Prevalence of body dysmorphic disorder and associated features in German adolescents: A self-report survey

Möllmann, Anne; Dietel, Fanny Alexandra; Hunger, Antje; Buhlmann, Ulrike

doi:10.1016/j.psychres.2017.04.063

Cited by 58 publications

(40 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The factors that could affect the prevalence of BDD vary widely according to the assessment methods, study site, societal values, cultural norms, the survey's setting, and the skin diseases targeted by the study. 1,23 There were no differences in the current study according to gender, marital status, or body weight between participants with and without BDD, which is consistent with other studies 1,6,24 Patients under 50 years of age had significantly higher mean BDD scores compared to older participants, also corroborating previous studies. 24,25 Corando et al 1 also found no association between marital status or gender and BDD in their overall analysis, but found that cosmetic patients with BDD were more likely to be single women with low BMI.…”

Section: Discussionsupporting

confidence: 91%

“…8 It is common for individuals with BDD to spend an inordinate amount of time on rituals such as mirror checking or avoiding reflective surfaces, often attempting to hide the perceived deformity with makeup or clothing. 1,9,10 Aside from the distress caused by the imagined body defects, the amount of time spent on rituals to hide them interferes with patients' ability to function occupationally or socially, and negatively impacts their quality of life. 11,12 Body dysmorphophobia is a common disorder, with a prevalence of 0.7% to 2.4% among community samples.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,13,14 BDD has a high rate of psychiatric comorbidity, and extant literature has shown comorbidity with obsessive-compulsive disorder, major depressive disorder, social phobia, anxiety, and suicide. 3,7,10,11 However, because patients' presentation is usually first to a non-mental health professional, diagnosis may be delayed for several years after onset of the illness. 4 In Nigeria and Africa as a whole, as elsewhere in world, the published literature on BDD is still scanty, and the disorder has remained underdiagnosed and underreported.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Body dysmorphic disorder in patients attending a dermatology clinic in Nigeria: sociodemographic and clinical correlates

Akinboro

Adelufosi²,

Onayemi

et al. 2019

An. Bras. Dermatol.

View full text Add to dashboard Cite

Background: Body dysmorphic disorder is a relatively common psychiatric disorder in the context of dermatology and cosmetic and plastic surgery but is underdiagnosed and underreported in Africa. oBjective: To evaluate the prevalence of body dysmorphic disorder and symptoms of anxiety/depression and determine their sociodemographic and clinical correlates. Methods: A systematic random sampling design was made to recruit 114 patients with skin diseases. Sociodemographic and clinical data were obtained. The Body Dysmorphic Disorder Modification of the Yale-Brown Obsessive-Compulsive Scale, Hospital Anxiety and Depression Scale was administered, and data were analyzed using SPSS 20. results: Mean age of participants was 37.70±17.47 years, and 67/114 (58.8%) were females. Prevalence of body dysmorphic disorder was 41/114 (36.0%), and prevalence of anxiety/depression symptoms was 35/114 (30.7%). Prevalence of body dysmorphic disorder in patients with anxiety/depression symptoms was 15/41 (36.6%), and patients with facial disorders expressed the highest burden of anxiety/depression symptoms, in 15/35 (42.9%). Factors associated with significantly higher mean body dysmorphic disorder include age<50years (p=0.039), and anxiety/depression (p<0.001), education below high school was associated with higher mean anxiety/depression score (P= 0.031). In a binary logistic regression model, presence of anxiety/depression symptoms was predictive of body dysmorphic disorder (OR=10.0, CI: 4.1-28.2, p<0.001). study liMitations: the study is uncontrolled, conducted in a single source of care, thus limiting generalization to nonrelated settings. conclusion: Prevalence of body dysmorphic disorder is high among dermatology patients and most prevalent in facial disorders. Facial diseases are associated with the highest burden of anxiety/depression symptoms. This is a clarion call for dermatologists to routinely assess for body dysmorphic disorder and appropriately refer affected patients to mental health care. investigAtion An Bras Dermatol. 2019;94(4):422-8. An Bras Dermatol. 2019;94(4):422-8. CI -confidence interval, OR -odds ratio Akinboro AO, Adelufosi AO, Onayemi O, Asaolu SO An Bras Dermatol. 2019;94(4):422-8. How to cite this article: Akinboro AO, Adelufosi AO, Onayemi O, Asaolu SO. Body dysmorphic disorder among patients attending a dermatology clinic in Nigeria: socio-demographic and clinical correlates. An Bras Dermatol. 2019;94(4):422-8. AUTHORS' CONTRIBUTIONS Adeolu Oladayo Akinboro 0000-0001-8266-7076 Statistical analysis; Approval of the final version of the manuscript; Conception and planning of the study; Elaboration and writing of the manuscript; Obtaining, analyzing and interpreting the data; Effective participation in research orientation; Intellectual participation in propedeutic and/or therapeutic conduct of the cases studied; Critical review of the literature; Critical review of the manuscript. Adegoke Oloruntoba Adelufosi 0000-0003-3013-3536 Statistical analysis; Approval of the final version of the manuscript; Conce...

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Body dysmorphic disorder in patients attending a dermatology clinic in Nigeria: sociodemographic and clinical correlates

Akinboro

Adelufosi²,

Onayemi

et al. 2019

An. Bras. Dermatol.

View full text Add to dashboard Cite

show abstract

“…First, there are no structured interviews or self-applied questionnaires validated for BDD using the DSM-5 criteria. We found a disparity between the current criteria and the available evaluation instruments which we tried to solve by including a question that reformulates criterion B of the DSM-5, an approach similar to that used by Schieber et al, M€ ollmann et al and Cerea et al 5,21,22 Secondly, this was a cross-sectional study and, as mentioned, the findings could have been influenced by previous treatment.…”

Section: Discussionmentioning

confidence: 99%

Body dysmorphic disorder in patients with acne: a multicentre study

Marrón

Miranda‐Sivelo

Aragonés

et al. 2019

Acad Dermatol Venereol

View full text Add to dashboard Cite

Background and objective Body dysmorphic disorder (BDD) is a mental disorder that is difficult to diagnose, causes a lot of suffering and is more prevalent in dermatology patients than in the general population. Our objective was to screen for possible cases of BDD in patients with acne and to determine the prevalence according to DSM‐IV and DSM‐5 criteria, as well as to analyse the relationship between dermatological and sociodemographic variables. Methods A total of 245 patients diagnosed with acne in 11 dermatological centres in Spain were included in the study by members of the Aragon Psychodermatology Research Group and Spanish Research Group of Psychiatric Dermatology. We used the Body Dysmorphic Disorder Questionnaire (BDDQ) as a screening tool. Results In our sample, we obtained a prevalence for BDD of 10.6% (95% CI: 7.6–13.6%). The prevalence was the same with DSM‐IV or DSM‐5 criteria. Possible cases of BDD were predominantly women (P = 0.021), and 56% had non‐inflammatory lesions vs. 30% of negative patients (P = 0.002). Positive patients as possible cases of BDD spent more than two hours on average a day worrying about their appearance. Most people only worried about one part of their body (86%), and in 95% of the cases, the part of their body that worried them was the face. The three most frequent compulsive behaviours in patients who screened positive for BDD were mirror checking (90.7%), camouflaging (79.1%) and using make‐up (72.1%). Conclusions As a consequence of the high prevalence of possible cases of BDD in patients with acne observed in our study, there is a need for dermatologists to screen for BDD so that they can be referred to a mental health unit to confirm the diagnosis and be offered treatment to reduce the progression of psychosocial deterioration and the development of comorbid disorders.

show abstract

“…The DSM-5 criteria for BDD were used as self-report items to screen for BDD [27]. Participants were asked to indicate whether they "fully agree", or "do not agree at all" with each of the following items covering the DSM-5 criteria for BDD: appearance-related preoccupation (A), repetitive behaviors (B1), mental acts (B2), distress (C1), impairment (C2).…”

Section: Methodsmentioning

confidence: 99%

Treatment utilization and treatment barriers in individuals with body dysmorphic disorder

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Although effective treatments are available, most individuals with body dysmorphic disorder (BDD) do not receive an appropriate diagnosis or treatment. We aimed to examine treatment utilization and barriers to treatment, and to identify associated socio-demographic and clinical characteristics. Methods: German individuals completed an online self-report survey of appearance concerns. A sample of N = 429 individuals met criteria for BDD. We examined the frequency of treatment utilization and barriers, analyzed comparisons between treated and untreated individuals and assessed the relationships of socio-demographic and clinical features with mental health treatment utilization and treatment barriers, respectively.Results: Only 15.2% of the individuals with BDD had been diagnosed with BDD, and lifetime rates of mental health treatment were low (39.9%). Individuals endorsed multiple barriers to mental health treatment, especially shame, low perceived need and a preference for cosmetic and medical treatments. Associated features were identified, including age, a BDD diagnosis, body dysmorphic symptom severity, a likely major depressive disorder, prior cosmetic surgery, and insight. Conclusions:The results of this largest study to date highlight that BDD is still underrecognized and undertreated even in a country with extensive mental health care and few financial barriers. We discuss modifiable factors and strategies to foster awareness of BDD in sufferers and professionals to improve treatment dissemination and to reduce treatment barriers.

show abstract

Prevalence of body dysmorphic disorder and associated features in German adolescents: A self-report survey

Cited by 58 publications

References 36 publications

Body dysmorphic disorder in patients attending a dermatology clinic in Nigeria: sociodemographic and clinical correlates

Body dysmorphic disorder in patients attending a dermatology clinic in Nigeria: sociodemographic and clinical correlates

Body dysmorphic disorder in patients with acne: a multicentre study

Treatment utilization and treatment barriers in individuals with body dysmorphic disorder

Contact Info

Product

Resources

About