Subthreshold body dysmorphic disorder in adolescents: Prevalence and impact

PSYCHIATRY RESEARCH

卷:251

Article

Schneider, Sophie C.¹  Mond, Jonathan^2,3  Turner, Cynthia M.⁴  Hudson, Jennifer L.¹ 

[1] Macquarie Univ, Dept Psychol, Ctr Emot Hlth, Sydney, NSW, Australia

[2] Western Sydney Univ, Sch Med, Ctr Hlth Res, Sydney, NSW, Australia

[3] Univ Tasmania, Sch Hlth Sci, Ctr Rural Hlth, Launceston, Tas, Australia

[4] Australian Catholic Univ, Sch Psychol, Brisbane, Qld, Australia

关键词: Body dysmorphic disorder;    Subthreshold psychopathology;    Adolescent;    Prevalence;    Comorbidity;   

DOI  :  10.1016/j.psychres.2017.01.085

来源: Elsevier

【 摘 要 】

The aim of the current study was to establish the prevalence of subthreshold body dysmorphic disorder (subthreshold-BDD) in a community sample of adolescents, and to compare disorder correlates in individuals with subthreshold-BDD to those with probable full-syndrome BDD (probable-BOO) and those without BDD (non-BDD). Self-report questionnaires assessing DSM-IV BM criteria, past mental health service use, and symptoms of body dysmorphic disorder, anxiety, depression, obsessive-compulsive disorder and eating disorders, were completed by 3149 Australian high school students (mean age =14.6 years, 63.5% male). Male participants also completed measures assessing quality of life, muscularity concerns, emotional symptoms, conduct problems, hyperactivity, and peer problems. The prevalence of subthreshold-BDD) was 3.4%, and probable-BDD was 1.7%. Compared to the non-BDD group, subthreshold-BDD was associated with elevated symptoms of comorbid psychopathology and greater past mental health service use, and in male-only measures, with poorer quality of life and elevated muscularity concerns. Subthreshold-BDD participants reported significantly lower mental health service use, and fewer symptoms of depression, eating disorders, and hyperactivity than probable-BDD participants, however, other comorbid symptoms did not differ significantly between these groups. These findings indicate that subthreshold-BDD is associated with substantial difficulties for adolescents in the general community. BDD screening should include subthreshold presentations, as these may be an important target for early intervention programs.

【 授权许可】

Free