The links between body dysmorphic disorder and eating disorders. Eur Psychiatry

II Department of Psychiatry, Medical University Of Lodz, Czechoslowacka 8/10, 92-216, Lodz, Poland.
European Psychiatry (Impact Factor: 3.44). 09/2000; 15(5):302-5. DOI: 10.1016/S0924-9338(00)00398-9
Source: PubMed

ABSTRACT The aim of the study was to search for a body dysmorphic disorder (BDD) period preceding the symptoms meeting the criteria of either anorexia or bulimia nervosa, and an evaluation of the prevalence of BDD symptoms in a control group of girls without any eating disorder. Ninety-three girls (12-21 years old ) were included in the study (36 with anorexia nervosa, 17 with bulimia nervosa and 40 healthy controls). The Structured Clinical Interview (SCID), including the BDD module, and a novel questionnaire (for the presence of preceding life events) were used. We found the symptoms of BDD in 25% of anorexia nervosa sufferers for at least six months before observing a clear eating disorder picture. Moreover, other mental disorders were also present among these patients. The results may support the idea that BDD and anorexia nervosa both belong to either OCD or affective disorders spectra.

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Available from: Tomasz Sobow, Dec 14, 2014
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    • "This increasingly reported body dissatisfaction amongst males is said to facilitate the development of both anorexia nervosa [7] and muscle dysmorphia [8], which are two opposing dimensional extremes of body image psychopathology amongst males characterised by a pathological drive for thinness and muscularity respectively. Despite this increasing prevalence of male body dissatisfaction, and a well-documented bi-directional crossover between thinness- and muscularity-oriented body image disorders in men [4,9], little research to date has attempted to delineate the factors implicated in shaping the divergence amongst body dissatisfied males towards either thinness- or muscularity-oriented body image psychopathology. "
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    ABSTRACT: Body dysmorphic disorder (BDD) is an underrecognized and underdiagnosed problem that is relatively common among adolescents. Although the onset of the disorder occurs in adolescence, BDD research in child and adolescent psychiatry is relatively limited. Body dysmorphic disorder has a high rate of co-morbidity with depression and suicide, which indicates important implications for prompt diagnosis and treatment in adolescents with BDD. Effective treatment options include cognitive behavioral therapy (CBT) and pharmacotherapy with serotonin reuptake inhibitors (SRIs). This paper provides a brief overview of BDD in adolescents, presents and evaluates the most recent literature on approaches to diagnosis and treatment, and highlights some of the characteristics that distinguish BDD from other disorders such as obsessive-compulsive disorder, social phobia, depression, and eating disorders.
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