Body Dysmorphic Disorder

Body dysmorphic disorder (BDD) is a devastating yet underrecognized illness. People with BDD are preoccupied with the belief that they look abnormal or ugly—when they actually do not. Their appearance preoccupations cause clinically significant distress or impairment in occupational, academic, social, or other areas of functioning. Psychosocial functioning and quality of life are typically markedly impaired, and rates of suicidality are very high. BDD is common, yet this disorder often goes undiagnosed and untreated. This book provides an up-to-date, comprehensive, and clinically focused overview of this intriguing, complex, and often severe disorder. The book contains nine sections: (1) patients, history, and classification; (2) phenomenology and epidemiology; (3) morbidity; (4) BDD in special populations; (5) assessment; (6) etiology and pathophysiology; (7) recommended treatments; (8) cosmetic treatment; and (9) BDD’s relationship to other disorders. Measures for assessing BDD are provided in the Appendix. Written by leading researchers and clinicians in the field, this book is for anyone who wants to better understand BDD, help patients overcome it, or conduct scientific research to advance knowledge. It is for mental health clinicians, primary care clinicians, and pediatricians, as well as surgeons, dermatologists, and others who provide cosmetic (aesthetic) treatment; cosmetic treatment is commonly received but virtually never alleviates BDD symptoms. This book is also for researchers and students who are interested in anxiety disorders, eating disorders, and obsessive-compulsive and related disorders. Although it is geared toward a professional audience, this book is also for anyone who is interested in or has been affected by BDD.

2007 ◽  
Vol 19 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Elizabeth R. Didie ◽  
Anthony Pinto ◽  
Maria Mancebo ◽  
Steven A. Rasmussen ◽  
Katharine A. Phillips ◽  
...  

2003 ◽  
Vol 48 (2) ◽  
pp. 72-77 ◽  
Author(s):  
Mario Masellis ◽  
Neil A Rector ◽  
Margaret A Richter

Objective: An anxiety disorder severely affects the sufferer's quality of life (QOL), and this may be particularly true of those with obsessive–compulsive disorder (OCD). This study examines the differential impact of obsessions, compulsions, and depression comorbidity on the QOL of individuals with OCD. Method: Forty-three individuals diagnosed with OCD according to DSM-IV criteria and experiencing clinically significant obsessions and compulsions completed measures of QOL, obsessive–compulsive symptom severity, and depression severity. Results: Obsession severity was found to significantly predict patient QOL, whereas the severity of compulsive rituals did not impact on QOL ratings. Comorbid depression severity was the single greatest predictor of poor QOL, accounting for 54% of the variance. Conclusions: Given the importance of these symptoms, treatments that directly target obsessions and secondary depression symptoms in OCD are warranted. However, replication of these findings in a prospective cohort study is required, because although the the current study's cross-sectional design allows for the examination of the associations among obsessions, depression, and QOL, it cannot establish their temporal framework (that is, causal relations).


Author(s):  
Christina L. Boisseau ◽  
Carly M. Schwartzman ◽  
Steven A. Rasmussen

This chapter examines quality of life (QoL) and psychosocial functioning in obsessive-compulsive disorder (OCD). More specifically, it summarizes recent investigations demonstrating that: (1) OCD negatively impacts multiple areas of life, such as social and family relationships, functioning at work and in the household, and aspects of physical and mental health; (2) the negative relation between OCD and QoL is as great as (or greater than) that observed in other psychiatric disorders and chronic medical conditions; (3) the degree of the QoL impairment is generally proportional to the severity of OCD symptoms; (4) specific OCD symptoms differentially impact aspects of psychosocial functioning; and (5) adequate treatment of OCD is associated with significant improvements in QoL. Finally, the chapter discusses future perspectives involved in the evaluation of QoL in OCD populations and the critical need to address these issues in assessment and treatment of individuals with OCD.


Author(s):  
Megan M. Kelly ◽  
Megan E. Brault ◽  
Elizabeth R. Didie

This chapter reviews the literature on quality of life and functional impairment in body dysmorphic disorder (BDD) and discusses important lines of future research. Quality of life and psychosocial functioning are often poor in individuals with BDD. This is the case across multiple domains, including social, occupational, academic, and physical functioning. BDD symptoms often directly interfere with a person’s ability and willingness to engage in activities of daily living. Individuals with BDD frequently have high levels of social avoidance, which interferes with the development and maintenance of relationships and involvement in social, work, and educational activities. Rates of unemployment and disability are high. Several clinical correlates of BDD are also associated with psychosocial functioning and quality of life—most notably, greater severity of BDD symptoms and comorbid major depressive disorder.


2021 ◽  
Vol 15 (58) ◽  
pp. 351-367
Author(s):  
Luísna Gabriela Aguiar Lobo De Resende ◽  
Gabriel Cardoso Oliveira da Silva ◽  
Erica Carvalho Caldas

A acne é uma afecção cutânea comum, que atinge cerca de 80% da população em alguma fase da vida. Além da parte estética, a acne abrange consequências psicológicas e sociais que podem afetar a qualidade de vida, saúde psíquica e a autoestima dos pacientes. O presente estudo de revisão narrativa bibliográfica, investigou os aspectos principais   do impacto psicossocial em pessoas com acne vulgar. Constatou-se que vários danos são gerados para os acometidos por essa patologia, entre eles estão: ansiedade, fobia social, depressão, insegurança, timidez, sintomas obsessivos compulsivos e transtorno dismórfico corporal. Tendo em vista os resultados apontados, confirmou-se que o tratamento adequado e efetivo apresenta grande melhora no quadro dos pacientes. Diante dos malefícios que a acne promove para vida da população é necessário compreendê-la como uma doença e não apenas como uma disfunção estética. ---Acne is a common skin condition that affects about 80% of the population at some stage of life.  In addition to the aesthetic part, acne includes psychological and social consequences that can affect the quality of life, mental health, and self-esteem of patients.  The present study of a bibliographic narrative review investigated the main aspects of the psychosocial impact on people with acne vulgaris.  It was found that several damages are generated for those affected by this pathology, including anxiety, social phobia, depression, insecurity, shyness, obsessive-compulsive symptoms and body dysmorphic disorder.  In view of the above results, it was confirmed that the adequate and effective treatment presents a great improvement in the patients' condition.  In view of the harm that acne causes to the population's life, it is necessary to understand it as a disease and not just an aesthetic dysfunction. 


Author(s):  
Megan M. Kelly ◽  
Katharine A. Phillips

Body dysmorphic disorder (BDD) is an often severe DSM-IV disorder characterized by distressing or impairing preoccupations with imagined or slight defects in appearance. Individuals with BDD suffer from time-consuming obsessions about their bodily appearance and excessive repetitive behaviors (for example, mirror checking, excessive grooming, and skin picking). Functioning and quality of life are typically very poor, and suicidality rates appear markedly elevated. While prevalence data are still limited, they suggest that BDD affects 0.7% to 2.4% of the population; however, BDD typically goes unrecognized in clinical settings. In this chapter we discuss demographic and clinical features of BDD, prevalence, and morbidity. In addition, we discuss BDD’s relationship to obsessive compulsive disorder, hypochondriasis, and psychotic disorders.


2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas

Body dysmorphic disorder requires obsessional thoughts regarding a perceived defect in appearance and/or compulsive behavior that develop in response to those thoughts. Individuals experience clinically significant impairment because of their appearance concerns. Body dysmorphic disorder and obsessive-compulsive disorder have many similarities, including phenomenologic features, comorbidities, and underlying pathophysiology. Insight into the excessiveness or irrationality of their beliefs varies from good to delusional. Many individuals with body dysmorphic disorder present with comorbid suicidal ideation and substance use disorders. This review contains 1 table, and 30 references. Key words: body dysmorphic disorder, diagnostic and statistical manual, obsessive-compulsive and related disorder


2010 ◽  
Vol 12 (2) ◽  
pp. 221-232 ◽  

Body dysmorphic disorder (BDD) is a relatively common disorder that consists of a distressing or impairing preoccupation with imagined or slight defects in appearance. BDD is commonly considered to be an obsessive-compulsive spectrum disorder, based on similarities it has with obsessive-compulsive disorder. It is important to recognize and appropriately treat BDD, as this disorder is associated with marked impairment in psychosocial functioning, notably poor quality of life, and high suicidality rates. In this review, we provide an overview of research findings on BDD, including its epidemiology, clinical features, course of illness, comorbidity, psychosocial functioning, and suicidality. We also briefly review recent research on neural substrates and cognitive processing. Finally, we discuss treatment approaches that appear efficacious for BDD, with a focus on serotonin-reuptake inhibitors and cognitive-behavioral therapy.


Author(s):  
Katharine A. Phillips

Body dysmorphic disorder (BDD) is a severe and common disorder that consists of distressing or impairing preoccupation with nonexistent or slight flaws in one’s physical appearance. Individuals with BDD perform repetitive, compulsive behaviors to try to cope with the distress that their appearance concerns cause. In addition, the appearance concerns cause clinically significant distress or impairment in psychosocial functioning. This chapter introduces the reader to BDD and provides a roadmap for the book.


Sign in / Sign up

Export Citation Format

Share Document