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Body Dysmorphic Disorder in Adolescents: Family History, Parental Distress, Rearing, and Accommodation
Cassie H Lavell1, Ella L Oar1, Ronald M Rapee1
1Lifespan Health and Wellbeing Research Centre, Macquarie University.
Summary
Parents of adolescents with Body Dysmorphic Disorder (BDD) experience more distress and accommodate appearance concerns more frequently. They are also rated as more critical during body-image discussions, impacting family dynamics in BDD.
Area of Science:
- Psychiatry
- Developmental Psychology
- Family Studies
Background:
- Family environment's role in adolescent Body Dysmorphic Disorder (BDD) is under-researched.
- Understanding parental factors is crucial for adolescent mental health interventions.
Purpose of the Study:
- Investigate family psychiatric history in adolescents with BDD.
- Examine parental distress, rearing practices, accommodation, and appearance messages.
Main Methods:
- Compared 26 adolescents with BDD to 27 with anxiety disorders and 25 controls.
- Utilized self-report measures and a coded discussion task for parental rearing styles.
Main Results:
- Parents of adolescents with BDD reported higher emotional distress and significantly more appearance accommodations.
- Parents of adolescents with BDD and anxiety disorders were rated as more critical during body-image discussions.
- No significant differences found in parental warmth, overprotection, or appearance messages.
Conclusions:
- Findings can inform cognitive-behavioral models of adolescent BDD.
- Results suggest avenues for family-based treatment approaches for adolescent BDD.
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