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Skin picking disorder with co-occurring body dysmorphic disorder
Jon E Grant1, Sarah A Redden1, Eric W Leppink1
1Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL, USA.
Skin picking disorder (SPD) with co-occurring body dysmorphic disorder (BDD) shows worse symptoms and cognitive flexibility issues. This highlights unique clinical and cognitive aspects when these disorders overlap, impacting treatment considerations.
Area of Science:
- Psychiatry
- Neuroscience
- Clinical Psychology
Background:
- Skin picking disorder (SPD) and body dysmorphic disorder (BDD) share clinical similarities.
- Limited research exists on the clinical and cognitive profiles of individuals with co-occurring SPD and BDD.
Purpose of the Study:
- To investigate the clinical and cognitive correlates of co-occurring SPD and BDD.
- To compare individuals with SPD and co-occurring BDD to those with SPD alone and healthy controls.
Main Methods:
- Compared 16 participants with SPD and BDD to 39 participants with SPD only and 40 healthy volunteers.
- Assessed symptom severity, social functioning, response impulsivity (Stop-signal task), and cognitive flexibility (ID/ED Set Shift task).
Main Results:
- Individuals with co-occurring SPD and BDD showed significantly worse skin picking severity.
- Worse overall psychosocial functioning was observed in the SPD with BDD group.
- Greater cognitive inflexibility was a significant finding in individuals with both SPD and BDD.
Conclusions:
- Co-occurrence of SPD and BDD is associated with more pronounced clinical and cognitive deficits.
- These findings suggest unique aspects of SPD may be amplified when BDD is present.
- Future research should explore potential subgroups within SPD and their treatment implications.
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