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Active, not recruiting Not applicable

CBT for Muscle Dysmorphia and Steroid Abuse: A Randomized Controlled Trial

NCT06781853 · tracked via the Priya Life Science Turkey tracker
Phase
Not applicable
Started
2024-09-01
Last updated
2025-06-25

Condition(s) studied

Body Dysmorphic DisorderSteroid AbuseBody Dysmorphic Disorder (BDD), Subtype: Muscle Dysmorphia

Investigational drug(s) / intervention(s)

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT): The intervention consists of 12 weekly one-on-one online CBT sessions, each lasting 50 minutes, delivered via Microsoft Teams. The sessions will focus on addressing symptoms of muscle dysmorphia (MD), maladaptive thought patterns, and behaviors associated with steroid and performance-enhancing drug (PED) use. The therapy is based on structured CBT techniques and will include psychoeducation, cognitive restructuring, behavioral experiments, and relapse prevention strategies. The sessions will be conducted by trained clinical psychology master's students under the supervision of experienced clinical psychologists and a psychiatrist. The intervention is designed to reduce MD symptoms and improve psychological well-being.

Study summary

The goal of this clinical trial is to evaluate the effectiveness of cognitive behavioral therapy (CBT) in treating muscle dysmorphia (MD) under body dysmorphic disorder (BDD) and steroid/performance-enhancing drug (PED) abuse in men aged 18-65 who regularly attend the gym. The main questions it aims to answer are:

Does CBT reduce the symptoms of muscle dysmorphia in this population? Does CBT improve psychological well-being and reduce reliance on steroids or PEDs? Researchers will compare participants receiving CBT to a control group that does not receive any intervention to determine the therapy's effectiveness.

Participants will:

Undergo a formal diagnosis of muscle dysmorphia (Under BDD) and steroid/PED abuse based on DSM-5-TR criteria through online clinical interviews.

Complete 12 weekly one-on-one online CBT sessions (50 minutes each) for those in the experimental group.

Complete psychological assessments at three time points: before the intervention, after the intervention, and at a 3-month follow-up.

This study uses validated scales to measure changes in symptoms of MD, psychological distress, and other related outcomes. The results will help determine if CBT is an effective treatment for muscle dysmorphia and associated steroid/PED abuse.

Eligibility

Sex
MALE
Min age
18 Years
Max age
65 Years
Healthy volunteers
No
Inclusion Criteria: Male participants aged 18-65. Regular gym attendance (minimum three times per week). Use of steroids or performance-enhancing drugs (PEDs) for at least one year. Formal diagnosis of muscle dysmorphia (MD) under body dysmorphic disorder (BDD) and steroid/PED abuse, based on DSM-5-TR criteria. Willingness to participate in 12 weekly one-on-one online cognitive behavioral therapy (CBT) sessions. Ability to provide informed consent and complete assessments at baseline, post-intervention, and three-month follow-up. Exclusion Criteria: Diagnoses of substance use disorders (e.g., heroin, cannabis). Diagnoses of bipolar disorder or antisocial personality disorder. Use of steroids or PEDs for medical purposes. Use of medications that could interfere with the study outcomes. Participation in any other psychotherapy or psychological intervention during the study period. Inability to access the internet or participate in online therapy sessions.

Primary outcome measure(s)

  • Reduction in Muscle Dysmorphia Symptoms — Baseline, post-intervention (12 weeks), and three-month follow-up (24 weeks).
    Change in muscle dysmorphia symptoms, as measured by the Muscle Dysmorphic Disorder Inventory (MDDI), from baseline to post-intervention and three-month follow-up.

Trial sites (1)

FacilityCityRegionStatus
Üsküdar University, İstanbul, Türkiye Istanbul Turkey (Türkiye)
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06781853 on ClinicalTrials.gov ↗ ← All trials in Turkey