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Preview: MedWorm: Body Dysmorphic Disorder (BDD)

MedWorm: Body Dysmorphic Disorder (BDD)



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in the Body Dysmorphic Disorder (BDD) category.



Last Build Date: Tue, 22 Mar 2016 08:26:44 +0100

 



CBT delivered via internet may improve outcomes in body dysmorphic disorder.

Wed, 16 Mar 2016 00:00:00 +0100

Authors: Abstract Internet-based cognitive behaviour therapy (CBT) can significantly improve outcomes for people with body dysmorphia, suggests a new study. PMID: 26982837 [PubMed - in process] (Source: Nursing Standard)

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The Body Dysmorphic Disorder Symptom Scale: Development and preliminary validation of a self-report scale of symptom specific dysfunction.

Thu, 10 Mar 2016 00:00:00 +0100

This report evaluates and compares the psychometric characteristics of the BDD-SS in relation to other measures of BDD, body image, and depression in 99 adult participants diagnosed with BDD. Total scores of the BDD-SS showed good reliability and convergent validity and moderate discriminant validity. Analyses of the individual BDD-SS symptom groups confirmed the reliability of the checking, grooming, weight/shape, and cognition groups. The current findings indicate that the BDD-SS can be quickly administered and used to examine the severity of heterogeneous BDD symptoms for research and clinical purposes. PMID: 26971118 [PubMed - as supplied by publisher] (Source: Body Image)



The Effect of Self-Focused Attention and Mood on Appearance Dissatisfaction after Mirror-Gazing: An Experimental Study

Thu, 10 Mar 2016 00:00:00 +0100

Conclusions Self-focused attention during mirror-gazing may act indirectly to increase appearance dissatisfaction via the effect of negative mood. Further studies are required to establish the relative contribution of self-focused attention and negative mood to increases in appearance dissatisfaction as a function of mirror-gazing. (Source: Journal of Behavior Therapy and Experimental Psychiatry)



Relationship between self-discrepancy and worries about penis size in men with body dysmorphic disorder.

Fri, 04 Mar 2016 00:00:00 +0100

Authors: Veale D, Miles S, Read J, Bramley S, Troglia A, Carmona L, Fiorito C, Wells H, Wylie K, Muir G Abstract We explored self-discrepancy in men with body dysmorphic disorder (BDD) concerned about penis size, men without BDD but anxious about penis size, and controls. Men with BDD (n=26) were compared to those with small penis anxiety (SPA; n=31) and controls (n=33), objectively (by measuring) and investigating self-discrepancy: actual size, ideal size, and size they felt they should be according to self and other. Most men under-estimated their penis size, with the BDD group showing the greatest discrepancy between perceived and ideal size. The SPA group showed a larger discrepancy than controls. This was replicated for the perceptions of others, suggesting the BDD group inter...



Cognitive-Behavioral Therapy for Adolescent Body Dysmorphic Disorder: A Pilot Study.

Tue, 01 Mar 2016 00:00:00 +0100

Authors: Greenberg JL, Mothi SS, Wilhelm S Abstract Body dysmorphic disorder (BDD) is a relatively common and severe disorder that typically onsets in adolescence, but often goes unrecognized. Despite BDD's severity and early onset, treatment outcome research on adolescent BDD is scarce. Cognitive-behavioral therapy is the gold-standard psychosocial treatment for BDD in adults and has shown promise in adolescents. The current study examined the development and testing of a new CBT for adolescents with BDD. We tested feasibility, acceptability, and treatment outcome in a sample of 13 adolescents (mean age 15.23years, range: 13-17) with primary BDD. Treatment was delivered in 12-22 weekly individual sessions. Standardized clinician ratings and self-report measures were used to assess...



Imagery Rescripting for Body Dysmorphic Disorder: A Multiple-Baseline Single-Case Experimental Design.

Tue, 01 Mar 2016 00:00:00 +0100

This study evaluates imagery rescripting (ImR) as an intervention for BDD. In this article, we present a multiple-baseline single-case experimental design testing imagery rescripting as a brief, stand-alone intervention, with six individuals with BDD that related to aversive memories. The impact of the intervention was assessed by self-reported daily measures of symptom severity (preoccupation with appearance, appearance-related checking behaviors, appearance-related distress, and strength of belief that their main problem is their appearance) and standardized clinician ratings of BDD severity (Yale-Brown Obsessive Compulsive Scale modified for BDD). Four out of six of the participants responded positively to the intervention, with clinically meaningful improvement in symptomatology. Overa...

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[Body dysmorphic disorder : Anxiety about deformity].

Mon, 22 Feb 2016 17:55:02 +0100

Authors: Gieler T, Brähler E Abstract Between 0.8 and 1.8 % of the German population suffers from a body dysmorphic disorder. In specific settings like dermatological offices up to 11.9 % of patients suffer from this disease. The highest prevalence could be found in the field of cosmetic dermatology with a prevalence of 13.1 %. Until now, the diagnosis has been made too rarely. The body dysmorphic disorder is a chronic psychic disease, in which the patients feel disfigured and experience shame and disgust at the same time. Comorbidities like social phobia, depression, suicidality, and eating disorders are frequent. The diagnosis is made using questionnaires (e.g., dysmorphic concern questionnaire) or by use of the DSM-5 manual. An early diagnosis seems to be important to avo...



Validation of genital appearance satisfaction scale and the cosmetic procedure screening scale for women seeking labiaplasty.

Fri, 19 Feb 2016 10:54:03 +0100

DISCUSSION: We recommend that both the GAS and the COPS-L be routinely used for audit and outcome monitoring of interventions for women distressed by the appearance or function of their genitalia. The GAS has an advantage in assessing additional functional symptoms in such women. The COPS-L may be helpful in identifying women with BDD. PMID: 23394414 [PubMed - indexed for MEDLINE] (Source: Journal of Psychosomatic Obstetrics and Gynaecology)



Prevalence of Body Dysmorphic Disorder Symptoms and Body Weight Concerns in Patients Seeking Abdominoplasty

Mon, 15 Feb 2016 00:00:00 +0100

Conclusions Candidates for abdominoplasty had a high prevalence of BDD symptoms, and body weight and shape concerns were associated with increased symptom severity. Level of Evidence: 3 Diagnostic (Source: Aesthetic Surgery Journal)






Imagined Ugliness Can be Treated with Internet-Based CBT

Tue, 09 Feb 2016 11:00:00 +0100

Imagined ugliness, or body dysmorphic disorder (BDD) as it is known, can be treated with internet-based CBT, according to a recent randomised study, the first of its kind ever conducted. The new treatment, which is published in the British Medical Journal (BMJ), has been developed by researchers at Sweden's Karolinska Institutet and has the potential to increase access to care for sufferers of BDD. (Source: eHealth News EU)

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Excessive Tanning Could Be A Sign Of A Deeper Problem

Sat, 06 Feb 2016 12:15:07 +0100

(Reuters Health) - Women who use indoor tanning salons are more likely to have mood or body issues than the average person, suggests new research.  Compared to the general population, women who reported tanning at least 10 times in the last year were more likely to be obsessed with real or imaginary flaws in their appearance, to have episodes of depression related to changes in seasons and to have high stress levels.  "It may be the case in clinical settings that when we see people who do a lot of tanning, it may be a flag to look at other mental health issues," said senior author Sherry Pagoto of the University of Massachusetts Medical School in Worcester. Previous research found that people tan due to needs stemming from their mood and appearance, the researchers write in a let...



A Tale of Two Disorders: Comparing OCD and BDD...

Sat, 06 Feb 2016 00:00:00 +0100

Body dysmorphic disorder is a form of mental illness in which the person is obsessed and/or preoccupied with an imagined defect or only slight anomaly or in their appearance. Learn more about the symptoms of body dysmorphic disorder. (Source: About.com Obsessive Compulsive Disorder)



Novel Therapy Promising for Body Dysmorphic DisorderNovel Therapy Promising for Body Dysmorphic Disorder

Fri, 05 Feb 2016 11:41:01 +0100

Therapist-guided, Internet-based CBT may provide a more accessible and less costly alternative to face-to-face therapy for patients with body dysmorphic disorder. Medscape Medical News (Source: Medscape Medical News Headlines)



Association Between Psychiatric Disorders and Frequent Indoor Tanning

Wed, 03 Feb 2016 00:00:00 +0100

This study assesses the prevalence of seasonal affective disorder, perceived stress, and body dysmorphic disorder in women who frequently use indoor tanning. (Source: JAMA Dermatology)

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Body Dysmorphic Disorder in Patients Seeking Abdominoplasty, Rhinoplasty, and Rhytidectomy

Sat, 30 Jan 2016 04:34:39 +0100

Conclusions: Abdominoplasty candidates showed the highest prevalence; rhytidectomy candidates exhibited the highest percentage of severe cases, and rhinoplasty candidates had the lowest percentage of severe cases. (Source: Plastic and Reconstructive Surgery)



Can You Have Both an Eating Disorder Plus Body...

Tue, 26 Jan 2016 00:00:00 +0100

Learn the connection between eating disorders and body dysmorphic disorder, a condition involving constant worry over perceived flaws in appearance. (Source: About.com Eating Disorders)



Men With Small Penis Anxiety Need Psychological Help Say British Scientists

Tue, 12 Jan 2016 23:23:22 +0100

This article originally appeared on Inverse. By Yasmin Tayag A team of researchers from Kings College London are calling on scientists to develop therapy for men suffering from "small penis anxiety." The psychological effects can be particularly devastating -- as they describe in their recent study on British men in the journal Sexual Medicine -- and the so-called "solutions" (pumps, pills, and, well, placebos) offered online aren't exactly safe. In their study, the researchers studied both heterosexual and homosexual Brits suffering from psychological concerns about penis size. All 26 of the participants, according to the researchers, had normal-sized penises. And all of them had statistically similar sex lives -- the same number of partners, the same frequency of sex, the same levels of...



Adjunctive antipsychotic in the treatment of body dysmorphic disorder - A retrospective naturalistic case note study.

Fri, 25 Dec 2015 01:08:04 +0100

CONCLUSIONS: BDD frequently presents with co-morbidity, treatment-resistance and premature disengagement. Adjunctive antipsychotic was associated with significantly better treatment adherence, but responder rates did not differ significantly, possibly related to the small sample-size. A well-powered randomised controlled study is warranted, to determine clinical outcomes with adjunctive antipsychotic in BDD. PMID: 25363200 [PubMed - in process] (Source: International Journal of Psychiatry in Clinical Practice)



Facial discrimination in body dysmorphic, obsessive-compulsive and social anxiety disorders

Thu, 17 Dec 2015 00:00:00 +0100

Body dysmorphic disorder (BDD) is characterized by preoccupation with perceived flaws in one's own appearance. Several risk factors such as aesthetic perceptual sensitivity have been proposed to explain BDD's unique symptomatology. Although research on facial discrimination is limited so far, the few existing studies have produced mixed results. Thus, the purpose of this study was to further examine facial discrimination in BDD. We administered a facial discrimination paradigm, which allows to assess the ability to identify slight to strong facial changes (e.g., hair loss, acne) when presented with an original (unmodified) facial image, relative to a changed (modified) facial image. (Source: Psychiatry Research)

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Training interpretation biases among individuals with body dysmorphic disorder symptoms.

Tue, 15 Dec 2015 00:00:00 +0100

Authors: Premo JE, Sarfan LD, Clerkin EM Abstract The current study provided an initial test of a Cognitive Bias Modification for Interpretations (CBM-I) training paradigm among a sample with elevated BDD symptoms (N=86). As expected, BDD-relevant interpretations were reduced among participants who completed a positive (vs. comparison) training program. Results also pointed to the intriguing possibility that modifying biased appearance-relevant interpretations is causally related to changes in biased, socially relevant interpretations. Further, providing support for cognitive behavioral models, residual change in interpretations was associated with some aspects of in vivo stressor responding. However, contrary to expectations there were no significant effects of condition on emotio...



Young adolescents' appearance anxiety and body dysmorphic symptoms: Social problems, self-perceptions and comorbidities

Sat, 12 Dec 2015 00:00:00 +0100

In this study, the Appearance Anxiety Inventory (Veale et al., 2014) was used as an indicator of BDD symptoms, and young adolescents reporting high appearance anxiety were compared to their same-age peers on social, self-perceptual and comorbid dysfunction. Adolescents (N=387, 10–13 years) reported their appearance anxiety, body mass index, family and peer appearance teasing and acceptance, appearance conversations, self-competence, and general and appearance-based rejection sensitivity. Peer-reports identified who was victimized and accepted at school. Comorbid conditions were measured, including depression, social anxiety, and extreme weight management behaviors. Thirty-five adolescents (89% girls) had high appearance anxiety symptoms, and had significant deficits in self-reported, but...



Intolerance of uncertainty in body dysmorphic disorder.

Fri, 11 Dec 2015 00:00:00 +0100

Authors: Summers BJ, Matheny NL, Sarawgi S, Cougle JR Abstract Intolerance of uncertainty (IU) is a transdiagnostic construct associated with several anxiety and related disorders. Three studies were conducted to explore the potential relationship between IU and body dysmorphic disorder (BDD). Study 1 revealed a positive relationship between IU and BDD symptoms above symptoms of anxiety and depression in an unselected student sample (N=88). Study 2 demonstrated a similar relationship between IU and BDD symptoms above negative affectivity and intolerance of ambiguity in a community sample (N=116). Study 3 found that a clinical BDD sample (N=23) reported greater IU than healthy controls (N=20), though this relationship was accounted for by symptoms of anxiety and depression. Greater ...



Young Adolescents’ Appearance Anxiety and Body Dysmorphic Symptoms: Social Problems, Self-perceptions and Comorbidities

Sat, 05 Dec 2015 00:00:00 +0100

In this study, the Appearance Anxiety Inventory (Veale et al., 2014) was used as an indicator of BDD symptoms, and young adolescents reporting high appearance anxiety were compared to their same-age peers on social, self-perceptual and comorbid dysfunction. Adolescents (N=387, 10–13 years) reported their appearance anxiety, body mass index, family and peer appearance teasing and acceptance, appearance conversations, self-competence, and general and appearance-based rejection sensitivity. Peer-reports identified who was victimized and accepted at school. Comorbid conditions were measured, including depression, social anxiety, and extreme weight management behaviors. Thirty-five adolescents (89% girls) had high appearance anxiety symptoms, and had significant deficits in self-reported, but...



Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder (BDD-YBOCS): Brazilian Portuguese translation, cultural adaptation and validation.

Tue, 01 Dec 2015 00:00:00 +0100

CONCLUSION: The Brazilian Portuguese version of the BDD-YBOCS is a reliable instrument, showing face, content and construct validity. PMID: 26692429 [PubMed - in process] (Source: Revista Brasileira de Psiquiatria)

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Reduced striatal dopamine D receptor availability in body dysmorphic disorder

Mon, 30 Nov 2015 00:00:00 +0100

Though the dopaminergic system is implicated in Obsessive Compulsive and Related Disorders (OCRD), the dopaminergic system has never been investigated in-vivo in Body Dysmorphic Disorder (BDD). In line with consistent findings of reduced striatal dopamine D2/3 receptor availability in Obsessive Compulsive Disorder (OCD), we hypothesized that the dopamine D2/3 receptor availability in the striatum will be lower in patients with BDD in comparison to healthy subjects.Striatal dopamine D2/3 receptor Binding Potential (BPND) was examined in 12 drug-free BDD patients and 12 control subjects pairwise matched by age, sex, and handedness using [123I]iodobenzamide Single Photon Emission Computed Tomography (SPECT; bolus/constant infusion technique). (Source: European Neuropsychopharmacology)



Body dysmorphic disorder in men.

Wed, 25 Nov 2015 01:20:03 +0100

DISCUSSION: Diagnostic features, clinical presentation and screening tools for BDD are discussed. Recommendations for appropriate treatment and support are also supplied. PMID: 26590618 [PubMed - in process] (Source: Australian Family Physician)



[Body dysmorphic disorder].

Fri, 20 Nov 2015 11:36:18 +0100

Authors: Grau K, Fegert JM, Allroggen M Abstract Body dysmorphic disorder (BDD) is a relatively common disorder with a point prevalence of 0.7-2.4 %. BDD is characterized by the patient's excessive concern with an imagined or slight defect in physical appearance. BDD usually begins in adolescence. Comorbidity rates and also suicidality rates are high. The course of BDD tends to be chronic. According to the present state of knowledge, cognitive-behavioral therapy and pharmacotherapy with selective serotonin reuptake inhibitors are valuable options in the therapy of BDD. The case report describes a recent case of BDD with typical clinical and therapy-related characteristics. The aim of this work is to strengthen the awareness of BDD in clinical practice of child and adolescent psychi...



[Changes to Schizophrenia Spectrum and other psychotic disorders in DSM-5].

Fri, 20 Nov 2015 11:36:18 +0100

This article provides an overview of the main changes in the chapter "Schizophrenia Spectrum and Other Psychotic Disorders" from DSM-IV-TR to DSM-5, which, once again, does not make allowance for potential characteristics of children and adolescents. Changes in the main text include abandoning the classical subtypes of Schizophrenia as well as of the special significance of Schneider's first-rank symptoms, resulting in the general requirement of two key features (one having to be a positive symptom) in the definition of Schizophrenia and the allowance for bizarre contents in Delusional Disorders. Further introduced are the diagnosis of a delusional obsessive-compulsive/body dysmorphic disorder exclusively as Obsessive-Compulsive Disorder, the specification of affective episodes in Schizoaf...



[Body dysmorphic disorder: symptoms, models and treatment].

Thu, 19 Nov 2015 02:24:22 +0100

Authors: Kollei I, Martin A, Erim Y PMID: 25259774 [PubMed - in process] (Source: PPmP Psychotherapie Psychosomatik Medizinische Psychologie)

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New treatment models for compulsive disorders

Wed, 18 Nov 2015 00:00:00 +0100

Obsessive compulsive disorder (OCD) as well as related disorders such as body dysmorphic disorder, tic disorder, and trichotillomania are all common and often debilitating. Although treatments are available, more effective approaches to these problems are needed. Thus this review article presents what is currently known about OCD and related disorders and suggests that understanding OCD more broadly as a compulsive disorder may allow for more effective treatment options. Toward that goal, the review presents new models of psychopharmacology and psychotherapy, as well as new brain stimulation strategies. (Source: European Neuropsychopharmacology)



Own-body perception in body dysmorphic disorder.

Mon, 16 Nov 2015 16:52:04 +0100

CONCLUSIONS: Investigation of somatoperceptive processes in BDD and related brain structures would provide important insight about the development and maintenance of this complex and often neglected psychiatric condition, and, in turn, help improve its treatment. PMID: 23441837 [PubMed - indexed for MEDLINE] (Source: Cognitive Neuropsychiatry)



Development and Validation of the Body-Focused Shame and Guilt Scale

Fri, 06 Nov 2015 00:00:00 +0100

We describe the development and validation of the Body-Focused Shame and Guilt Scale (BF-SGS), a measure of BDD-relevant body shame, across two studies: a two time-point study of undergraduates, and a follow-up study in two Internet-recruited clinical samples (BDD, obsessive compulsive disorder) and healthy controls. Across both studies, the BF-SGS shame subscale demonstrated strong reliability and construct validity, with Study 2 providing initial clinical norms. (Source: Journal of Obsessive Compulsive and Related Disorders)



The prevalence of body dysmorphic disorder among South African university students

Mon, 02 Nov 2015 22:00:00 +0100

Background. The prevalence of body dysmorphic disorder (BDD) among South African students is explored in this article. BDD is regarded as an obsessive-compulsive-related disorder characterised by a preoccupation with one or more perceived defects or flaws in physical appearance and expressed in repetitive behaviours or mental acts as a response to the appearance concerns, causing clinically significant distress or impairment in functioning.Objectives. To determine the prevalence of BDD among undergraduate students (N=395) at an inner-city university.Methods. Proportionate stratified random cluster sampling was used to select the sample. The students completed a demographics survey and the Body Image Disturbance Questionnaire.Results and conclusion. An overall prevalence rate of 5.1% was fo...



Evaluation of Relationship Between Body Dysmorphic Disorder and Self-Esteem in Rhinoplasty Candidates

Sun, 01 Nov 2015 05:00:00 +0100

Conclusions: Rhinoplasty candidates had higher levels of body dysmorphic disorder (BDD). Although patients with low RSES scores were more likely to have BDD, rhinoplasty candidates were not notably deficient in self-esteem. However, in rhinoplasty candidates with low RSES scores, the frequency of BDD was elevated. Therefore, the authors suggest that rhinoplasty candidates with low RSES scores should be investigated carefully in terms of BDD. (Source: Journal of Craniofacial Surgery)

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Long-Term Outcome of Cognitive Behavior Therapy for Body Dysmorphic Disorder: A Naturalistic Case Series of 1 to 4 Years After a Controlled Trial.

Sun, 01 Nov 2015 00:00:00 +0100

Authors: Veale D, Miles S, Anson M Abstract There is some evidence for the efficacy of cognitive behavior therapy (CBT) for body dysmorphic disorder (BDD) after 1 to 6months but none in the long term. The aim of this study was to follow up the participants in a randomized controlled trial of CBT versus anxiety management to determine whether or not the treatment gains were maintained over time. Thirty of the original 39 participants who had CBT were followed up over 1 to 4years and assessed using a number of clinician and self-report measures, which included the primary outcome measure of the Yale-Brown Obsessive Compulsive Scale modified for BDD. Outcome scores generally maintained over time from end of treatment to long-term follow-up. There was a slight deterioration from n=20 (...



Opening up about female health and well-being

Thu, 15 Oct 2015 15:57:21 +0100

The post Opening up about female health and well-being appeared first on Hysterectomy Association. You don’t have to be an expert to talk about your health and well-being. We commonly discuss colds and broken bones but, as a nation, are we comfortable talking about more intimate issues? Menstruation, sexual dysfunction, anxiety, postnatal depression, menopause, body dysmorphic disorder and mental health and well-being issues — are we brushing them under the rug simply because they can make for a deeper conversation? Preventative nutrition and dietary supplements expert Pharma Nord knows women can keep their cards close to their chest when it comes to health and well-being. The company’s latest project looked to create an honest picture of female health in the UK, collecting respo...



Leigh de Vries with body dysmorphic disorder creates tumour prostetic

Tue, 06 Oct 2015 14:31:10 +0100

Leigh de Vries, from Rotherham, South Yorkshire, filmed herself walking around her hometown to get reactions from passersby while wearing the disfigurement mask. (Source: the Mail online | Health)



Obsessive‐compulsive disorder in dermatology

Sat, 26 Sep 2015 00:00:00 +0100

Summary Patients with obsessive‐compulsive (OCD) and related disorders – primarily trichotillomania, body dysmorphic disorder, and skin picking disorder – frequently present to dermatologists due to associated hair and skin symptoms. It is therefore crucial that dermatologists be familiar with these disorders. In this review article, we provide an update on clinical features, neurobiology factors, and treatment options for OCD spectrum disorders. Employing PubMed and Cochrane Library databases, a selective literature search was conducted using keywords related to dermatological disorders within the OCD spectrum. OCD and its related disorders share several phenomenological as well as pathophysiological similarities, thus warranting their classification within a separate nosological ca...



VIDEO: Why more men now have 'bigorexia'

Mon, 21 Sep 2015 12:12:07 +0100

Muscle dysmorphia, also known as "bigorexia", may now be affecting one in 10 men who visit gyms in the UK, according to the Body Dysmorphic Disorder Foundation. (Source: BBC News | Health | UK Edition)

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Prevalence of body dysmorphic disorder on a psychiatric inpatient ward and the value of a screening question

Mon, 14 Sep 2015 00:00:00 +0100

The aim of this study was to estimate the prevalence of body dysmorphic disorder (BDD) on an inpatient ward in the UK with a larger sample than previously studied and to investigate the value of a simple screening question during an assessment interview. Four hundred and thirty two consecutive admissions were screened for BDD on an adult psychiatric ward over a period of 13 months. Those who screened positive had a structured diagnostic interview for BDD. The prevalence of BDD was estimated to be 5.8% (C.I. (Source: Psychiatry Research)



Appearance comparison in individuals with body dysmorphic disorder and controls.

Mon, 14 Sep 2015 00:00:00 +0100

Authors: Anson M, Veale D, Miles S Abstract Research investigating appearance comparison in body dysmorphic disorder (BDD) remains very limited, despite the fact that this is one of the most commonly observed behaviors in individuals with the disorder. The present study investigated the self-reported extent and nature of appearance comparison in 35 BDD participants relative to 45 controls using a newly devised and a standardized appearance comparison measure. The results showed that BDD participants reported significantly higher levels of appearance comparison than controls. Individuals with BDD also reported greater levels of comparing in terms of the specific feature(s) of their appearance they were most concerned about as compared to overall appearance, whilst controls showed th...



[Pathomimia and plastic surgery, a case report].

Tue, 08 Sep 2015 00:00:00 +0100

This article reports a case of pathomimia in plastic surgery. One of our patients had intentionally injected physiological saline solution into her breast implants in order to increase their volume. Implants removal was necessary because of severe local inflammatory signs. Psychiatric assessment revealed body dysmorphic disorder (BDD) developed on an hysterical personality, which explained the self-induced injuries. This nosologic entity must be promptly identified because it's diagnosis remains problematic and a multidisciplinary medical management is essential. PMID: 26362995 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)



3 Reasons Why You Should Choose to Recover from Your Eating Disorder

Sat, 05 Sep 2015 17:45:33 +0100

She cannot stop running. Her legs feel heavy, like wooden logs, and her heart is pounding so hard she feels like it will explode. She starts to feel the familiar dizziness, the edges of her vision are becoming hazy, and her knees are painfully throbbing. Her friends applaud her dedication and say they wish that they could be so disciplined. It is not discipline or motivation that causes her to run for miles down this winding road at sunrise. The voice of anorexia is screaming in her head and demands that she keep running. She is a prisoner to her own mind. Eating disorders are not a choice. No one would choose to lose all of their friends because they cannot go anywhere where there will be food, to watch in terror as their hair falls out, to binge eat until they feel that their stomach is ...



A Pilot Randomized Controlled Trial of Cognitive-Behavioral Therapy for Adolescents With Body Dysmorphic Disorder

Wed, 02 Sep 2015 00:00:00 +0100

Body dysmorphic disorder (BDD) typically starts in adolescence, but evidence-based treatments are yet to be developed and formally evaluated in this age group. We designed an age-appropriate cognitive-behavioral therapy (CBT) protocol for adolescents with BDD and evaluated its acceptability and efficacy in a pilot randomized controlled trial. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)

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The power within: The experimental manipulation of power interacts with trait BDD symptoms to predict interoceptive accuracy

Fri, 28 Aug 2015 00:00:00 +0100

Conclusions This study provides the first direct test of the relationship between trait BDD symptoms and IAcc, and provides preliminary evidence that among those with severe BDD symptoms, power may help connect individuals with their internal states. Future research testing the mechanisms linking BDD symptoms with IAcc, as well as how individuals can better connect with their internal experiences is needed.. (Source: Journal of Behavior Therapy and Experimental Psychiatry)



Seeing in the Mind's eye: Imagery rescripting for patients with body dysmorphic disorder. A single case series

Fri, 28 Aug 2015 00:00:00 +0100

Conclusions The findings indicate the potential efficacy of imagery rescripting, and highlight the need for further controlled trials. Imagery rescripting should be considered as a treatment technique within the cognitive framework of BDD. (Source: Journal of Behavior Therapy and Experimental Psychiatry)



If Mental Illnesses Were Monsters, This Is What They'd Look Like

Wed, 26 Aug 2015 16:58:32 +0100

Mental illness is an intangible thing that can be all but impenetrable to those who don't experience it. That's why the U.K.-based artist Toby Allen decided to draw different mental illnesses as monsters, as a way of helping himself and ultimately others.  "The project originated from imagining my own anxieties as monsters and finding it to be a cathartic and healing process to draw them," Allen told The Huffington Post in an email. "It made them feel weaker and I was able to look at my own anxiety in a comical way. I wanted to expand upon this idea and draw other representations of mental illnesses that could help people in the same way it helped me." Allen's "Real Monsters" series is a collection of illustrations that anthropomorphize mental illnesses like depression, schi...



Facial affect recognition in body dysmorphic disorder versus obsessive-compulsive disorder: an eye-tracking study

Tue, 25 Aug 2015 00:00:00 +0100

Conclusions Patients with BDD were substantially impaired in the scanning of faces, and unable to extract affect-related information, likely indicating deficits in basic perceptual operations. Graphical abstract (Source: Journal of Anxiety Disorders)



“Vaginal rejuvenation”: comparative effectiveness studies are needed

Thu, 06 Aug 2015 00:00:00 +0100

This article is protected by copyright. All rights reserved. (Source: Acta Obstetricia et Gynecologica Scandinavica)

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Seeing in the Mind’s Eye: Imagery Rescripting for Patients with Body Dysmorphic Disorder. A single case series

Thu, 30 Jul 2015 00:00:00 +0100

Conclusions The findings indicate the potential efficacy of imagery rescripting, and highlight the need for further controlled trials. Imagery rescripting should be considered as a treatment technique within the cognitive framework of BDD. (Source: Journal of Behavior Therapy and Experimental Psychiatry)



Functional connectivity for face processing in individuals with body dysmorphic disorder and anorexia nervosa.

Wed, 29 Jul 2015 00:00:00 +0100

CONCLUSIONS: Results suggest similar abnormal functional connectivity within higher-order systems for face processing in BDD and AN, but distinct abnormal connectivity patterns within occipito-temporal visual networks. Findings may have implications for understanding relationships between these disorders, and the pathophysiology underlying perceptual distortions. PMID: 26219399 [PubMed - as supplied by publisher] (Source: Psychological Medicine)



[Body dysmorphic disorder and aesthetic surgery: A systematic review].

Mon, 13 Jul 2015 00:00:00 +0100

Authors: Kerfant N, Henry AS, Ta P, Trimaille A, Philandrianos C, Hu W Abstract Patients suffering from body dysmorphic disorder (BDD) are preoccupied with an imagined or minor defect in appearance that causes significant distress and impairment in social and occupational functioning. Despite a rate of up to 15% of BDD patients reported in cosmetic surgery settings, there is no consensus on the best management for these patients. The main purpose of this article was to conduct a literature review on BDD and cosmetic surgery. Properly trained healthcare professionals in recognizing and diagnosing this pathology is essential for the delivery of quality psychiatric care while taking into account the high prevalence of body dysmorphic disorder patients in cosmetic surgery and the poor ...



Inferring other people's states of mind: Comparison across social anxiety, body dysmorphic, and obsessive-compulsive disorders

Mon, 06 Jul 2015 00:00:00 +0100

Conclusions These results mostly confirm existing cognitive-behavioral models of SAD and BDD emphasizing that biased interpretation of what others think or intend is one of the key factors maintaining social anxiety and appearance-related concerns. Our study shows that this bias generalizes to social situations in which individuals take a third-person observer perspective. (Source: Journal of Anxiety Disorders)



Can understanding the neurobiology of body dysmorphic disorder (BDD) inform treatment?

Tue, 30 Jun 2015 00:00:00 +0100

CONCLUSIONS: There has been a recent influx of studies examining the underlying neurobiology of BDD using structural and functional neuroimaging methods. Despite obvious symptom similarities with obsessive-compulsive disorder (OCD), no study to date has directly compared the two groups using neuroimaging techniques. Studies have established that there are limbic and visual cortex abnormalities in BDD, in contrast to fronto-striatal differences in OCD. Such data suggests affect or visual training maybe useful in BDD. PMID: 26129816 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)

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Comparison of visual perceptual organization in schizophrenia and body dysmorphic disorder

Sat, 27 Jun 2015 00:00:00 +0100

People with schizophrenia are impaired at organizing potentially ambiguous visual information into well-formed shape and object representations. This perceptual organization (PO) impairment has not been found in other psychiatric disorders. However, recent data on body dysmorphic disorder (BDD), suggest that BDD may also be characterized by reduced PO. Similarities between these groups could have implications for understanding the RDoC dimension of visual perception in psychopathology, and for modeling symptom formation across these two conditions. (Source: Psychiatry Research)



Examining Neurocognition In Body Dysmorphic Disorder Using The Repeatable Battery For The Assessment Of Neuropsychological Status (RBANS): A Comparison With Obsessive-Compulsive Disorder

Fri, 26 Jun 2015 00:00:00 +0100

This study examined performance on the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), tapping into five indices of neurocognition: (i) Immediate Memory, (ii) Visuospatial Construction, (iii) Language, (iv) Attention, and (iv) Delayed Memory. (Source: Psychiatry Research)



What is Body Dysmorphic Disorder? - Get the Facts

Fri, 26 Jun 2015 00:00:00 +0100

Body Dysmorphic Disorder is a psychiatric disorder, which involves a preoccupation with one, or more perceived defects or flaws in one’s appearance. (Source: About.com Obsessive Compulsive Disorder)



Brain scan can predict who responds best to certain treatment for obsessive-compulsive disorder

Tue, 23 Jun 2015 20:26:00 +0100

Tens of millions of Americans — an estimated 1 to 2 percent of the population — will suffer at some point in their lifetimes from obsessive-compulsive disorder, a disorder characterized by recurrent, intrusive, and disturbing thoughts (obsessions), and/or stereotyped recurrent behaviors (compulsions). Left untreated, OCD can be profoundly distressing to the patient and can adversely affect their ability to succeed in school, hold a job or function in society. One of the most common and effective treatments is cognitive-behavioral therapy, which aims to help patients understand the thoughts and feelings that influence their behaviors and then work toward eliminating them. But not all OCD sufferers benefit over the long term: In an estimated 20 percent of patients, symptoms eventually re...



A preliminary candidate gene study in body dysmorphic disorder

Tue, 23 Jun 2015 00:00:00 +0100

Publication date: Available online 16 June 2015 Source:Journal of Obsessive-Compulsive and Related Disorders Author(s): Katharine A. Phillips , Gwyneth Zai , Nicole A. King , William Menard , James L. Kennedy , Margaret A. Richter This is the first study to examine the genetic basis of body dysmorphic disorder (BDD), a common and impairing disorder. Evidence suggests that BDD may be related to obsessive-compulsive disorder (OCD); thus, polymorphisms in nine genes in the serotonin, dopamine, and gamma-aminobutyric acid (GABA) systems were examined, all of which have been implicated previously in OCD. Fifty subjects with DSM-IV BDD were individually matched for ethnicity and gender to 50 healthy controls. Preliminary association was demonstrated for the GABA A -γ2 gene (p=0.012), the A al...

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Environmental and physical risk factors for men to develop body dysmorphic disorder concerning penis size compared to men anxious about their penis size and men with no concerns: A cohort study

Tue, 23 Jun 2015 00:00:00 +0100

Conclusions: The results have implications for our understanding of the development of BDD compared to body dissatisfaction and the prevention of psychiatric morbidity. Smaller penis size was not hypothesised to increase vulnerability to developing BDD but is consistent with being “different” during adolescence and for teasing by one's peers or a sexual partner. (Source: Journal of Obsessive Compulsive and Related Disorders)



The 'ugly truth' about Body Dysmorphic Disorder

Sat, 20 Jun 2015 23:34:21 +0100

The reality of Body Dysmorphic Disorder (Source: BBC News | Health | UK Edition)



Frequency of body dysmorphic disorder among patients with complaints of hair loss

Sat, 20 Jun 2015 00:00:00 +0100

ConclusionsThe incidence of BDD is about 10 times higher in patients with complaints of hair loss than it is in GD patients and is higher in males. Awareness of the condition and the referral of selected patients to mental health professionals is crucial. (Source: International Journal of Dermatology)



Skin picking disorder with co-occurring body dysmorphic disorder.

Tue, 09 Jun 2015 00:00:00 +0100

Authors: Grant JE, Redden SA, Leppink EW, Odlaug BL Abstract There is clinical overlap between skin picking disorder (SPD) and body dysmorphic disorder (BDD), but little research has examined clinical and cognitive correlates of the two disorders when they co-occur. Of 55 participants with SPD recruited for a neurocognitive study and two pharmacological studies, 16 (29.1%) had co-occurring BDD. SPD participants with and without BDD were compared to each other and to 40 healthy volunteers on measures of symptom severity, social functioning, and cognitive assessments using the Stop-signal task (assessing response impulsivity) and the Intra-dimensional/Extra-dimensional Set Shift task (assessing cognitive flexibility). Individuals with SPD and BDD exhibited significantly worse picking...



Erratum. A Comparison of Self-Esteem and Perfectionism in Anorexia Nervosa and Body Dysmorphic Disorder.

Mon, 01 Jun 2015 05:00:00 +0100

No abstract available (Source: The Journal of Nervous and Mental Disease)

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VIDEO: 'I was afraid to look in a mirror'

Fri, 29 May 2015 06:44:34 +0100

Body dysmorphic disorder sufferer Minnie Wright tells the BBC's John Maguire about the impact the condition has on her life. (Source: BBC News | Health | UK Edition)



Negative Predictors for Satisfaction in Patients Seeking Facial Cosmetic Surgery: A Systematic Review

Fri, 29 May 2015 05:11:59 +0100

Conclusions: This review indicates the possible demographic and psychosocial predictors for an unsatisfactory outcome of facial cosmetic surgery. A brief personality assessment tool that could be used to address predictors preoperatively was not found. The authors suggest use of the Glasgow Benefit Inventory to assess patient satisfaction postoperatively. Further research is being undertaken to develop such an instrument. (Source: Plastic and Reconstructive Surgery)



Family functioning in paediatric obsessive compulsive and related disorders.

Thu, 28 May 2015 00:00:00 +0100

CONCLUSIONS: This review supports the need for further research in the OCRDs. Limitations to the available literature and targeted suggestions for future research are discussed. PRACTITIONER POINTS: The domains of family environment in this study indicate specific family functioning deficits that may serve as aetiological and/or maintenance factors in paediatric OCRDs, possibly contributing to the understanding of these complex disorders. The recognition of family deficits in paediatric OCRDs may prove beneficial in developing or bolstering preventative and/or therapeutic interventions. Insufficient number of articles pertaining to family functioning in some paediatric OCRDs (i.e., hoarding, skin picking) inhibits formal conclusions. Magnitudes of family functioning effects were not ca...



Fluoxetine Promising for Pediatric Body Dysmorphic DisorderFluoxetine Promising for Pediatric Body Dysmorphic Disorder

Tue, 19 May 2015 10:32:13 +0100

A placebo-controlled study shows that the antidepressant fluoxetine is safe in adolescents with BDD, with a strong trend toward symptom improvement, warranting a larger trial, researchers say. Medscape Medical News (Source: Medscape Psychiatry Headlines)



Symptoms of Muscle Dysmorphia, Body Dysmorphic Disorder, and Eating Disorders in a Nonclinical Population of Adult Male Weightlifters in Australia

Tue, 28 Apr 2015 18:58:18 +0100

Abstract: Nieuwoudt, JE, Zhou, S, Coutts, RA, and Booker, R. Symptoms of muscle dysmorphia, body dysmorphic disorder, and eating disorders in a nonclinical population of adult male weightlifters in Australia. J Strength Cond Res 29(5): 1406–1414, 2015—The current study aimed to (a) determine the rates of symptoms of muscle dysmorphia (MD), body dysmorphic disorder (BDD), and eating disorder; (b) determine the relationships among symptoms of MD, BDD, and eating disorders; and (c) provide a comprehensive comparison of symptoms of MD, BDD, and eating disorders in a nonclinical population of adult male weightlifters in Australia. The participants (N = 648, mean age = 29.5 years, SD = 10.1) participated in an online survey, consisting of Muscle Appearance Satisfaction Scale, the Body Dysmor...

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Anorexia nervosa and body dysmorphic disorder: A comparison of body image concerns and explicit and implicit attractiveness beliefs.

Sat, 25 Apr 2015 00:00:00 +0100

Authors: Hartmann AS, Thomas JJ, Greenberg JL, Elliott CM, Matheny NL, Wilhelm S Abstract Although body image is central to the etiological models of anorexia nervosa and body dysmorphic disorder, studies comparing body image and beliefs about attractiveness between the disorders are rare. Sixty-nine individuals (anorexia nervosa: n=24, body dysmorphic disorder: n=23, healthy controls: n=22) completed self-report measures (body image and general psychopathology), diagnostic interviews, and Go/No-Go Association tasks measuring implicit associations. Compared to controls, both clinical groups exhibited greater negative body image, a more negative attitude toward their physical selves, and more dysfunctional coping strategies (ps<.001). Also, both clinical groups shared greater exp...



The prevalence of body dysmorphic disorder and its clinical Correlates in a VA Primary Care Behavioral Health Clinic

Mon, 13 Apr 2015 00:00:00 +0100

We examined the prevalence of body dysmorphic disorder (BDD) in a Veterans Affairs (VA) primary care behavioral health clinic. Of 100 Veterans, 11% (95% CI=6.3%-18.6%) had current BDD and 12% (95% CI=7.0%-19.8%) had lifetime BDD. However, only 8.3% of these Veterans had been diagnosed with BDD. BDD was significantly associated with a substantially elevated rate of suicide attempts, major depression, and obsessive-compulsive disorder. This severe disorder appears to be underdiagnosed in VA settings. (Source: Psychiatry Research)



When Your Loved One Has Body Dysmorphic Disorder

Sun, 05 Apr 2015 17:45:07 +0100

Aaron was a senior in high school, and his grades had begun to decline. He wasn’t interested in hanging out with his friends. He seemed depressed. He’d spend an extraordinary amount of time in the bathroom fixing his hair. Aaron’s father had a difficult time understanding his son’s behavior. He would get irritated when he saw all the hair products in Aaron’s bathroom. Aaron was determined to find the perfect product for his hair. He still had not found it. We all have bad hair days. We also are aware of our physical flaws, but most of us are able to accept them without obsessing or becoming paralyzed by them. If you know someone who has become depressed and is excessively preoccupied with his or her appearance, consider the following information regarding body dysmorphic disorder...



Psychodermatology.

Sat, 04 Apr 2015 12:48:09 +0100

Authors: Brown GE, Malakouti M, Sorenson E, Gupta R, Koo JY Abstract Psychodermatology is an underappreciated field that studies psychocutaneous disorders, which are conditions that have both dermatologic and psychiatric characteristics. Underlying psychiatric comorbidity is estimated to occur in up to one-third of dermatologic patients, and psychiatric illness may either be the cause or the consequence of dermatologic disease. Psychodermatologic patients lack insight and often do not recognize a psychiatric etiology for their symptoms and therefore comprise some of the most challenging cases to treat. Herein, we discuss the background and clinical presentation of the most commonly encountered psychodermatologic conditions, including delusional infestation, neurotic excoriations, f...



UCLA study shows that people with anorexia and body dysmorphic disorder have similar brain abnormalities

Fri, 06 Mar 2015 20:51:00 +0100

People with anorexia nervosa and with body dysmorphic disorder have similar abnormalities in their brains that affect their ability to process visual information, a new UCLA study reveals. People with anorexia have such an intense fear of gaining weight that they starve themselves even when they are dangerously thin. Body dysmorphic disorder is a psychiatric condition characterized by an obsessive preoccupation with a perceived flaw in physical appearance. The researchers found that people with both disorders had abnormal activity in the visual cortex of the brain during the very first instants when the brain processes “global” information, or images as a whole, as opposed to a tiny detail. According to the authors, it could also mean that perceptual retraining may be an effective ther...

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People with anorexia and body dysmorphic disorder have similar brain anomalies

Fri, 06 Mar 2015 05:00:00 +0100

(University of California - Los Angeles) People with anorexia nervosa and with body dysmorphic disorder have similar abnormalities in their brains that affect their ability to process visual information, a new UCLA study reveals. (Source: EurekAlert! - Medicine and Health)



Penile Dysmorphic Disorder: Development of a Screening Scale.

Tue, 03 Mar 2015 00:00:00 +0100

Authors: Veale D, Miles S, Read J, Troglia A, Carmona L, Fiorito C, Wells H, Wylie K, Muir G Abstract Penile dysmorphic disorder (PDD) is shorthand for men diagnosed with body dysmorphic disorder, in whom the size or shape of the penis is their main, if not their exclusive, preoccupation causing significant shame or handicap. There are no specific measures for identifying men with PDD compared to men who are anxious about the size of their penis but do not have PDD. Such a measure might be helpful for treatment planning, reducing unrealistic expectations, and measuring outcome after any psychological or physical intervention. Our aim was, therefore, to validate a specific measure, termed the Cosmetic Procedure Screening Scale for PDD (COPS-P). Eighty-one male participants were divi...



Identification and Management of Mental Health Issues by Dermatologic Surgeons: A Survey of American Society for Dermatologic Surgery Members

Sun, 01 Mar 2015 06:00:00 +0100

CONCLUSION: Approximately 60% of dermatologic surgeons inquire about the mental health issues of their cosmetic patients. Most are aware of BDD, but less than two-thirds consider it a contraindication to treatment. (Source: Dermatologic Surgery)



Gender differences in weight‐related and non‐weight‐related appearance concerns in a community sample

Sun, 01 Mar 2015 00:00:00 +0100

ConclusionsFindings suggest that for women, weight‐related concerns are represented in the general community along a continuum, whereas, non‐weight related appearance concerns, i.e., concerns consistent with body dysmorphic disorder, may not exist on the same continuum. In the future, it would be useful to determine the proportion of individuals who seek mental health services related to or unrelated to negative emotionality and/or weight‐related body image concerns. (Source: Australian Journal of Psychology)



Body dysmorphic symptoms, functional impairment, and depression: the role of appearance-based teasing - Weingarden H, Renshaw KD.

Fri, 27 Feb 2015 19:33:25 +0100

Body dysmorphic disorder is associated with elevated social and occupational impairment and comorbid depression, but research on risk factors for body dysmorphic symptoms and associated outcomes is limited. Appearance-based teasing may be a potential risk ... (Source: SafetyLit: All (Unduplicated))

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Cortical thickness and brain volumetric analysis in body dysmorphic disorder

Thu, 26 Feb 2015 00:00:00 +0100

Individuals with body dysmorphic disorder (BDD) suffer from preoccupations with perceived defects in physical appearance, causing severe distress and disability. Although BDD affects 1-2% of the population, the neurobiology is not understood. Discrepant results in previous volumetric studies may be due to small sample sizes, and no study has investigated cortical thickness in BDD. The current study is the largest neuroimaging analysis of BDD. Participants included 49 medication-free, right-handed individuals with DSM-IV BDD and 44 healthy controls matched by age, sex, and education. (Source: Psychiatry Research: Neuroimaging)



Body Dysmorphic Disorder: Prevalence and Outcomes in an Oculofacial Plastic Surgery Practice

Thu, 26 Feb 2015 00:00:00 +0100

To determine the prevalence, associated factors, and surgical outcomes of patients with body dysmorphic disorder in an oculofacial surgery practice. (Source: American Journal of Ophthalmology)



Cognitive-Behavioral Therapy for Body Dysmorphic Disorder

Thu, 19 Feb 2015 15:07:36 +0100

(Source: Journal of Cognitive Psychotherapy)



Phenomenology of men with body dysmorphic disorder concerning penis size compared to men anxious about their penis size and to men without concerns: A cohort study.

Mon, 09 Feb 2015 00:00:00 +0100

Authors: Veale D, Miles S, Read J, Troglia A, Carmona L, Fiorito C, Wells H, Wylie K, Muir G Abstract Men with body dysmorphic disorder (BDD) may be preoccupied with the size or shape of the penis, which may be causing significant shame or impairment. Little is known about the characteristics and phenomenology of such men and whether they can be differentiated from men with small penis anxiety (SPA) (who do not have BDD), and men with no penile concerns. Twenty-six men with BDD, 31 men with SPA, and 33 men without penile concerns were compared on psychopathology, experiences of recurrent imagery, avoidance and safety-seeking behaviours. Men with BDD had significantly higher scores than both the SPA group and no penile concern group for measures of imagery, avoidance, safety seeking...



A review of body dysmorphic disorder and its presentation in different clinical settings.

Sat, 07 Feb 2015 05:18:02 +0100

CONCLUSIONS: A considerable overlap exists between BDD and other psychiatric disorders such as OCD, anxiety, and delusional disorder, and this comorbidity should be considered in evaluation, management, and long-term follow-up of the disorder. Individuals with BDD usually consult dermatologists and cosmetic surgeons rather than psychiatrists. Collaboration between different specialties (such as primary care, dermatology, cosmetic surgery, and psychiatry) is required for better treatment outcome. PMID: 24392251 [PubMed] (Source: The Primary Care Companion for CNS Disorders)

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Anorexia nervosa and body dysmorphic disorder are associated with abnormalities in processing visual information.

Thu, 05 Feb 2015 00:00:00 +0100

Conclusions. Results provide preliminary evidence of similar abnormal spatiotemporal activation in AN and BDD for configural/holistic information for appearance- and non-appearance-related stimuli. This suggests a common phenotype of abnormal early visual system functioning, which may contribute to perceptual distortions. PMID: 25652023 [PubMed - as supplied by publisher] (Source: Psychological Medicine)



Body Dysmorphic Disorder in a Facial Plastic and Reconstructive Surgery Clinic Measuring Prevalence, Assessing Comorbidities, and Validating a Feasible Screening Instrument

Thu, 05 Feb 2015 00:00:00 +0100

Conclusions and RelevancePatients with BDD often seek cosmetic treatment. Given the documented risks and harms of surgery for patients with BDD, a systematic process for identifying such patients who seek cosmetic surgery is imperative. We found a BDD screening instrument (BDDQ) followed by the BDD SCID for patients with a BDDQ-positive screen result to be a feasible and effective way to identify patients with BDD.Level of EvidenceNA. (Source: JAMA Facial Plastic Surgery)



Young Adolescents' Body Dysmorphic Symptoms: Associations with Same- and Cross-Sex Peer Teasing via Appearance-based Rejection Sensitivity.

Wed, 14 Jan 2015 00:00:00 +0100

In this study of young adolescents' (N = 188, M age  = 11.93, 54.8 % females) body dysmorphic disorder (BDD) symptoms, we examined a theoretically-derived model to determine if symptoms could be explained by appearance-related teasing, general peer victimization, and social anxiety. BDD symptoms were assessed as distressing preoccupation with perceived appearance defects, social avoidance, and repeated grooming and appearance checking. Associations were expected to occur via the social-perceptual bias known as appearance-based rejection sensitivity (appearance-RS). The source of appearance teasing was also considered (same-sex vs. cross-sex peers), and age and gender moderation were assessed. As predicted, in a structural equation model, BDD symptoms were higher when adolescents s...



Classification of Body Dysmorphic Disorder – what is the advantage of the new DSM-5 criteria?

Thu, 08 Jan 2015 00:00:00 +0100

: In DSM-5 the diagnosis of body dysmorphic disorder (BDD) has been subjected to two important changes: Firstly, BDD has been assigned to the category of obsessive-compulsive and related disorders. Secondly, a new criterion has been defined requiring the presence of repetitive behaviors or mental acts in response to appearance concerns. The aims of this study were to report the prevalence rates of BDD based on a DSM-5 diagnosis, and to evaluate the impact of the recently introduced DSM-5 criteria for BDD by comparing the prevalence rates (DSM-5 vs. (Source: Journal of Psychosomatic Research)



Classification of body dysmorphic disorder — What is the advantage of the new DSM-5 criteria?

Thu, 08 Jan 2015 00:00:00 +0100

In DSM-5 the diagnosis of body dysmorphic disorder (BDD) has been subjected to two important changes: Firstly, BDD has been assigned to the category of obsessive–compulsive and related disorders. Secondly, a new criterion has been defined requiring the presence of repetitive behaviors or mental acts in response to appearance concerns. The aims of this study were to report the prevalence rates of BDD based on a DSM-5 diagnosis, and to evaluate the impact of the recently introduced DSM-5 criteria for BDD by comparing the prevalence rates (DSM-5 vs. (Source: Journal of Psychosomatic Research)

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Clinical Features, Cognitive Biases, and Treatment of Body Dysmorphic Disorder.

Fri, 02 Jan 2015 00:00:00 +0100

We describe how major findings in these areas made unique contributions to the development of an empirically informed cognitive-behavioral model of BDD, which in turn facilitated the translation of research to treatment strategies. Finally, we outline important areas of future research. Expected final online publication date for the Annual Review of Clinical Psychology Volume 11 is March 28, 2015. Please see http://www.annualreviews.org/catalog/pubdates.aspx for revised estimates. PMID: 25581240 [PubMed - as supplied by publisher] (Source: Annual Review of Clinical Psychology)



Beauty is in the Eye of the Beholder: Body Dysmorphic Disorder in Ophthalmic Plastic and Reconstructive Surgery

Thu, 01 Jan 2015 06:00:00 +0100

Despite the fact that up to 15% of patients in an aesthetic surgery practice have body dysmorphic disorder (BDD), little has been written about the condition in the oculoplastic literature. The authors describe 3 patients with suspected BDD who presented with perceived periocular defects. To appear “Asian,” a 39-year-old Hispanic woman underwent over 30 surgeries. She developed disfiguring scars and lagophthalmos with corneal scarring, remained unsatisfied, and tragically committed suicide. A 52-year-old woman with moderate dermatochalasis underwent a blepharoplasty to improve her vision and appearance and help her gain employment. Despite a good outcome, she remained dissatisfied and blamed the surgeon for her unemployment. Finally, a 73-year-old woman presented demanding treatment fo...



Prevalence of Body Dysmorphic Disorder among Swedish Women: a population-based study

Mon, 29 Dec 2014 00:00:00 +0100

Body dysmorphic disorder (BDD) is characterized by a highly distressing and impairing preoccupation with nonexistent or slight defects in appearance. Patients with BDD present to both psychiatric and non-psychiatric physicians. A few studies have assessed BDD prevalence in representative samples of the general population and have demonstrated that this disorder is relatively common. Our primary objective was to assess the prevalence of BDD in the Swedish population because no data are currently available. (Source: Comprehensive Psychiatry)



The body image psychological inflexibility scale: Development and psychometric properties

Mon, 08 Dec 2014 00:00:00 +0100

Body image disturbance and body dysmorphic disorder (BDD) have been researched from a variety of psychological approaches. Psychological inflexibility, or avoidance of one's own cognitive and affective states at a cost to personal values, may be a useful construct to understand these problems. In an effort to clarify the role of psychological inflexibility in body image disturbance and BDD, a measure was created based on the principles of Acceptance and Commitment Therapy (ACT). The scale was developed by generating new items to represent the construct and revising items from an existing scale measuring aspects of body image psychological inflexibility. (Source: Psychiatry Research)



Accept, distract, or reframe? An exploratory experimental comparison of strategies for coping with intrusive body image thoughts in anorexia nervosa and body dysmorphic disorder

Tue, 02 Dec 2014 00:00:00 +0100

Negative body image is the hallmark of anorexia nervosa (AN) and body dysmorphic disorder (BDD). One aspect of body image, appearance-related thoughts, have shown to be a major contributor to relapse, thus further investigation of successful treatment strategies targeting these maladaptive thoughts are warranted. The present study tested an acceptance/mindfulness (AC), a cognitive restructuring (CR), and a distraction strategy with regard to their short-term effectiveness of reducing the frequency of thought occurrence and associated outcomes in participants with AN (n =20), BDD (n=21), and healthy controls (HC; n=22). (Source: Psychiatry Research)

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Adjunctive antipsychotic in the treatment of body dysmorphic disorder – A retrospective naturalistic case note study

Fri, 28 Nov 2014 12:14:41 +0100

International Journal of Psychiatry in Clinical Practice, Ahead of Print. (Source: International Journal of Psychiatry in Clinical Practice)



A Comparison of Self-Esteem and Perfectionism in Anorexia Nervosa and Body Dysmorphic Disorder

Thu, 27 Nov 2014 14:12:38 +0100

AbstractPrevious studies have identified phenotypic similarities between anorexia nervosa (AN) and body dysmorphic disorder (BDD), which share the common feature of negative body image. Studies comparing endophenotypes that may cut across both disorders—as suggested by the National Institute of Mental Health’s Research Domain Criteria—are limited. Sixty-nine individuals (AN, n = 24; BDD, n = 23; mentally healthy controls [MHCs], n = 22) completed diagnostic interviews and self-reports assessing self-esteem and perfectionism. Clinical groups showed greater perfectionism in almost all subdimensions as well as poorer self-esteem compared with MHCs, with no clinical group differences when controlling for level of depression. Depression was a mediator of the relationship between symptom s...



Body dysmorphic disorder and olfactory reference disorder: proposals for ICD-11.

Fri, 14 Nov 2014 14:50:04 +0100

Authors: Veale D, Matsunaga H Abstract The article reviews the historical background and symptoms of body dysmorphic disorder (BDD) and olfactory reference disorder, and describes the proposals of the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders related to these categories. This paper examines the possible classification of BDD symptoms in ICD-10. Four different possible diagnoses are found (hypochondriacal disorder, schizotypal disorder, delusional disorder, or other persistent delusional disorder). This has led to significant confusion and lack of clear identification in ICD-10. Olfactory reference disorder can also be classified as a delusional disorder in ICD-10, but there is no diagnosis for non-delusional cases. The Working Grou...



Body dysmorphic disorder.

Fri, 14 Nov 2014 13:54:52 +0100

Authors: Gupta R, Huynh M, Ginsburg IH Abstract Body dysmorphic disorder (BDD) is a DSM-IV disorder that is characterized by a distressing and excessive preoccupation with a slight or imagined defect of a physical feature. BDD causes significant impairment of psychosocial functioning and a decreased quality of life for patients. Though the disorder is commonly seen in the dermatology setting, the disease remains under recognized and under-treated. It is important for dermatologists to be aware of BDD as patients suffer greatly from the disease. In this review, we provide an update on the epidemiology, clinical features, and treatment options for BDD. PMID: 24049964 [PubMed - indexed for MEDLINE] (Source: Seminars in Cutaneous Medicine and Surgery)



Anger and Anorexia

Tue, 11 Nov 2014 18:35:17 +0100

It took an eating disorder to finally teach me how to get angry. Many people with eating disorders are like me in that they feel reluctant — even downright refuse — to express anger. This is by and large a learned behavior. I grew up in a home where anger was like the steam in a pressure cooker: we kept the lid on until it burst and sprayed boiling liquid everywhere. Consequently, the message I internalized was twofold: Anger is loud, unpredictable, and dangerous; and negative emotions should be concealed. But if you’ve ever tried bottling your emotions, then you know it doesn’t work for long. Emotions find a way to declare themselves, whether they take the form of a spectacular blast of energy, like the exploding pressure cooker, or they creep up in disguise — as an ...

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