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Seeing the Flaws? Visual Perception of Faces in Individuals Screening Positive for Body Dysmorphic Disorder: An
Łukasz Banaszek1,2, Marta Wojtkiewicz1,2, Monika Rudzińska1
1Department of Methodology, Medical University of Warsaw, Banacha 1b Street, 02-097 Warsaw, Poland.
Journal of Clinical Medicine
|January 10, 2026
Summary
Body dysmorphic disorder (BDD) screening using the BDDQ shows subjective dissatisfaction but not objective visual perception differences. Eye-tracking reveals no significant variations in how BDD-positive individuals view faces compared to controls.
Area of Science:
- Psychiatry
- Ophthalmology
- Psychology
Background:
- Body dysmorphic disorder (BDD) involves preoccupation with perceived flaws, affecting aesthetic surgery outcomes.
- The Body Dysmorphic Disorder Questionnaire (BDDQ) is a screening tool with limited objective validation.
- Understanding visual perception differences in BDD is crucial for diagnosis and treatment.
Purpose of the Study:
- To investigate visual perception patterns in individuals screening positive for BDD using eye-tracking.
- To compare facial viewing patterns of own faces versus model faces between BDD-positive and BDD-negative groups.
- To objectively validate the BDDQ by correlating screening results with eye-tracking metrics.
Main Methods:
- A cross-sectional study involving 79 participants (psychiatric patients and medical students).
- Participants completed the BDDQ and underwent eye-tracking while viewing standardized photographs of models and their own faces.
- Gaze fixation patterns were analyzed across predefined facial areas of interest.
Main Results:
- No significant differences in eye-tracking fixation patterns were found between BDDQ-positive and BDDQ-negative groups.
- Psychiatric patients showed more numerous and shorter fixations than students, irrespective of BDDQ status.
- All participants rated model faces higher in attractiveness than their own, with the largest difference in the BDDQ-positive group.
Conclusions:
- While BDDQ-positive individuals report lower self-attractiveness, objective eye-tracking data shows no significant differences in visual processing.
- The BDDQ is a valuable tool for identifying subjective dissatisfaction related to appearance.
- Objective visual processing patterns do not significantly differentiate BDD screening-positive individuals from controls.
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