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Related Experiment Videos

Gender-related differences in body dysmorphic disorder (dysmorphophobia)

G Perugi1, H S Akiskal, D Giannotti

  • 1Institute of Psychiatry, University of Pisa, Italy.

The Journal of Nervous and Mental Disease
|October 6, 1997
PubMed
Summary
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Gender significantly influences Body Dysmorphic Disorder (BDD) symptoms and comorbidity. Women report more preoccupations with breasts/legs and anxiety disorders, while men focus on genitals/height and bipolar disorder. BDD remains distinct despite comorbidity.

Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Research

Background:

  • Body Dysmorphic Disorder (BDD) involves obsessions with perceived flaws.
  • Systematic study of BDD is recent, primarily within the last decade.
  • Understanding gender's role in BDD presentation and comorbidity is crucial.

Purpose of the Study:

  • To investigate how gender influences the specific body areas of preoccupation in BDD.
  • To examine gender differences in the extent and types of comorbid psychiatric disorders in BDD patients.
  • To test the hypothesis of differential gender impact on BDD characteristics.

Main Methods:

  • Utilized a specially constructed semistructured interview for BDD assessment.
  • Evaluated 58 consecutive outpatients diagnosed with DSM-III-R Body Dysmorphic Disorder.

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  • Analyzed data to identify gender-specific patterns in preoccupations and comorbidities.

    • Main Results:

    • Women with BDD showed higher preoccupation with breasts and legs, mirror-checking, and camouflaging behaviors.
    • Women also exhibited greater lifetime comorbidity with panic, generalized anxiety, and bulimia.
    • Men with BDD reported more preoccupations with genitals, height, and excessive body hair, alongside higher bipolar disorder comorbidity.

    Conclusions:

    • Gender significantly shapes the localization of preoccupations in Body Dysmorphic Disorder.
    • Distinct patterns of psychiatric comorbidity are associated with gender in BDD patients.
    • BDD is considered an autonomous syndrome, though gender influences its comorbid conditions.