriends, N., Meral, Y., Bargas-Avila, J. A., Stadler, C., & Bögels, S. M. (2017). How do I look? Self-focused attention during a video chat of women with social anxiety (disorder). Behaviour Research and Therapy, 92, 77-86. https://doi.org/10.1016/j.brat.2017.02.008 CR - Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy (pp. 653–658). Guilford. CR - Wang, S., Zhou, Y., Yu, S., Ran, L. W., Liu, X. P., & Chen, Y. F. (2017). Acceptance and commitment therapy and cognitive–behavioral therapy as treatments for academic procrastination: A randomized controlled group session. Research on Social Work Practice, 27(1), 48-58. https://doi.org/10.1177/1049731515577890 CR - Weingarden, H., & Renshaw, K. D. (2016). Body dysmorphic symptoms, functional impairment, and depression: the role of appearance-based teasing. The Journal of Psychology, 150(1), 119-131. https://doi.org/10.1080/00223980.2015.1012144 CR - Wersebe, H., Lieb, R., Meyer, A. H., Hofer, P., & Gloster, A. T. (2018). The link between stress, well-being, and psychological flexibility during an Acceptance and Commitment Therapy self-help intervention. Int J Clin Health Psychol, 18(1), 60-68. https://doi.org/10.1016/j.ijchp.2017.09.002 CR - Wilhelm, S., Phillips, K. A., Didie, E., Buhlmann, U., Greenberg, J. L., Fama, J. M., Keshaviah A., & Steketee, G. (2014). Modular cognitive-behavioral therapy for body dysmorphic disorder: a randomized controlled trial. Behavior Therapy, 45(3), 314-327. https://doi.org/10.1016/j.beth.2013.12.007 CR - Wilhelm, S., Phillips, K. A., Greenberg, J. L., O’Keefe, S. M., Hoeppner, S. S., Keshaviah, A., Sarvode-Mothi, S., & Schoenfeld, D. A. (2019). Efficacy and posttreatment effects of therapist-delivered cognitive behavioral therapy vs supportive psychotherapy for adults with body dysmorphic disorder: a randomized clinical trial. JAMA Psychiatry, 76(4), 363-373. doi:10.1001/jamapsychiatry.2018.4156 CR - Wilhelm, S., Weingarden, H., Greenberg, J. L., Hoeppner, S. S., Snorrason, I., Bernstein, E. E., Mc Coy, T. H., & Harrison, O. T. (2022). Efficacy of app-based cognitive behavioral therapy for body dysmorphic disorder with coach support: Initial randomized controlled clinical trial. Psychotherapy and Psychosomatics, 91(4), 277-285. https://doi.org/10.1159/000524628 CR - Zettle, R. D. (2015). Acceptance and commitment therapy for depression. Current Opinion in Psychology, 2, 65-69. https://doi.org/10.1016/j.copsyc.2014.11.011 CR - Zhao, F., Guo, Z., Bo, Y., Feng, L., & Zhao, J. (2024). Is cognitive behavioral therapy an efficacious treatment for psychological interventions in body dysmorphic disorders? A meta-analysis based on current evidence from randomized controlled trials. Journal of Affective Disorders, 352, 237-249. https://doi.org/10.1016/j.jad.2024.02.004 CR - Zsido, A. N., Arato, N., Lang, A., Labadi, B., Stecina, D., & Bandi, S. A. (2021). The role of maladaptive cognitive emotion regulation strategies and social anxiety in problematic smartphone and social media use. Personality and Individual Differences, 173, 110647. https://doi.org/10.1016/j.paid.2021.110647 UR - https://doi.org/10.18506/anemon.1525427 L1 - https://dergipark.org.tr/tr/download/article-file/4111039 ER -