Body dysmorphic disorder, social anxiety and depressive symptoms in Chinese medical students

Liao, Yanhui; Knoesen, Natalie P.; Yun-long, Deng; Tang, Jinsong; Castle, David; Bookun, Riteesh; Hao, Wei; Chen, Xiaogang; Liu, Tieqiao

doi:10.1007/s00127-009-0139-9

Cited by 57 publications

(44 citation statements)

References 46 publications

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“…While a thin figure has long been sought after in American culture, it is now also considered desirable among Chinese female youth. 9,12,13 During adolescence and early adulthood, the dedication to pursue this ideal body shape tends to be even more pronounced. 8,14 Previous research has suggested that newfound freedom and increasing social pressures can lead to unhealthy weight management practices during adolescence, 6 and this may be exacerbated during the college years as both independence and stress continue to increase.…”

Section: Introductionmentioning

confidence: 99%

“…18 Chinese females appear to have greater concern with body image and weight, 6,12 and an increased likelihood of disordered eating attitudes and behaviors than males. 13 Sakamaki et al found that more than twice the number of female students (29.8%) have engaged in some form of dieting experience compared to male students (12.7%). 19 As such, an investigation of this specific set of issues among the female population is warranted.…”

Section: Introductionmentioning

confidence: 99%

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Overweight Perception: Associations with Weight Control Goals, Attempts, and Practices among Chinese Female College Students

Tanenbaum¹,

Felicitas²,

Li³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Background Concurrent with the dramatic cultural and economic shifts occurring as Mainland China becomes increasingly “Westernized,” the weight perceptions, ideal body weight, and weight management goals and practices of Chinese females have also undergone significant changes. Objective To investigate relationships between overweight status, weight perception patterns, and weight management goals and practices in Chinese female college students. Design/Participants/Setting A cross-sectional analysis was conducted with data from 902 female subjects aged 18 to 25 years participating in the China Seven Cities Study, a health promotion and smoking prevention study conducted in Mainland China in 2003. Main Outcome Measures/ Statistical Analyses Logistic regression models were used to explore associations between overweight status, weight perception, specific weight management goals and practices, and current levels of vigorous-intensity physical activity and food consumption. Results Based on World Health Organization standards for Asian adults, 16.7% of college females were overweight or obese, although 50.8% considered themselves to be “too heavy.” Among participants perceiving themselves as overweight (n=458), 69.2% (n=371) were inaccurate, and did not meet criteria for overweight or obese. The percentage of participants attempting weight loss was 48.2%, and 33.1% wanted to maintain their current weight. Attempts to lose or maintain weight were related to actual and perceived weight status, but not to increased vigorous-intensity physical activity or fruit and vegetable intake, nor to decreased consumption of sweets, soda, Western fast foods and fried foods. Only 21.5% of participants desiring weight loss or maintenance reported using a combination of vigorous-intensity physical activity and a reduced fat and calorie diet, while 20.2% tried extreme methods such as fasting, using diet pills, vomiting, or smoking. Conclusions Our findings underscore the need to promote healthy weight management practices among Chinese female college students, with an emphasis on diet and physical activity strategies that encourage balance rather than extremes.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Overweight Perception: Associations with Weight Control Goals, Attempts, and Practices among Chinese Female College Students

Tanenbaum¹,

Felicitas²,

Li³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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“…DCQ is a concise and economical instrument, i.e., considered for clinical use as well as epidemiological studies in large samples (Liao et al, 2010;Mancuso, Knoesen, & Castle, 2010). However, DCQ was only validated in clinical settings (Jorgensen, Castle, Roberts, & Groth-Marnat, 2001;Stangier et al, 2003).…”

Section: (Bddq)mentioning

confidence: 99%

The Psychometric Properties of the Persian Version of Dysmorphic Concern Questionnaire

Khanjani

Foroughi

Bardezard

2019

Pract. Clin. Psychol.

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The Dysmorphic Concern Questionnaire (DCQ) is a widely used screening instrument assessing dysmorphic concerns ranging from a mild to an excessive level. In Iran, there is no brief and valid questionnaire for the assessment of body dysmorphic disorder. Methods: To investigate the psychometric properties of this scale, 210 university students (103 males and 107 females) were selected by convenience sampling method. The study participants were requested to complete the DCQ, scales of external shame, self-compassion, negative affect, and perfectionism. LISREL and SPSS were used for analyzing the obtained data. Confirmatory Factor Analysis (CFA), correlation coefficient, and Cronbach's alpha coefficient were calculated, as well. Results: The one-factor structure of DCQ was supported by the results of CFA in an Iranian sample (X 2 /df=2/12, RMSEA=0.07, NFI=0.94, CFI=0.97). Dysmorphic concern was positively and significantly correlated with external shame scale (0.38), perfectionism (0.22), and negative affect (0.22); however, they were negatively and significantly correlated with self-compassion (0.16). Cronbach's alpha coefficient was obtained equal to 0.78 in this respect. Conclusion: DCQ demonstrated acceptable psychometric properties in university student populations. This scale has appropriate psychometric properties for research and clinical practice.

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“…Among men, the prevalence of these concerns was highest in the age group 18–21 years (56%) but fell progressively with increasing age through to the age of 60 years. Even in non-Western cultures (eg, Chinese), about one third of first-year medical students (32.5%) were reported to be very concerned about some aspect of their appearance unrelated to weight 3. Nonetheless, when a person becomes significantly distressed and/or impaired by their imaginary defects or by a small physical anomaly, a diagnosis of body dysmorphic disorder (BDD) should be considered 4,5.…”

Section: Introductionmentioning

confidence: 99%

Cognitive-behavioral therapy for body dysmorphic disorder: a review of its efficacy

Prazeres

Nascimento

Fontenelle³

2013

NDT

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The aim of this study was to review the efficacy of different methods of cognitive and/or behavioral therapies used to treat body dysmorphic disorder. We evaluated all case series, open studies, controlled trials, and meta-analyses of cognitive and/or behavioral treatment approaches to body dysmorphic disorder published up to July 2012, identified through a search in the PubMed/Medline, PsycINFO, ISI Web of Knowledge, and Scopus databases. Our findings indicate that individual and group cognitive behavioral therapies are superior to waiting list for the treatment of body dysmorphic disorder. While the efficacy of cognitive therapy is supported by one controlled trial, utility of behavioral therapy is suggested by one open study and one controlled relapse prevention follow-up study. There is a pressing need to conduct head-to-head studies, with appropriate, active, control treatment groups, in order to examine further the efficacy of cognitive and/or behavioral therapies for body dysmorphic disorder.

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Body dysmorphic disorder, social anxiety and depressive symptoms in Chinese medical students

Cited by 57 publications

References 46 publications

Overweight Perception: Associations with Weight Control Goals, Attempts, and Practices among Chinese Female College Students

Overweight Perception: Associations with Weight Control Goals, Attempts, and Practices among Chinese Female College Students

The Psychometric Properties of the Persian Version of Dysmorphic Concern Questionnaire

Cognitive-behavioral therapy for body dysmorphic disorder: a review of its efficacy

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