Appearance comparison in individuals with body dysmorphic disorder and controls
Martin Anson1, David Veale1, Sarah Miles2
1The Institute of Psychiatry, Psychology and Neuroscience, King's College London, 16 De Crespigny Park, London SE5 8AF, UK; Maudsley Hospital, South London and Maudsley NHS Foundation Trust, Denmark Hill, London SE5 8AZ, UK.
Body Image
|September 18, 2015
Summary
Individuals with body dysmorphic disorder (BDD) engage in significantly more appearance comparison than controls. BDD patients focus comparison on specific concerns, unlike controls, and feel worse after comparing.
Area of Science:
- Psychology
- Clinical Psychology
- Psychiatry
Background:
- Appearance comparison is common in body dysmorphic disorder (BDD) but under-researched.
- Understanding this behavior is crucial for BDD treatment.
Purpose of the Study:
- To investigate the extent and nature of appearance comparison in BDD.
- To compare appearance comparison patterns between BDD patients and healthy controls.
Main Methods:
- Utilized a newly devised and a standardized appearance comparison measure.
- Assessed self-reported appearance comparison in 35 BDD participants and 45 controls.
Main Results:
- BDD participants reported significantly higher appearance comparison levels than controls.
- BDD individuals focused comparison on specific concerns, while controls compared overall appearance.
- BDD participants' comparison levels increased with target attractiveness, leading to lower self-rated attractiveness and satisfaction.
Conclusions:
- Appearance comparison is a key feature of BDD, differing in nature from controls.
- Findings support cognitive-behavioral treatment approaches targeting appearance comparison in BDD.
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