“…In the context of body image impairment, ER difficulties have been studied more in eating disorders ( Svaldi, Griepenstroh, Tuschen-Caffier, & Ehring, 2012 ), although difficulties in ER have been found in BDD patients ( Mohajerin, Bakhtiyar, Olesnycky, Dolatshahi, & Motabi, 2019 ) and in adolescents with dysmorphic symptoms ( Lavell, Webb, Zimmer-Gembeck, & Farrell, 2018 ). Callaghan et al (2012) and Wilson, Wilhelm, and Hartmann (2014) found that experiential avoidance was a predictor of BDD. In fact, it has been postulated that persons with DC could use appearance control behaviors or excessive personal care as maladaptive strategies for managing negative emotional states ( Lavell et al, 2018 ), as in binging, purging and excessive exercise behaviors by eating disorder patients ( Peñas-Lledó, Vaz Leal, & Waller, 2002 ).…”