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Related Experiment Videos

Social functioning in body dysmorphic disorder: assessment considerations.

Elizabeth R Didie1, Christina Tortolani, Mary Walters

  • 1Butler Hospital, 345 Blackstone Blvd., Providence, RI, 02906, USA. Elizabeth_Didie@brown.edu

The Psychiatric Quarterly
|September 8, 2006
PubMed
Summary
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Individuals with body dysmorphic disorder (BDD) experience significant social impairment. Standard assessments may underestimate this, particularly for those lacking primary relationships, highlighting a need for broader evaluation methods.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Social Science

Background:

  • Body dysmorphic disorder (BDD) is associated with severe social functioning deficits.
  • Existing assessment tools, like the Social Adjustment Scale-Self Report (SAS-SR), may not fully capture the extent of impairment in all individuals with BDD.
  • Exclusion criteria in some scales could lead to an underestimation of social dysfunction.

Purpose of the Study:

  • To investigate whether the SAS-SR underestimates social impairment in individuals with BDD.
  • To compare social functioning between individuals with BDD who have a primary relationship and those who do not.

Main Methods:

  • Compared 73 individuals with BDD and no primary relationship to 58 individuals with BDD and a primary relationship.
  • Utilized the Social Adjustment Scale-Self Report (SAS-SR) and the Global Assessment of Functioning Scale (GAF).

Related Experiment Videos

  • Assessed BDD and depressive symptom severity.
  • Main Results:

    • Individuals with BDD lacking a primary relationship showed significantly poorer global social adjustment across multiple measures.
    • This subgroup also scored lower on the GAF and exhibited a trend towards greater BDD and depressive symptom severity.
    • The SAS-SR's exclusion of individuals without primary relationships may lead to underestimation of social impairment.

    Conclusions:

    • The SAS-SR may underestimate the social impairment experienced by individuals with BDD, particularly those without primary relationships.
    • Findings suggest potential underestimation of functional impairment across other domains, disorders, and quality-of-life measures.
    • Revising assessment methodologies is crucial for accurately evaluating social functioning in BDD and related conditions.