Abstract
Body dysmorphic disorder (BDD) is a disorder of self-perception that involves the preoccupation with an imagined or slight defect. Those with BDD feel compelled to perform repetitive and compulsive behaviors in response to appearance concerns. Many times, they are consumed by these preoccupations and compulsions, to the extent that it interferes with their daily functioning. In fact, the vast majority of those with BDD report that their symptoms interfere moderately or severely with social, occupational, and/or academic functioning. Furthermore, those with BDD have been found to have notably poorer mental health-related quality of life when compared to the general population and those with acute and chronic medical conditions. In addition, many studies highlight the correlation between early-life stressors and traumatic events and the subsequent development of BDD. Overall, there is undeniably a strong association between BDD and impaired psychosocial functioning, greater perceived stress, and reduced quality of life. Therapies that are targeted at managing the negative thoughts and distress that accompany this disorder have been proposed, including methods to reduce anxiety and stress. These strategies have all proven to be somewhat effective in alleviating symptoms, although BDD continues to be a therapeutically challenging disorder.
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References
Phillips KA, Diaz SF. Gender differences in body dysmorphic disorder. J Nerv Ment Dis. 1997;185:570–7.
Phillips KA, Menard W, Fay C, Weisberg R. Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder. Psychosomatics. 2005;46:317–25.
Phillips KA. Quality of life for patients with body dysmorphic disorder. J Nerv Ment Dis. 2000;188:170–5.
Phillips KA, Menard W, Fay C, Pagano ME. Psychosocial functioning and quality of life in body dysmorphic disorder. Compr Psychiatry. 2005;46:254–60.
Buhlmann U, Glaesmer H, Mewes R, Fama JM, Wilhelm S, Brähler E, Rief W. Updates on the prevalence of body dysmorphic disorder: a population-based survey. Psychiatry Res. 2010;178:171–5.
IsHak WW, Bolton MA, Bensoussan JC, Dous GV, Nguyen TT, Powell-Hicks AL, Gardner JE, Ponton KM. Quality of life in body dysmorphic disorder. CNS Spectr. 2012;17:167–75.
Hrabosky JI, Cash TF, Veale D, Neziroglu F, Soll EA, Garner DM, Strachan-Kinser M, Bakke B, Clauss LJ, Phillips KA. Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: a multisite study. Body Image. 2009;6:155–63.
Dyl J, Kittler J, Phillips KA, Hunt JI. Body dysmorphic disorder and other clinically significant body image concerns in adolescent psychiatric inpatients: prevalence and clinical characteristics. Child Psychiatry Hum Dev. 2006;36:369–82.
DeMarco LM, Li LC, Phillips KA, et al. Perceived stress in body dysmorphic disorder. J Nerv Ment Dis. 1998;186:724–6.
Veale D, Boocock A, Gournay K, Dryden W, Shah F, Willson R, Walburn J. Body dysmorphic disorder: a survey of fifty cases. Br J Psychiatry. 1996;169:196–201.
Osman S, Cooper M, Hackmann A, Veale D. Spontaneously occurring images and early memories in people with body dysmorphic disorder. Memory. 2004;12:428–36.
Didie ER, Tortolani CC, Pope CG, Menard W, Fay C, Phillips KA. Childhood abuse and neglect in body dysmorphic disorder. Child Abuse Negl. 2006;30:1105–15.
Buhlmann U, Marques LM, Wilhelm S. Traumatic experiences in individuals with body dysmorphic disorder. J Nerv Ment Dis. 2012;200:95–8.
Kremer I, Orbach I, Rosenbloom T. Body image among victims of sexual and physical abuse. Violence Vict. 2013;28:259–73.
Kearney-Cooke A, Ackard DM. The effects of sexual abuse on body image, self-image, and sexual activity of women. J Gend Specif Med. 2000;3:54–60.
Murphy YE, Flessner CA. Family functioning in paediatric obsessive compulsive and related disorders. Br J Clin Psychol. 2015;54:414–34.
Neziroglu F, Khemlani-Patel S, Veale D. Social learning theory and cognitive behavioral models of body dysmorphic disorder. Body Image. 2008;5:28–38.
Fang A, Sawyer AT, Aderka IM, Hofmann SG. Psychological treatment of social anxiety disorder improves body dysmorphic concerns. J Anxiety Disord. 2013;27(7):684–91.
Fang A, Hofmann SG. Relationship between social anxiety disorder and body dysmorphic disorder. Clin Psychol Rev. 2010;30:1040–8.
Wilhelm S, Otto MW, Zucker BG, Pollack MH. Prevalence of body dysmorphic disorder in patients with anxiety disorders. J Anxiety Disord. 1997;11:499–502.
Veale D, Anson M, Miles S, Pieta M, Costa A, Ellison N. Efficacy of cognitive behaviour therapy versus anxiety management for body dysmorphic disorder: a randomised controlled trial. Psychother Psychosom. 2014;83:341–53.
Phillips KA, Albertini RS, Rasmussen SA. A randomized placebo-controlled trial of fluoxetine in body dysmorphic disorder. Arch Gen Psychiatry. 2002;59:381–8.
Hartmann AS, Thomas JJ, Greenberg JL, Rosenfield EH, Wilhelm S. Accept, distract, or reframe? an exploratory experimental comparison of strategies for coping with intrusive body image thoughts in anorexia nervosa and body dysmorphic disorder. Psychiatry Res. 2015;225(3):643–50.
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Hsu, S.H., Vashi, N.A. (2017). The Role of Stress in Body Dysmorphic Disorder. In: França, K., Jafferany, M. (eds) Stress and Skin Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-46352-0_11
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DOI: https://doi.org/10.1007/978-3-319-46352-0_11
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