Subthreshold body dysmorphic disorder in adolescents : Prevalence and impact

Journal article


Schneider, Sophie C., Mond, Jonathan, Turner, Cynthia M. and Hudson, Jennifer L.. (2017). Subthreshold body dysmorphic disorder in adolescents : Prevalence and impact. Psychiatry Research. 251, pp. 125-130. https://doi.org/10.1016/j.psychres.2017.01.085
AuthorsSchneider, Sophie C., Mond, Jonathan, Turner, Cynthia M. and Hudson, Jennifer L.
Abstract

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-BDD) and those without BDD (non-BDD). Self-report questionnaires assessing DSM-IV BDD 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.

Keywordsbody dysmorphic disorder; subthreshold psychopathology; adolescent; prevalence; comorbidity
Year2017
JournalPsychiatry Research
Journal citation251, pp. 125-130
PublisherElsevier B.V.
ISSN0165-1781
Digital Object Identifier (DOI)https://doi.org/10.1016/j.psychres.2017.01.085
Scopus EID2-s2.0-85012273310
Open accessPublished as green open access
Page range125-130
FunderAustralian Research Council (ARC)
Macquarie University
Author's accepted manuscript
License
File Access Level
Open
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online31 Jan 2017
Publication process dates
Accepted29 Jan 2017
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant IDLP130100576
FT120100217
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