Long-term memory for faces in dysmorphic concern and self-reported body dysmorphic disorder

Abstract

Dysmorphic concerns are a core symptom of body dysmorphic disorder (BDD), a mental disorder characterized by a preoccupation with perceived appearance-related flaws. Different cognitive and perceptual biases are associated with dysmorphic concern or BDD, including object-related short-term memory deficits and superior short-term memory performance for facial features. A face-related long-term memory bias might explain the feature of perceiving flaws and why individuals with BDD experience adverse outcomes of cosmetic surgery. The present study aimed at investigating long-term memory (LTM) performance for different facial stimuli. 62 participants completed an online experiment (30 with low and 32 with high dysmorphic concern; 39 without and 23 with self-reported BDD). The experiment consisted of two consecutive old/new recognition tasks, testing memory performance of whole faces and facial features. LTM performance was higher for whole faces than for facial features across groups. Neither significant differences between the low and high dysmorphic concern groups nor an interaction of group x stimulus type were found. Post hoc exploratory analyses revealed lower long-term memory performance in individuals with versus without self-reported BDD. The results indicate that memory performance might be only affected in BDD rather than non-clinical or non–BDD-specific dysmorphic concerns.