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Severity of interpersonal problems in individuals with body dysmorphic disorder
Elizabeth R Didie1, Elizabeth H Loerke, Sarah E Howes
1Rhode Island Hospital, Providence, RI 02903, USA. Elizabeth_Didie@brown.edu
Individuals with Body Dysmorphic Disorder (BDD) experience significant interpersonal difficulties, especially in social inhibition and assertiveness. These relationship problems are linked to BDD symptom severity and co-occurring personality disorders.
Area of Science:
- Psychiatry
- Psychology
- Clinical Psychology
Background:
- Body Dysmorphic Disorder (BDD) is a prevalent and severe condition.
- Psychosocial functioning is impaired in BDD, but interpersonal problems are understudied.
Purpose of the Study:
- To investigate the severity, domains, and correlates of interpersonal problems in individuals with BDD.
- To compare interpersonal problems in BDD patients with general population norms.
Main Methods:
- Utilized the Inventory of Interpersonal Problems-64 (IIP-64) and other validated measures.
- Assessed 51 individuals diagnosed with DSM-IV Body Dysmorphic Disorder.
- Employed logistic regression to identify predictors of interpersonal problem severity.
Main Results:
- BDD patients reported more severe interpersonal problems across most IIP-64 domains compared to community samples.
- Elevated scores were noted in Socially Inhibited and Nonassertive domains.
- BDD symptom severity and personality disorders independently predicted interpersonal problem severity.
Conclusions:
- Individuals with BDD face substantial interpersonal relationship challenges.
- Social inhibition and nonassertiveness are key areas of interpersonal difficulty in BDD.
- Interpersonal problems in BDD are associated with disorder severity and comorbid personality disorders.
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