Correlates of Quality of Life and Functional Disability in Individuals with Body Dysmorphic Disorder
Abstract
Objective Body dysmorphic disorder (BDD) is a chronic mental illness characterized by low quality of life and functional disability across multiple domains. Despite the clinical importance of understanding impairment in BDD, there has been little research examining the factors that contribute to these constructs. The present study was designed to examine sociodemographic and clinical correlates of quality of life and disability (work, social, and family) in a sample of individuals with moderately severe BDD symptoms. Method Participants completed an internet survey with questions about demographics, BDD phenomenology, treatment, and impairment. Only participants who completed all study measures and received a score≥16 on the 10-item Yale-Brown Obsessive Compulsive Scale, Modified for BDD (BDD-YBOCS), indicating the presence of clinical BDD symptoms, were included in the analysis (n=256). Multivariate regression with backwards variable selection was used to identify significant predictors of quality of life and functional disability, assessed with the Quality of Life Enjoyment and Satisfaction Scale-Short Form (QLESQ-SF) and the Sheehan Disability Scale (SDS), respectively. Results BDD symptom severity was inversely associated with quality of life and directly associated with disability in all domains. After controlling statistically for BDD symptom severity, sociodemographic and clinical factors such as age, gender, ethnicity, marital status, insurance, body parts of concern,…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Az etnikai csoportok hasonlóak az aggodalmakat érintő testterületek és a kényszercselekedetek szempontjából, de különbségek vannak az ázsiaiak és a fehérek között.
“Az etnikai csoportok hasonlóak az aggodalmakat érint ő testterületek és a kényszercselekedetek szempontjából. Különbségek az ázsiaiak és a fehérek között vannak (Marques, LeBlanc, Robinaugh, Weingarden, Keshaviah és Wilhelm, 2011).”
From A testdiszmorfiás zavar pszichológiai vonatkozásai (2023) · cites this paper as Marques, LeBlanc, Robinaugh, Weingarden, Keshaviah és Wilhelm, 2011
Cites
Crawford, J. R., & Henry, J. D. (2003) · British Journal of Clinical Psychology · doi:10.1348/014466503321903544 · Cited by 1,756 · see citing works
Quality-of-Life Impairment in Depressive and Anxiety Disorders
Rapaport, M. H., Clary, C., Fayyad, R., & Endicott, J. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.6.1171 · Cited by 914 · see citing works
Huppert, J. D., Simpson, H. B., Nissenson, K. J., Liebowitz, M. R., & Foa, E. B. (2009) · Depression and Anxiety · doi:10.1002/da.20506 · Cited by 314 · see citing works
Grant, J. E., Kim, S. W., & Crow, S. J. (2001) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v62n07a03 · Cited by 239 · see citing works
Dyl, J., Kittler, J., Phillips, K. A., & Hunt, J. I. (2006) · Child Psychiatry and Human Development · doi:10.1007/s10578-006-0008-7 · Cited by 143 · see citing works
Flagged first, then by citations
Research works printed but not linked: 38
- Otto, 2001, Prevalence of body dysmorphic disorder in a community sample of women, Am J Psychiatry, 158, 2061, 10.1176/appi.ajp.158.12.2061 · DOI
- Rief, 2006, The prevalence of body dysmorphic disorder: A population-based survey, Psycho Med, 36, 877, 10.1017/S0033291706007264 · DOI
- Koran, 2008, The prevalence of body dysmorphic disorder in the United States adult population, CNS Spect, 13, 316, 10.1017/S1092852900016436 · DOI
- Conroy, 2008, Prevalence and clinical characteristics of body dysmorphic disorder in an adult inpatient setting, Gen Hosp Psychiatry, 30, 67, 10.1016/j.genhosppsych.2007.09.004 · DOI · Paper page
- Phillips, 2006, A 12-month follow-up study of the course of body dysmorphic disorder, Am J Psychiatry, 163, 907, 10.1176/appi.ajp.163.5.907 · DOI
- Gustad, 2003, Axis I comorbidity in body dysmorphic disorder, Compr Psychiatry, 44, 270, 10.1016/S0010-440X(03)00088-9 · DOI
- Phillips, 2006, Suicidality in body dysmorphic disorder: A prospective study, Am J Psychiatry, 163, 1280, 10.1176/appi.ajp.163.7.1280 · DOI
- Phillips, 2004, Change in psychological functioning and quality of life of patients with body dysmorphic disorder treated with fluoxetine: A placebo-controlled study, Psychosomatics, 45, 438, 10.1176/appi.psy.45.5.438 · DOI
- Phillips, 2005, Psychological functioning and quality of life in body dysmorphic disorder, Comprehens Psychiatry, 46, 254, 10.1016/j.comppsych.2004.10.004 · DOI
- Phillips, 2008, Functional impairment in body dysmorphic disorder: A prospective, follow-up study, J Psy Res, 42, 701, 10.1016/j.jpsychires.2007.07.010 · DOI
- Phillips, 2005, Demographic characteristics, phenomenology, comorbidity, and family history in 200 individuals with body dysmorphic disorder, J Consult Liaison Psychiatry, 46, 317
- Didie, 2008, Occupational functioning and impairment in adults with body dysmorphic disorder, Comprehens Psychiatry, 49, 561, 10.1016/j.comppsych.2008.04.003 · DOI
- Veale, 1996, Body dysmorphic disorder: A survey of fifty cases, Br J Psychiatry, 169, 196, 10.1192/bjp.169.2.196 · DOI
- Phillips, 2006, Gender similarities and differences in 200 individuals with body dysmorphic disorder, Comprehens Psychiatry, 47, 77, 10.1016/j.comppsych.2005.07.002 · DOI · Paper page
- Trivedi, 2006, Factors associated with health-related quality of life among outpatients with major depressive disorder: A STAR*D Report, J Clin Psychiatry, 67, 185, 10.4088/JCP.v67n0203 · DOI
- Phillips, 1997, 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, 33, 17
- Goodman, 1989, The Yale-Brown Obsessive Compulsive Scale: I. Development, use, and reliability, Arch Gen Psychiatry, 46, 1006, 10.1001/archpsyc.1989.01810110048007 · DOI · Paper page
- Antony, 1998, Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample, Psychological Assessment, 10, 176, 10.1037/1040-3590.10.2.176 · DOI · Paper page
- Henry, 2005, The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample, Br J Clin. Psychology, 44, 227, 10.1348/014466505X29657 · DOI · Paper page
- Endicott, 1993, Quality of life enjoyment and satisfaction questionnaire: A new measure, Psychopharmacol Bull, 29, 321
- Sheehan, 1996, The measurement of disability, Int Clin Psychopharmacol, 11, 89, 10.1097/00004850-199606003-00015 · DOI · Paper page
- Revicki, 2008, Health-related quality of life and utilities in primary-care patients with generalized anxiety disorder, Quality of Life Res: Int J Quality Life Aspects Treat, Care, and Rehab, 17, 1285, 10.1007/s11136-008-9406-6 · DOI · Paper page
- Diefenbach, 2007, Changes in quality of life following cognitive-behavioral therapy for obsessive-compulsive disorder, Behaviour Res Therapy, 45, 3060, 10.1016/j.brat.2007.04.014 · DOI
- Lubetkin, 2005, Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population, Quality Life Res: Int J Quality Life Aspects Treat, Care, and Rehab, 14, 2187, 10.1007/s11136-005-8028-5 · DOI
- Prause, 2005, Effects of socio-demographic variables on health-related quality of life determined by the quality of life index—German version, Hum Psychopharmacol: Clin Experim, 20, 359, 10.1002/hup.699 · DOI
- Rodriguez-Salgado, 2006, Perceived quality of life in obsessive-compulsive disorder: Related factors, BMC Psychiatry, 6, 10.1186/1471-244X-6-20 · DOI
- Sammarco, 2009, Quality of life of breast cancer survivors: A comparative study of age cohorts, Cancer Nurs, 32, 347, 10.1097/NCC.0b013e31819e23b7 · DOI
- Okazaki, 2002, Cultural norms and subjective disability as predictors of symptom reports among Asian Americans and White Americans, J Cross-Cultural Psychology, 33, 482, 10.1177/0022022102033005004 · DOI
- Diener, 2003, Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life, Ann Rev Psychology, 54, 403, 10.1146/annurev.psych.54.101601.145056 · DOI
- Hong, 2007, Cultural mediators of self-reported social anxiety, Behavior Res Therapy, 45, 1779, 10.1016/j.brat.2007.01.011 · DOI
- Lee, 2009, Model minority at risk: Expressed needs of mental health by Asian American young adults, J Community Health, 34, 144, 10.1007/s10900-008-9137-1 · DOI
- Phillips, 2000, Quality of life for patients with body dysmorphic disorder, J Nervous Mental Disease, 188, 170, 10.1097/00005053-200003000-00007 · DOI
- Phillips, 2007, Clinical features and correlates of major depressive disorder in individuals with body dysmorphic disorder, J Affective Dis, 97, 129, 10.1016/j.jad.2006.06.006 · DOI
- Masellis, 2003, Quality of life in OCD: Differential impact of obsessions, compulsions, and depression comorbidity, Can J Psychiatry/La Revue canadienne de psychiatrie, 48, 72, 10.1177/070674370304800202 · DOI
- Phillips, 1999, Body dysmorphic disorder and depression: Theoretical considerations and treatment strategies, Psychiatric Quarterly, 70, 313, 10.1023/A:1022090200057 · DOI
- Wilhelm S, Phillips KA, Steketee G: A cognitive behavioral treatment manual for body dysmorphic disorder. New York: Guilford Press; under agreement
- Fogel, 2004, Quality of life in physical health domains predicts adherence among myocardial infarction patients even after adjusting for depressive symptoms, J Psychosom Res, 56, 75, 10.1016/S0022-3999(03)00563-4 · DOI
- Pyne, 2001, Health-related quality-of-life measure enhances acute treatment response prediction in depressed inpatients, J Clin Psychiatry, 62, 261, 10.4088/JCP.v62n0408 · DOI
Cited by
Sorted by citations
A testdiszmorfiás zavar pszichológiai vonatkozásai
Szászi, B., & Szabó, P. (2023) · Magyar Pszichologiai Szemle · doi:10.1556/0016.2023.00042 · Cited by 1 · see citing works
- Authors
- Marques, L., LeBlanc, N., Robinaugh, D., Weingarden, H., Keshaviah, A., & Wilhelm, S.
- Affiliations
- Harvard University (US)
- Tufts University (US)
- ORCID
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 52
- Issue
- 3
- Pages
- 245-254
- ISSN
- 0033-3182 (ISSN-L)
- OpenAlex
- W2088840060
- Cited by
- 39
- References
- 5
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 4 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 3 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- body dysmorphic disorder, quality of life, functional disability, symptom severity, sociodemographic correlates, depressive symptoms, anxiety symptoms, work impairment, social dysfunction
- MeSH terms
- Adult, Female, Persons with Disabilities, Humans, Male, Psychiatric Status Rating Scales, Psychological Tests, Quality of Life, Regression Analysis, Sex Factors, Socioeconomic Factors, Body Dysmorphic Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review