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Occupational functioning and impairment in adults with body dysmorphic disorder
Elizabeth R Didie1, William Menard, Adam P Stern
1Butler Hospital, Providence, RI 02906, USA; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI 02912, USA. elizabeth_didie@brown.edu
Comprehensive Psychiatry
|October 31, 2008
Summary
Many individuals with Body Dysmorphic Disorder (BDD) struggle with work due to their condition. Most employed individuals with BDD experience significant occupational impairment, highlighting the disorder's impact on employment.
Area of Science:
- Psychiatry
- Psychology
- Occupational Health
Background:
- Body Dysmorphic Disorder (BDD) is a prevalent mental health condition.
- BDD is associated with significant impairments in psychosocial functioning.
- Previous research has not fully detailed occupational functioning deficits in BDD.
Purpose of the Study:
- To investigate occupational functioning in adults with BDD.
- To assess occupational impairment using standardized measures in a non-treatment seeking sample.
- To identify correlates of occupational impairment in BDD.
Main Methods:
- 141 adults diagnosed with BDD were assessed.
- Occupational functioning and clinical variables were evaluated.
- Standardized self-report and interviewer-administered measures were utilized, including the Range of Impaired Functioning Tool.
Main Results:
- Less than half of participants were employed full-time; 22.7% received disability pay.
- 39% did not work due to psychopathology; 79.7% of those working reported work impairment.
- Not working was associated with more severe/chronic BDD, male gender, lower education, and greater depressive symptoms.
Conclusions:
- A significant proportion of individuals with BDD are unable to work because of their condition.
- Most employed individuals with BDD experience occupational functioning impairment.
- More severe and chronic BDD are linked to unemployment.
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