Body parts of clinical concern in anorexia nervosa versus body dysmorphic disorder: a cross-diagnostic comparison

Objectives: Anorexia nervosa and body dysmorphic disorder share a hallmark clinical feature of severe body image disturbance. This study aimed to document major demographic and clinical characteristics in anorexia nervosa versus body dysmorphic disorder, and it was the first to compare specific body...

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Veröffentlicht in:Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists 2020-04, Vol.28 (2), p.134-139
Hauptverfasser: Toh, Wei Lin, Grace, Sally A, Rossell, Susan L, Castle, David J, Phillipou, Andrea
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container_title Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists
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creator Toh, Wei Lin
Grace, Sally A
Rossell, Susan L
Castle, David J
Phillipou, Andrea
description Objectives: Anorexia nervosa and body dysmorphic disorder share a hallmark clinical feature of severe body image disturbance. This study aimed to document major demographic and clinical characteristics in anorexia nervosa versus body dysmorphic disorder, and it was the first to compare specific body parts related to body image dissatisfaction across these disorders directly. Methods: Anorexia nervosa (n=26) and body dysmorphic disorder (n=24) patients were administered a range of clinical measures, including key questions about the specificities of their body image concerns. Results: Results revealed increased psychiatric and personality co-morbidities in anorexia nervosa relative to body dysmorphic disorder. The anorexia nervosa group was mostly preoccupied with three body zones typically linked to weight concerns, whereas the body dysmorphic disorder group fixated on facial features, hair and skin. Conclusions: These findings may help inform differential diagnosis in complex cases and aid in the formulation of targeted interventions.
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subjects Adolescent
Adult
Anorexia Nervosa - diagnosis
Anorexia Nervosa - psychology
Body Dysmorphic Disorders - diagnosis
Body Dysmorphic Disorders - psychology
Body Image
Comorbidity
Female
Humans
Life Sciences & Biomedicine
Psychiatric Status Rating Scales
Psychiatry
Science & Technology
Young Adult
title Body parts of clinical concern in anorexia nervosa versus body dysmorphic disorder: a cross-diagnostic comparison
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