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Family accommodation in pediatric body dysmorphic disorder: A qualitative study.

Amita D Jassi1,2, Aysha Baloch2, Kike Thomas-Smith1

  • 1National Specialist Clinic for Young People with OCD, BDD and related disorders, South London and Maudsley NHS Foundation Trust, London.

Bulletin of the Menninger Clinic
|March 29, 2021
PubMed
Summary

Family accommodation (FA) significantly impacts individuals with body dysmorphic disorder (BDD). This study reveals common FA types, their drivers, and negative consequences for families, despite perceived benefits.

Keywords:
body dysmorphic disorderfamily involvementimpactphenomenology

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Family Studies

Background:

  • Family accommodation (FA) is a recognized phenomenon in various mental health disorders.
  • FA in body dysmorphic disorder (BDD) has not been previously investigated.
  • Understanding FA is crucial for comprehensive BDD treatment and family support.

Purpose of the Study:

  • To explore the types of family accommodation in body dysmorphic disorder.
  • To understand the impact and purpose of family accommodation for individuals with BDD.
  • To examine the experiences of young people with BDD, their parents, and clinicians regarding FA.

Main Methods:

  • Qualitative study employing semi-structured interviews.
  • Participants included five young people diagnosed with BDD, five parents, and five clinicians.
  • Thematic analysis was used to interpret interview data.

Main Results:

  • All participants reported significant FA in BDD, with types similar to those in other disorders.
  • Common forms of FA included reassurance seeking/giving and engagement in rituals.
  • FA was primarily driven by a desire to reduce the young person's distress and risk, despite negative impacts like financial burden and relationship strain.

Conclusions:

  • Family accommodation is a prevalent and impactful aspect of body dysmorphic disorder.
  • While FA aims to alleviate distress, it carries significant negative consequences for families.
  • Further research is needed to develop strategies for managing FA in BDD.