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Related Experiment Videos

Axis I comorbidity in body dysmorphic disorder.

John Gunstad1, Katharine A Phillips

  • 1Butler Hospital and the Department of Psychiatry and Human Behavior, Brown Medical School, Providence, RI 02906, USA.

Comprehensive Psychiatry
|August 19, 2003
PubMed
Summary
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Most patients with body dysmorphic disorder (BDD) experience other mental health conditions. Comorbidity with disorders like depression and social phobia is common and linked to greater impairment.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Research on body dysmorphic disorder (BDD) is growing, but comorbidity remains understudied.
  • Most individuals with BDD appear to have at least one co-occurring disorder.
  • Understanding comorbidity is crucial for comprehensive BDD treatment.

Purpose of the Study:

  • To investigate the prevalence of Axis I comorbidity in patients with BDD.
  • To identify clinical correlates associated with comorbidity in BDD.
  • To examine the temporal relationship between BDD and common comorbid conditions.

Main Methods:

  • Evaluated 293 patients diagnosed with DSM-IV BDD using the Structured Clinical Interview for DSM-III-R (SCID-P).
  • Collected data on clinical correlates through a semistructured instrument.

Related Experiment Videos

  • Compared findings between a phenomenology study group (n=175) and a treatment study group (n=118).

    • Main Results:

    • Comorbidity was highly prevalent, with patients averaging over two lifetime Axis I disorders.
    • The most frequent comorbid disorders included major depression, social phobia, obsessive compulsive disorder (OCD), and substance use disorders.
    • Social phobia typically preceded BDD onset, while depression and substance use disorders often followed BDD onset.

    Conclusions:

    • Axis I comorbidity is a significant feature of BDD.
    • A higher number of comorbid disorders correlates with increased functional impairment and morbidity.
    • Addressing comorbidity is essential for improving outcomes in BDD treatment.