The relationship between body dysmorphic disorder and depression, self-esteem, somatization, and obsessive-compulsive disorder

This chapter describes the relationship of body dysmorphic disorder (BDD) to obsessive-compulsive disorder (OCD) and the concept of the obsessive-compulsive spectrum. BDD is proposed to be part of an obsessive-compulsive spectrum of disorders, given its many similarities to OCD. OCD and BDD are both characterized by obsessions and compulsions, although in BDD individuals focus specifically on body image concerns, whereas in OCD they typically focus on concerns such as contamination, harm, and aggression. Distress that results from obsessions usually generates compulsive behaviors intended to reduce emotional discomfort. Individuals with BDD are more likely to have delusional beliefs and significantly poorer insight. Individuals with BDD report higher rates of major depressive disorder, substance use disorders, suicidal thoughts, and suicide attempts. OCD and BDD demonstrate familiality, indicating that they are likely related conditions. OCD and BDD are thought to be heterogeneous disorders that result from both genetic and environmental factors, some of which appear to be shared; for example, they appear to share some abnormalities involving the basal ganglia and limbic system (specifically the caudate nucleus).

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Comorbidity and Personality in Body Dysmorphic Disorder

10.1093/med/9780190254131.003.0011 ◽

2017 ◽

Author(s):

Ashley S. Hart ◽

Martha A. Niemiec

Keyword(s):

Substance Use ◽

Social Anxiety ◽

Substance Use Disorders ◽

Body Dysmorphic Disorder ◽

Rejection Sensitivity ◽

Self Esteem ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Axis I ◽

The Relationship

Comorbidity is common in body dysmorphic disorder (BDD). Major depressive disorder, social anxiety disorder (social phobia), obsessive-compulsive disorder, and substance use disorders are the most frequently co-occurring Axis I conditions. Except for eating disorders (more common in women) and substance use disorders (more common in men), Axis I comorbidity rates in BDD appear similar across genders. Axis I comorbidity is associated with greater functional impairment and morbidity. Rates of comorbid personality disorders in BDD are high. Disorders from cluster C occur most frequently, with avoidant personality disorder the most common. Associated traits include low self-esteem and high levels of neuroticism, introversion, unassertiveness, social anxiety and inhibition, rejection sensitivity, and perfectionism. Research is needed on the relationship between BDD and psychiatric comorbidity, the causes and consequences of comorbidity in BDD, and the relationship between BDD and associated personality traits.

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The Relationship of Body Dysmorphic Disorder and Eating Disorders to Obsessive-Compulsive Disorder

CNS Spectrums ◽

10.1017/s1092852900021155 ◽

2007 ◽

Vol 12 (5) ◽

pp. 347-358 ◽

Cited By ~ 40

Author(s):

Katharine A. Phillips ◽

Walter H. Kaye

Keyword(s):

Eating Disorders ◽

Body Image ◽

Family History ◽

Obsessive Compulsive Disorder ◽

Body Dysmorphic Disorder ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Body Image Disorders ◽

Relationship Of ◽

The Relationship

ABSTRACTBody dysmorphic disorder (BDD) and eating disorders are body image disorders that have long been hypothesized to be related to obsessive-compulsive disorder (OCD). Available data suggest that BDD and eating disorders are often comorbid with OCD. Data from a variety of domains suggest that both BDD and eating disorders have many similarities with OCD and seem related to OCD. However, these disorders also differ from OCD in some ways. Additional research is needed on the relationship of BDD and eating disorders to OCD, including studies that directly compare them to OCD in a variety of domains, including phenomenology, family history, neurobiology, and etiology.

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The Price of Love: An Investigation into the Relationship between Romantic Love and the Expression of Obsessive-Compulsive Disorder

CNS Spectrums ◽

10.1017/s1092852921000444 ◽

2021 ◽

pp. 1-33

Author(s):

James McLauchlan ◽

Emma M. Thompson ◽

Ygor A. Ferrão ◽

Euripedes C. Miguel ◽

Lucy Albertella ◽

...

Keyword(s):

Obsessive Compulsive Disorder ◽

Romantic Love ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

The Relationship

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Executive functioning in Body Dysmorphic Disorder and Obsessive-Compulsive Disorder

CNS Spectrums ◽

10.1017/s1092852921000705 ◽

2021 ◽

pp. 1-18

Author(s):

Long Long Chen ◽

Oskar Flygare ◽

John Wallert ◽

Jesper Enander ◽

Volen Z. Ivanov ◽

...

Keyword(s):

Executive Functioning ◽

Obsessive Compulsive Disorder ◽

Body Dysmorphic Disorder ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Examining neurocognition in body dysmorphic disorder using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): A comparison with obsessive-compulsive disorder

Psychiatry Research ◽

10.1016/j.psychres.2015.05.094 ◽

2015 ◽

Vol 228 (3) ◽

pp. 318-324 ◽

Cited By ~ 7

Author(s):

Wei Lin Toh ◽

David J. Castle ◽

Susan L. Rossell

Keyword(s):

Obsessive Compulsive Disorder ◽

Body Dysmorphic Disorder ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Neuropsychological Status ◽

Repeatable Battery

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Executive functioning in Body Dysmorphic Disorder and Obsessive-Compulsive Disorder

10.1101/2021.04.29.21256321 ◽

2021 ◽

Author(s):

Long Long Chen ◽

Oskar Flygare ◽

John Wallert ◽

Jesper Enander ◽

Volen Ivanov ◽

...

Keyword(s):

Obsessive Compulsive Disorder ◽

Test Performance ◽

Symptom Severity ◽

Body Dysmorphic Disorder ◽

Spatial Working Memory ◽

Clinical Severity ◽

Stop Signal Task ◽

Healthy Controls ◽

Obsessive Compulsive ◽

Compulsive Disorder

Objective: To assess executive functions in patients with Body Dysmorphic Disorder (BDD) and Obsessive-Compulsive Disorder (OCD) compared with healthy controls. Methods: Adults diagnosed with BDD (n=26) or OCD (n=29) according to DSM-5, and healthy controls (n=28) underwent validated and computerized neuropsychological tests; spatial working memory (SWM), Intra- extra dimensional set shifting (IED) and Stop signal task (SST), from the Cambridge Neuropsychological Test Automated Battery (CANTAB). Test performance was compared between groups, and correlated to standardized symptom severity of BDD and OCD. Significance level was set to p<0.05. Results: There were no statistically significant between-group differences on key outcome measures in SWM, IED, or SST. There was a weak positive correlation between symptom severity and test errors on SWM and IED in both OCD and BDD groups; increased clinical severity were associated with more errors in these tests. Further, there was a negative correlation between symptom severity and SST in the BDD group. Conclusions: Patients with BDD or OCD did not differ from healthy control subjects in terms of test performance, however there were several statistically significant correlations between symptom severity and performance in those with BDD or OCD. More studies on EF in BDD and OCD are required to elucidate if there are differences in EF between these two disorders.

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The prevalence of autism spectrum traits and autism spectrum disorders in children and adolescents with obsessive compulsive disorder: a systematic review

BJPsych Open ◽

10.1192/bjo.2021.194 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S56-S56

Author(s):

Claire Tiley ◽

Marinos Kyriakopoulos

Keyword(s):

Systematic Review ◽

Children And Adolescents ◽

Obsessive Compulsive Disorder ◽

Functional Impairment ◽

Body Dysmorphic Disorder ◽

Autism Spectrum ◽

Control Group ◽

Obsessive Compulsive ◽

Global Functioning ◽

Compulsive Disorder

AimsAutism Spectrum Disorder (ASD) and Obsessive Compulsive Disorder (OCD) commonly co-occur in children and adolescents (C&A); evidence suggests functional impairment is increased in those diagnosed with both disorders. The aims of this systematic review were: 1) To review studies that report on the prevalence of ASD traits and/or diagnosis in C&A with OCD. 2) To review whether the severity of OCD symptoms is related to the severity of ASD traits in C&A with OCD. 3)To review whether the severity of comorbid ASD traits or diagnosis in C&A with OCD impact on their global functioning.MethodThis systematic review was registered in PROSPERO. Prisma guidelines were followed . Electronic searches were carried out on Pubmed, EMBASE and Psychinfo with the use of selected keywords. Inclusion criteria : 1) Participants up to the age of 18 who had an ICD or DSM diagnosis of OCD. 2) Journal articles published in the English, with no date specifications. 3) Papers evaluating ASD diagnosis or traits, or where data on this could be extracted. Exclusion criteria: 1) Papers looking at OCD related disorders such as body dysmorphic disorder, compulsive skin picking, trichotillomania and hoarding disorder. 2) Samples including adults where C&A data could not be extracted. 3) Posters, abstracts and dissertations.ResultA total of 15 studies were included in the systematic review. Seven of these studies directly compared the prevalence of ASD traits (measured by questionnaires) or diagnosis in OCD to a control group or normative data, with all studies reporting a significant elevation in ASD trait scores and diagnosis in OCD. Ten of the studies reported on the correlation between ASD trait severity and OCD severity. Four studies identified a significant correlation between ASD and OCD total scores or specified subscales. In contrast, one study found significantly elevated OCD scores in an OCD only group when compared to a comorbid OCD and ASD group. Three studies reported on the correlation between ASD scores and functional impairment or compared an OCD only group to a comorbid group. All three studies demonstrated that the presence ASD or ASD traits are associated with elevated scores in global functional impairment.ConclusionIn conclusion, this review suggests that there is an increased prevalence of ASD traits and diagnosis amongst C&A with OCD. Elevated ASD traits within this population are associated with a greater impact on global functioning.

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The Mediating Role of Alexithymia in the Relationship of Coping Strategies and Personality Traits With Obsessive-Compulsive Disorder

Quarterly of Horizon of Medical Sciences ◽

10.32598/hms.27.1.3355.1 ◽

2021 ◽

Vol 27 (1) ◽

pp. 62-81

Author(s):

Masoud Bagheri ◽

◽

Kazem Nematollah Zadeh Mahani ◽

Maryam Pour Amrollahi ◽

◽

...

Keyword(s):

Personality Traits ◽

Coping Strategies ◽

Obsessive Compulsive Disorder ◽

Psychological Health ◽

Obsessive Compulsive ◽

Positive Correlation ◽

Compulsive Disorder ◽

Mediating Role ◽

The Relationship

Aims: Obsessive-Compulsive Disorder (OCD) is one of the severe psychological health problems imposing considerable social and economic costs on society. OCD debilitating symptoms can disrupt interpersonal relations, job performance, and life quality. The purpose of this study is to investigate the mediating role of alexithymia in the relationship between coping strategies and personality traits with OCD. Methods & Materials: This is a descriptive correlational study. The study population consists of all people with OCD referred to psychiatric clinics in Kerman City, Iran, during 2018-2019. Of this population, 200 patients were selected using a convenience sampling method. Research instruments included the ways of coping questionnaire, NEO five-factor personality inventory, Toronto alexithymia scale, and Maudsley obsessive-compulsive test. The obtained data were analyzed using the Pearson correlation test and simultaneous and hierarchical regression in SPSS v. 23. Findings: Personality traits had a negative significant correlation with alexithymia (r=0.523, P<0.000) and OCD (r=0.253, P<0.000). Alexithymia had a significant positive correlation with OCD (r=0.272, P<0.000). There was no correlation between problem-focused coping and alexithymia (r=-0.045, P<0.531). There was a positive correlation between emotion-focused coping and OCD (r=0.198, P<0.000). The fit indices indicated a good fit of the proposed model (P<0.005). Conclusion: Alexithymia, as a mediator of the relationship between coping styles and personality traits with OCD, plays an essential role in improving the psychological health of people with OCD.

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