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Prevalence and correlates of body dysmorphic disorder in a community sample of adolescents

Schneider, SC, Turner, CM, Mond, J ORCID: 0000-0002-0410-091X and Hudson, JL 2017 , 'Prevalence and correlates of body dysmorphic disorder in a community sample of adolescents' , Australian and New Zealand Journal of Psychiatry, vol. 51, no. 6 , pp. 595-603 , doi: 10.1177/0004867416665483.

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Objective: Body dysmorphic disorder typically begins in adolescence, yet little is known about the prevalence andcorrelates of the disorder in this age group. The current study aimed to explore the presenting features of adolescentsmeeting probable criteria for body dysmorphic disorder in a large community sample, and compare levels of comorbidpsychopathology, quality of life and mental health service use between adolescents with probable body dysmorphic disorderand those without.Method: Questionnaires were completed at school by 3149 adolescents: 63% male, aged 12–18 years (M=14.58).These assessed Diagnostic and Statistical Manual of Mental Disorders (4th ed.) body dysmorphic disorder criteria, past mentalhealth service use and symptoms of body dysmorphic disorder, anxiety, depression, obsessive-compulsive disorderand eating disorders. In male participants, additional measures assessed quality of life, muscularity concerns, emotionalsymptoms, peer problems, conduct problems and hyperactivity.Results: The prevalence of probable body dysmorphic disorder was 1.7%; there was no sex difference in prevalence,but older adolescents reported higher prevalence than younger adolescents. Probable body dysmorphic disorder participantsreported substantially elevated levels of psychopathology, quality of life impairment and mental health serviceuse compared to non-body dysmorphic disorder participants.Conclusions: The prevalence of body dysmorphic disorder in adolescents is similar to adult samples, and probable bodydysmorphic disorder is associated with comorbidity, distress and functional impairment in a community sample. Furtherresearch is required to better understand the presentation of body dysmorphic disorder in adolescents, and to improvediagnosis and treatment.

Item Type: Article
Authors/Creators:Schneider, SC and Turner, CM and Mond, J and Hudson, JL
Keywords: Body dysmorphic disorder, Clinical features, Comorbidity
Journal or Publication Title: Australian and New Zealand Journal of Psychiatry
Publisher: SAGE Publications
ISSN: 0004-8674
DOI / ID Number: 10.1177/0004867416665483
Copyright Information:

Copyright 2016 The Royal Australian andNew Zealand College of Psychiatrists. Reprints and

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