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Diagnosis of Body Dysmorphic Disorder

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Beauty and Body Dysmorphic Disorder

Abstract

Body dysmorphic disorder (BDD) is characterized by an excessive preoccupation with one or more perceived defects in appearance that are not observable or appear only as minor to others. It is also characterized by repetitive behaviors or mental acts in response to these perceived appearance flaws. Diagnostic criteria are met when these appearance concerns are not better explained by weight concerns and an associated eating disorder. BDD is associated with significant personal, social, and occupational impairment and often involves many unnecessary medical and surgical procedures. This chapter focuses on diagnosing body dysmorphic disorder, the differential diagnosis, comorbidities, and offers a brief introduction to various rating scales used to diagnose and manage BDD.

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References

  1. Conroy M, Menard W, Fleming-Ives K, Modha P, Cerullo H, Phillips KA. Prevalence and clinical characteristics of body dysmorphic disorder in an adult inpatient setting. Gen Hosp Psychiat. 2008;30(1):67–72.

    Article  Google Scholar 

  2. Grant JE, Kim SW, Crow SJ. Prevalence and clinical features of body dysmorphic disorder in adolescent and adult psychiatric inpatients. J Clin Psychiat. 2001;62(7):517–22.

    Article  CAS  Google Scholar 

  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorder. 3rd ed. Washington, DC. 1980.

    Google Scholar 

  4. American Psychiatric Association. Diagnostic and statistical manual of mental disorder. 3rd ed. Revised. Washington, DC. 1987.

    Google Scholar 

  5. American Psychiatric Association. Diagnostic and statistical manual of mental disorder. 4th ed. Text revision. Washington, DC. 2000.

    Google Scholar 

  6. American Psychiatric Association. Diagnostic and statistical manual of mental disorder. 5th ed. Washington, DC. 2013.

    Google Scholar 

  7. Phillips KA, Wilhelm S, Koran LM, Didie ER, Fallon BA, Feusner J, et al. Body dysmorphic disorder: some key issues for DSM-V. Depress Anxiety. 2010;27(6):573–91.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Phillips K. Understanding body dysmorphic disorder: an essential guide. New York: Oxford University Press; 2009.

    Google Scholar 

  9. Veale D, Riley S. Mirror, mirror on the wall, who is the ugliest of them all? The psychopathology of mirror gazing in body dysmorphic disorder. Behav Res Ther. 2001;39(12):1381–93.

    Article  CAS  PubMed  Google Scholar 

  10. Phillips KA, Taub SL. Skin picking as a symptom of body dysmorphic disorder. Psychopharmacol Bull. 1995;31(2):279–88.

    CAS  PubMed  Google Scholar 

  11. Phillips KA, Didie ER, Feusner J, Wilhelm S. Body dysmorphic disorder: treating an underrecognized disorder. Am J Psychiat. 2008;165(9):1111–8.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Didie E, Kelly M, Phillips K. Clinical features of body dysmorphic disorder. Psychiat Ann. 2010;40:310–6.

    Article  Google Scholar 

  13. Phillips KA, Stein DJ, Rauch SL, Hollander E, Fallon BA, Barsky A, et al. Should an obsessive-compulsive spectrum grouping of disorders be included in DSM-V? Depress Anxiety. 2010;27(6):528–55.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Laugharne R, Upex T, Palazidou E. Dysmorphophobia by proxy. J Roy Soc Med. 1998;91(5):266.

    CAS  PubMed  PubMed Central  Google Scholar 

  15. 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(4):317–25.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Hrabosky JI, Cash TF, Veale D, Neziroglu F, Soll EA, Garner DM, et al. Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: a multisite study. Body Image. 2009;6(3):155–63.

    Article  PubMed  Google Scholar 

  17. Rosen JC, Ramirez E. A comparison of eating disorders and body dysmorphic disorder on body image and psychological adjustment. J Psychosom Res. 1998;44(3–4):441–9.

    Article  CAS  PubMed  Google Scholar 

  18. Coles ME, Phillips KA, Menard W, Pagano ME, Fay C, Weisberg RB, et al. Body dysmorphic disorder and social phobia: cross-sectional and prospective data. Depress Anxiety. 2006;23(1):26–33.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Pinto A, Phillips KA. Social anxiety in body dysmorphic disorder. Body Image. 2005;2(4):401–5.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Kelly MM, Walters C, Phillips KA. Social anxiety and its relationship to functional impairment in body dysmorphic disorder. Behav Ther. 2010;41(2):143–53.

    Article  PubMed  Google Scholar 

  21. Kelly MM, Dalrymple K, Zimmerman M, Phillips KA. A comparison study of body dysmorphic disorder versus social phobia. Psychiat Res. 2013;205(1–2):109–16.

    Article  Google Scholar 

  22. Phillips KA, Pinto A, Menard W, Eisen JL, Mancebo M, Rasmussen SA. Obsessive-compulsive disorder versus body dysmorphic disorder: a comparison study of two possibly related disorders. Depress Anxiety. 2007;24(6):399–409.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Eisen JL, Phillips KA, Coles ME, Rasmussen SA. Insight in obsessive compulsive disorder and body dysmorphic disorder. Compr Psychiat. 2004;45(1):10–5.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Phillips KA, Menard W, Pagano ME, Fay C, Stout RL. Delusional versus nondelusional body dysmorphic disorder: clinical features and course of illness. J Psychiat Res. 2006;40(2):95–104.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Mancuso SG, Knoesen NP, Castle DJ. Delusional versus nondelusional body dysmorphic disorder. Compr Psychiatry. 2010;51(2):177–82.

    Article  PubMed  Google Scholar 

  26. Buhlmann U, Glaesmer H, Mewes R, Fama JM, Wilhelm S, Brahler E, et al. Updates on the prevalence of body dysmorphic disorder: a population-based survey. Psychiat Res. 2010;178(1):171–5.

    Article  Google Scholar 

  27. Phillips KA, McElroy SL. Personality disorders and traits in patients with body dysmorphic disorder. Compr Psychiat. 2000;41(4):229–36.

    Article  CAS  PubMed  Google Scholar 

  28. Gunstad J, Phillips KA. Axis I comorbidity in body dysmorphic disorder. Compr Psychiat. 2003;44(4):270–6.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Monzani B, Rijsdijk F, Iervolino AC, Anson M, Cherkas L, Mataix-Cols D. Evidence for a genetic overlap between body dysmorphic concerns and obsessive-compulsive symptoms in an adult female community twin sample. Am J Med Genet B, Neuropsychiatr Genet. 2012;159b(4):376–82.

    Article  CAS  Google Scholar 

  30. Chosak A, Marques L, Greenberg JL, Jenike E, Dougherty DD, Wilhelm S. Body dysmorphic disorder and obsessive-compulsive disorder: similarities, differences and the classification debate. Expert Rev Neurother. 2008;8(8):1209–18.

    Article  PubMed  Google Scholar 

  31. Phillips KA, McElroy SL, Hudson JI, Pope HG, Jr. Body dysmorphic disorder: an obsessive-compulsive spectrum disorder, a form of affective spectrum disorder, or both? J Clin Psychiat. 1995;56 (Suppl 4):41–51 (discussion 2).

    Google Scholar 

  32. Kollei I, Schieber K, de Zwaan M, Svitak M, Martin A. Body dysmorphic disorder and nonweight-related body image concerns in individuals with eating disorders. Int J Eat Disorder. 2013;46(1):52–9.

    Article  Google Scholar 

  33. 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 Psychiat Human D. 2006;36(4):369–82.

    Article  Google Scholar 

  34. Grant JE, Menard W, Pagano ME, Fay C, Phillips KA. Substance use disorders in individuals with body dysmorphic disorder. J Clin Psychiat. 2005;66(3):309–16 (quiz 404–5).

    Article  Google Scholar 

  35. Veale D, Eshkevari E, Kanakam N, Ellison N, Costa A, Werner T. The Appearance Anxiety Inventory: validation of a process measure in the treatment of body dysmorphic disorder. Behav Cogn Psychoth. 2014;42(5):605–16.

    Article  Google Scholar 

  36. LeBeau R, Mischel E, Simpson H, Mataix-Cols D, Phillips K, Stein D, et al. Preliminary assessment of obsessive–compulsive spectrum disorder scales for DSM-5. J Obsessive Compuls Relat Disord. 2013;2(2):114–8.

    Article  Google Scholar 

  37. Cash TF, Grasso K. The norms and stability of new measures of the multidimensional body image construct. Body Image. 2005;2(2):199–203.

    Article  PubMed  Google Scholar 

  38. Cash T, Phillips K, Santos M, Hrabosky JI. Measuring “negative body image”: Validation of the body image disturbance questionnaire in a non-clinical population. Body Image. 2004;1(4):363–72.

    Article  Google Scholar 

  39. Cash TF, Fleming EC. The impact of body image experiences: development of the body image quality of life inventory. Int J Eating Disorder. 2002;31(4):455–60.

    Article  Google Scholar 

  40. Phillips KA, Hart AS, Menard W, Eisen JL. Psychometric evaluation of the brown assessment of beliefs scale in body dysmorphic disorder. J Nerv Ment Dis. 2013;201(7):640–3.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Phillips KA, Hollander E, Rasmussen SA, Aronowitz BR, DeCaria C, Goodman WK. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the yale-brown obsessive compulsive scale. Psychopharmacol bull. 1997;33(1):17–22.

    CAS  PubMed  Google Scholar 

  42. Gee SN, Zakhary L, Keuthen N, Kroshinsky D, Kimball AB. A survey assessment of the recognition and treatment of psychocutaneous disorders in the outpatient dermatology setting: how prepared are we? J Am Acad Dermatol. 2013;68(1):47–52.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Dermatology, Cosmetic and Laser Center, Boston University, 609 Albany Street, J602, 02118, Boston, MA, USA

    Asst. Prof. Neelam A. Vashi MD

  2. Department of Dermatology & Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA

    Asst. Prof. Katlein França MD, MSc

  3. Department of Psychiatry, College of Medicine, Central Michigan University, East Campus-Saginaw, Saginaw, MI, USA

    Asst. Prof. Mohammad Jafferany MD, FAPA

  4. Psychodermatology Clinic, Jafferany Psychiatric Services, PLC, Saginaw, MI, USA

    Asst. Prof. Mohammad Jafferany MD, FAPA

Authors
  1. Asst. Prof. Mohammad Jafferany MD, FAPA
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  2. Asst. Prof. Katlein França MD, MSc
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  3. Asst. Prof. Neelam A. Vashi MD
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Corresponding author

Correspondence to Neelam A. Vashi MD .

Editor information

Editors and Affiliations

  1. Department of Dermatology, Boston University School of Medicine, Boston, Massachusetts, USA

    Neelam A. Vashi

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© 2015 Springer International Publishing Switzerland

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Jafferany, M., França, K., Vashi, N. (2015). Diagnosis of Body Dysmorphic Disorder. In: Vashi, N. (eds) Beauty and Body Dysmorphic Disorder. Springer, Cham. https://doi.org/10.1007/978-3-319-17867-7_7

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  • DOI: https://doi.org/10.1007/978-3-319-17867-7_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17866-0

  • Online ISBN: 978-3-319-17867-7

  • eBook Packages: MedicineMedicine (R0)

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