Hilary Weingarden
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View article: Predicting concurrent and short-term desire and intent to attempt suicide among people with body dysmorphic disorder using ecological momentary assessment of anxiety and shame.
Predicting concurrent and short-term desire and intent to attempt suicide among people with body dysmorphic disorder using ecological momentary assessment of anxiety and shame. Open
Anxiety and shame are central, elevated emotions in body dysmorphic disorder (BDD) that are implicated as risk factors for suicide in suicide theories and are associated with suicide risk in cross-sectional BDD studies. Given that emotions…
View article: Characterizing behavior change techniques in Mindset: A therapist-guided smartphone intervention for depression (Preprint)
Characterizing behavior change techniques in Mindset: A therapist-guided smartphone intervention for depression (Preprint) Open
BACKGROUND Worldwide, depression is a leading cause of disability, and its prevalence continues to rise. Although cognitive behavioral therapy (CBT) is an effective treatment, access to traditional face-to-face CBT is limited due to clini…
View article: Empirically informed symptom severity cutoffs for body dysmorphic disorder
Empirically informed symptom severity cutoffs for body dysmorphic disorder Open
These BDD-YBOCS severity cutoffs can be used for clinical and research purposes across different populations but should not be used as the sole basis for important clinical decisions affecting individual patients. The boundary between subc…
View article: Predicting the strength of next-day negative emotion states in body dysmorphic disorder using passive smartphone data: An intensive longitudinal assessment study
Predicting the strength of next-day negative emotion states in body dysmorphic disorder using passive smartphone data: An intensive longitudinal assessment study Open
View article: Patterns of Skills Review in Smartphone Cognitive Behavioral Therapy for Depression: Observational Study of Intervention Content Use
Patterns of Skills Review in Smartphone Cognitive Behavioral Therapy for Depression: Observational Study of Intervention Content Use Open
Background Smartphones could enhance access to effective cognitive behavioral therapy (CBT). Users may frequently and flexibly access bite-size CBT content on personal devices, review and practice skills, and thereby achieve better outcome…
View article: Long-term outcomes of smartphone-delivered cognitive behavior therapy for body dysmorphic disorder: A one-year naturalistic follow-up
Long-term outcomes of smartphone-delivered cognitive behavior therapy for body dysmorphic disorder: A one-year naturalistic follow-up Open
View article: The Prevalence and Incidence of Suicidal Thoughts and Behavior in a Smartphone-Delivered Treatment Trial for Body Dysmorphic Disorder: Cohort Study
The Prevalence and Incidence of Suicidal Thoughts and Behavior in a Smartphone-Delivered Treatment Trial for Body Dysmorphic Disorder: Cohort Study Open
Background People with past suicidal thoughts and behavior (STB) are often excluded from digital mental health intervention (DMHI) treatment trials. This may perpetuate barriers to care and reduce treatment generalizability, especially in …
View article: Examining the Prevalence and Incidence of Suicidal Thoughts and Behavior in a Smartphone-Delivered Treatment Trial for Body Dysmorphic Disorder (Preprint)
Examining the Prevalence and Incidence of Suicidal Thoughts and Behavior in a Smartphone-Delivered Treatment Trial for Body Dysmorphic Disorder (Preprint) Open
UNSTRUCTURED People with prior suicidal thoughts and behavior (STB) are often excluded from digital mental health intervention (DMHI) treatment trials. This may perpetuate barriers to care and reduce treatment generalizability, especially…
View article: Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder: Factor structure and construct validity of subfactors
Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder: Factor structure and construct validity of subfactors Open
View article: The use of coaching in smartphone app-based cognitive behavioral therapy for body dysmorphic disorder
The use of coaching in smartphone app-based cognitive behavioral therapy for body dysmorphic disorder Open
View article: Feasibility, Acceptability, and Preliminary Efficacy of a Smartphone App–Led Cognitive Behavioral Therapy for Depression Under Therapist Supervision: Open Trial
Feasibility, Acceptability, and Preliminary Efficacy of a Smartphone App–Led Cognitive Behavioral Therapy for Depression Under Therapist Supervision: Open Trial Open
Background Major depressive disorder affects approximately 1 in 5 adults during their lifetime and is the leading cause of disability worldwide. Yet, a minority receive adequate treatment due to person-level (eg, geographical distance to p…
View article: Impact of sleep disruption on BDD symptoms and treatment response
Impact of sleep disruption on BDD symptoms and treatment response Open
View article: Characterizing observed and effective behavioral engagement with smartphone cognitive behavioral therapy for body dysmorphic disorder: A methods roadmap and use case
Characterizing observed and effective behavioral engagement with smartphone cognitive behavioral therapy for body dysmorphic disorder: A methods roadmap and use case Open
Smartphone psychotherapies are growing in popularity, yet little is understood about (1) how people prefer to engage with psychotherapy apps, or (2) which engagement patterns constitute effective engagement. The present study uses s…
View article: Credibility and expectancy of smartphone-based cognitive behavioral therapy among adults with body dysmorphic disorder
Credibility and expectancy of smartphone-based cognitive behavioral therapy among adults with body dysmorphic disorder Open
View article: Prospective examination of psychological risk and maintenance factors for body image distress after mastectomy with immediate breast reconstruction
Prospective examination of psychological risk and maintenance factors for body image distress after mastectomy with immediate breast reconstruction Open
View article: Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review
Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review Open
Background Smartphone app–based therapies offer clear promise for reducing the gap in available mental health care for people at risk for or people with mental illness. To this end, as smartphone ownership has become widespread, app-based …
View article: Efficacy of App-Based Cognitive Behavioral Therapy for Body Dysmorphic Disorder with Coach Support: Initial Randomized Controlled Clinical Trial
Efficacy of App-Based Cognitive Behavioral Therapy for Body Dysmorphic Disorder with Coach Support: Initial Randomized Controlled Clinical Trial Open
Introduction: Body dysmorphic disorder (BDD) is severe, chronic, and undertreated. Apps could substantially improve treatment access. Objective: We provide an initial test of the usability and efficacy of coach-…
View article: Body Image After Mastectomy Scale: A New Measure of Body Image Behaviors and Beliefs in Women Following Mastectomy
Body Image After Mastectomy Scale: A New Measure of Body Image Behaviors and Beliefs in Women Following Mastectomy Open
Background: Body image distress is frequently reported by women after mastectomy and is associated with negative health outcomes, such as reduced quality of life, elevated depression and anxiety symptoms, and impaired sexual …
View article: Rates of remission, sustained remission, and recurrence in a randomized controlled trial of cognitive behavioral therapy versus supportive psychotherapy for body dysmorphic disorder
Rates of remission, sustained remission, and recurrence in a randomized controlled trial of cognitive behavioral therapy versus supportive psychotherapy for body dysmorphic disorder Open
Full or partial remission rates are high following CBT for BDD and higher than after SPT.
View article: Predictors and moderators of symptom change during cognitive-behavioral therapy or supportive psychotherapy for body dysmorphic disorder
Predictors and moderators of symptom change during cognitive-behavioral therapy or supportive psychotherapy for body dysmorphic disorder Open
View article: Optimizing Smartphone-Delivered Cognitive Behavioral Therapy for Body Dysmorphic Disorder Using Passive Smartphone Data: Initial Insights From an Open Pilot Trial
Optimizing Smartphone-Delivered Cognitive Behavioral Therapy for Body Dysmorphic Disorder Using Passive Smartphone Data: Initial Insights From an Open Pilot Trial Open
Background Smartphone-delivered cognitive behavioral therapy (CBT) is becoming more common, but research on the topic remains in its infancy. Little is known about how people typically engage with smartphone CBT or which engagement and mob…
View article: Comparison of the Association Between Goal-Directed Planning and Self-reported Compulsivity vs Obsessive-Compulsive Disorder Diagnosis
Comparison of the Association Between Goal-Directed Planning and Self-reported Compulsivity vs Obsessive-Compulsive Disorder Diagnosis Open
This cross-sectional study assesses whether deficits in goal-directed planning are better identified by self-reported compulsivity or a diagnosis of obsessive-compulsive disorder.
View article: Cognitive-Behavioral Therapy in the Digital Age: Presidential Address
Cognitive-Behavioral Therapy in the Digital Age: Presidential Address Open
Our field has come a long way in establishing cognitive-behavioral therapy as the empirically supported treatment of choice for a wide range of mental and behavioral health problems. Nevertheless, most individuals with mental disorders do …
View article: Development and Pilot Testing of a Cognitive-Behavioral Therapy Digital Service for Body Dysmorphic Disorder
Development and Pilot Testing of a Cognitive-Behavioral Therapy Digital Service for Body Dysmorphic Disorder Open
Body dysmorphic disorder (BDD) has a severe presentation and chronic course when untreated. Although effective BDD treatments exist, most individuals do not have access to them. We therefore developed and pilot tested the first smartphone-…
View article: Digital biomarkers of mood disorders and symptom change
Digital biomarkers of mood disorders and symptom change Open
Current approaches to psychiatric assessment are resource-intensive, requiring time-consuming evaluation by a trained clinician. Development of digital biomarkers holds promise for enabling scalable, time-sensitive, and cost-effective asse…
View article: Relative relationships of general shame and body shame with body dysmorphic phenomenology and psychosocial outcomes
Relative relationships of general shame and body shame with body dysmorphic phenomenology and psychosocial outcomes Open
View article: Anxiety and Shame as Risk Factors for Depression, Suicidality, and Functional Impairment in Body Dysmorphic Disorder and Obsessive Compulsive Disorder
Anxiety and Shame as Risk Factors for Depression, Suicidality, and Functional Impairment in Body Dysmorphic Disorder and Obsessive Compulsive Disorder Open
Body dysmorphic disorder (BDD) and obsessive compulsive disorder (OCD) are associated with elevated depression, suicidality, functional impairment, and days housebound, yet little research has identified risk factors for these outcomes. Us…
View article: Development and validation of the Body-Focused Shame and Guilt Scale
Development and validation of the Body-Focused Shame and Guilt Scale Open