Zaburzenie dysmorfii ciała
Epidemiologia
Zaburzenie dysmorfii ciała (BDD) charakteryzuje się nadmiernym zaabsorbowaniem wyimaginowanymi lub minimalnymi defektami wyglądu, co prowadzi do istotnego pogorszenia jakości życia. Epidemiologicznie BDD dotyka 1,7-2,9% populacji ogólnej, z wyższą częstością wśród nastolatków (2-5%) i studentów (około 3%). Średni wiek początku to 16-17 lat, a diagnoza jest często opóźniona o 10-15 lat. Zaburzenie występuje zarówno u kobiet (około 60%), jak i mężczyzn, z różnicami w prezentacji objawów, np. dysmorfofobia mięśniowa niemal wyłącznie u mężczyzn. W populacjach klinicznych, zwłaszcza w chirurgii plastycznej i dermatologii, rozpowszechnienie BDD jest znacznie wyższe (7-24,5%), co ma istotne implikacje kliniczne, gdyż większość pacjentów poszukuje leczenia niepsychiatrycznego, a 64-66% poddaje się zabiegom chirurgicznym.
Epidemiologia zaburzenia dysmorfii ciała
Zaburzenie dysmorfii ciała (Body Dysmorphic Disorder, BDD) jest stosunkowo powszechnym zaburzeniem psychicznym, charakteryzującym się nadmiernym zaabsorbowaniem wyimaginowanymi lub niewielkimi defektami w wyglądzie zewnętrznym. Osoby cierpiące na to zaburzenie są przekonane, że wyglądają nienormalnie, nieatrakcyjnie lub zniekształcająco, podczas gdy w rzeczywistości ich wygląd jest prawidłowy.1 Mimo swojej powszechności, BDD pozostaje często nierozpoznawane i nieleczone, co prowadzi do znacznego pogorszenia jakości życia osób dotkniętych tym zaburzeniem.2
Rozpowszechnienie BDD w populacji ogólnej
Według aktualnych badań epidemiologicznych, zaburzenie dysmorfii ciała dotyka około 1,7% do 2,9% populacji ogólnej.3 W Stanach Zjednoczonych oznacza to, że ponad 5 do niemal 10 milionów osób cierpi na BDD. Dane te pochodzą z pięciu ogólnokrajowych badań populacyjnych opartych na dużych próbach.4 Badania prowadzone w USA wskazują na rozpowszechnienie BDD na poziomie około 2,4% populacji dorosłych.56 Z kolei międzynarodowe dane wskazują na nieco niższy wskaźnik występowania – od 1,7% do 1,8% w skali globalnej.7
Warto zauważyć, że faktyczne rozpowszechnienie BDD może być jeszcze wyższe, ponieważ osoby cierpiące na to zaburzenie często niechętnie ujawniają swoje objawy ze względu na wstyd i zakłopotanie.8 Badania sugerują, że BDD jest równie powszechne jak zaburzenie obsesyjno-kompulsyjne (OCD), a nawet częstsze niż zaburzenia takie jak anoreksja czy schizofrenia.9
Zróżnicowanie według wieku
Zaburzenie dysmorfii ciała występuje w różnych grupach wiekowych, ale wykazuje wyraźne tendencje wiekowe. BDD najczęściej pojawia się w okresie dojrzewania, ze średnim wiekiem zachorowania przypadającym na 16-17 lat.10 Najczęstszy wiek początku zaburzenia to 12-13 lat.11 Chociaż niektórzy pacjenci mogą doświadczyć nagłego pojawienia się objawów, zaburzenie zazwyczaj rozwija się stopniowo.12
Badania wskazują na następujące rozpowszechnienie BDD w zależności od wieku:
- Około 2% do 5% wśród nastolatków13
- Około 2% do 3% wśród dorosłych14
- Około 3% wśród studentów szkół wyższych15
- Około 2,6% wśród uczniów szkół średnich (według badania przeprowadzonego w Imphal West, Manipur)16
Co istotne, BDD jest rzadko diagnozowane w momencie wystąpienia objawów. Większość pacjentów otrzymuje formalne rozpoznanie dopiero po 10-15 latach od początku zaburzenia.1718 Osoby z wcześniejszym początkiem BDD częściej doświadczają współwystępujących zaburzeń psychicznych i myśli samobójczych.19
Zróżnicowanie według płci
Zaburzenie dysmorfii ciała dotyka zarówno mężczyzn, jak i kobiety, choć dane dotyczące rozkładu płci są niejednoznaczne i zależą od badanej populacji. W badaniach populacji ogólnej BDD jest częstsze u kobiet niż u mężczyzn – około 60% osób z BDD to kobiety, a 40% to mężczyźni.2021 Badania reprezentatywne dla populacji USA wskazują, że BDD dotyka 2,5% kobiet i 2,2% mężczyzn, co sugeruje stosunkowo równomierny rozkład płci.22
Interesujące jest jednak, że w niektórych kontekstach klinicznych, zwłaszcza w gabinetach chirurgii plastycznej i dermatologii, BDD występuje częściej u mężczyzn niż u kobiet.23 Może to wynikać z różnic w prezentacji objawów i zachowaniach związanych z poszukiwaniem pomocy.
Wśród dzieci i młodzieży obserwuje się wyraźniejsze zróżnicowanie płciowe. Według dużego badania epidemiologicznego przeprowadzonego w Anglii na grupie 7 654 osób w wieku 5-19 lat, BDD było znacząco częstsze u dziewcząt (1,8%) niż u chłopców (0,3%), z ilorazem szans wynoszącym 7,3.24
Istnieją również różnice w objawach BDD związane z płcią:
- Mężczyźni częściej zgłaszają zaburzenia obrazu narządów płciowych2526
- Kobiety częściej cierpią na współwystępujące zaburzenia odżywiania2728
- Dysmorfofobia mięśniowa (muscle dysmorphia), będąca podtypem BDD, występuje niemal wyłącznie u mężczyzn, szczególnie tych uprawiających sporty związane z wyglądem, jak kulturystyka2930
BDD w populacjach klinicznych
Zaburzenie dysmorfii ciała jest znacznie częstsze w określonych populacjach klinicznych niż w populacji ogólnej. Rozpowszechnienie BDD jest szczególnie wysokie wśród pacjentów poszukujących zabiegów kosmetycznych:
| Populacja kliniczna | Rozpowszechnienie BDD | Źródło |
|---|---|---|
| Ogólne kliniki chirurgii plastycznej | 7-15% | 3132 |
| Pacjenci poddający się rinoplastyce | 20-24,5% | 3334 |
| Pacjenci poddający się chirurgii ortognatycznej (szczęki) | około 11% | 3536 |
| Pacjenci ortodontyczni/stomatologia kosmetyczna | 5-10% | 3738 |
| Pacjenci dermatologiczni (ogólnie) | 9-14% | 3940 |
| Pacjenci dermatologii kosmetycznej | 9-14% | 4142 |
| Kliniki dermatologiczne trądziku | 8,8-11,1% | 4344 |
| Pacjenci chirurgii rekonstrukcyjnej | 7-16% | 45 |
Wysokie wskaźniki występowania BDD w tych populacjach klinicznych są istotne z punktu widzenia klinicznego, ponieważ osoby z BDD często poszukują rozwiązań kosmetycznych dla swoich dostrzeganych defektów, zamiast odpowiedniego leczenia psychiatrycznego. Szacuje się, że 71% pacjentów z BDD poszukuje leczenia niepsychiatrycznego, a 66% faktycznie je otrzymuje.46 Co więcej, 76% pacjentów z BDD rozważa chirurgię plastyczną jako metodę leczenia swoich dostrzeganych defektów, a 64-66% faktycznie przeszło jakiś zabieg chirurgii plastycznej.47
BDD jest również częstsze w populacjach psychiatrycznych:
- Wśród pacjentów psychiatrycznych hospitalizowanych: około 7,4%4849
- Wśród pacjentów psychiatrycznych ambulatoryjnych: około 5,8-6%5051
- Wśród hospitalizowanych pacjentów psychiatrycznych w wieku młodzieńczym: około 7,4%52
Współwystępowanie z innymi zaburzeniami psychicznymi
Zaburzenie dysmorfii ciała często współwystępuje z innymi zaburzeniami psychicznymi. Jest to istotna obserwacja kliniczna, która wpływa na diagnozę, leczenie i rokowanie pacjentów z BDD.53
Najczęstsze współwystępujące zaburzenia to:
- Zaburzenia depresyjne: Występują u około 70-80% pacjentów z BDD5455
- Zaburzenia lękowe: Około 60% pacjentów z BDD ma w wywiadzie jakieś zaburzenie lękowe5657
- Fobia społeczna: Występuje u około 38% pacjentów z BDD (częstość występowania w ciągu życia); zwykle poprzedza początek BDD58
- Zaburzenie obsesyjno-kompulsyjne (OCD): Rozpowszechnienie BDD wśród pacjentów ambulatoryjnych z OCD wynosi od 8% do 37%59
Wśród młodzieży z BDD, według dużego badania populacyjnego, około 69,8% spełnia kryteria diagnostyczne przynajmniej jednego dodatkowego zaburzenia psychicznego. Najczęstsze współwystępujące zaburzenia to zaburzenia lękowe (58,7%) i zaburzenia depresyjne (31,7%).60
BDD a tendencje samobójcze
Zaburzenie dysmorfii ciała wiąże się z istotnie podwyższonym ryzykiem samobójstwa, co stanowi poważny problem zdrowia publicznego.61 Dane dotyczące myśli i zachowań samobójczych wśród osób z BDD są alarmujące:
- Do 80% osób z BDD doświadcza myśli samobójczych6263
- Około 24-25% osób z BDD podejmuje próby samobójcze6465
- Wskaźnik samobójstw wśród osób z BDD jest 45 razy wyższy niż w populacji ogólnej6667
Badania przeprowadzone wśród młodzieży z BDD również wykazały wysoki wskaźnik samookaleczeń i prób samobójczych (46,3% według samooceny i 35,0% według raportów rodziców).68 Z tego powodu wczesne rozpoznanie i leczenie BDD, szczególnie u osób poniżej 18 roku życia, jest kluczowe dla zapobiegania tym poważnym konsekwencjom.69
Nadzór i wyzwania diagnostyczne
Pomimo stosunkowo wysokiego rozpowszechnienia, zaburzenie dysmorfii ciała pozostaje często nierozpoznawane i nieleczone przez długi czas. Istnieje kilka istotnych wyzwań związanych z diagnostyką i nadzorem nad BDD:
Problemy z rozpoznawaniem
Zaburzenie dysmorfii ciała jest często przeoczane lub błędnie diagnozowane z kilku powodów:70
- Osoby z BDD częściej szukają pomocy u dermatologów i chirurgów plastycznych niż u psychologów i psychiatrów71
- Niski poziom świadomości na temat tego zaburzenia wśród pracowników służby zdrowia72
- Wstyd i zakłopotanie pacjentów, którzy niechętnie ujawniają swoje objawy73
Badania pokazują, że większość pacjentów z BDD nie otrzymuje formalnej diagnozy przez 10-15 lat od wystąpienia objawów spełniających kryteria diagnostyczne.74 To opóźnienie w diagnozie i leczeniu może prowadzić do przewlekłego przebiegu zaburzenia i nasilenia objawów.75
Narzędzia diagnostyczne i badania przesiewowe
Dla poprawy rozpoznawalności BDD opracowano kilka narzędzi diagnostycznych i przesiewowych. Jednym z najczęściej używanych jest Kwestionariusz Zaburzenia Dysmorfii Ciała (Body Dysmorphic Disorder Questionnaire), który wykazuje czułość na poziomie 100% (0% wyników fałszywie ujemnych) i swoistość 92,5% (7,5% wyników fałszywie dodatnich).76
Systematyczne badania przesiewowe w kierunku BDD są szczególnie ważne w określonych populacjach wysokiego ryzyka, takich jak pacjenci dermatologiczni, chirurgii plastycznej, a także osoby z zaburzeniami lękowymi i depresją. BDD jest często nierozpoznawane na początku, co podkreśla znaczenie specyficznych praktyk przesiewowych w kierunku BDD i ich rolę w osiąganiu lepszych wyników leczenia.77
Czynniki ryzyka i wpływ mediów społecznościowych
Identyfikacja czynników ryzyka jest kluczowym elementem nadzoru nad BDD. Badania wskazują na następujące czynniki zwiększające ryzyko rozwoju BDD:
- Młodszy wiek (adolescencja i wczesna dorosłość)78
- Stan wolny7980
- Status studenta81
- Występowanie BDD lub zaburzenia obsesyjno-kompulsyjnego u krewnych82
- Wcześniejsze zaburzenia psychiatryczne lub dermatologiczne83
Coraz więcej badań wskazuje również na potencjalną rolę mediów społecznościowych w rozwoju BDD. Niedawne badanie wykazało, że zwiększone ogólne korzystanie z mediów społecznościowych było związane z BDD (p=0,030), a porównywanie własnego obrazu ciała z wizerunkami osób w mediach społecznościowych silnie korelowało z BDD (p=0,001).8485 Osoby zagrożone BDD częściej wierzą, że inni postrzegają ich wygląd jako nieprawidłowy i że inni oceniają ludzi na podstawie ich wyglądu.86
Te obserwacje podkreślają potrzebę dalszych badań nad wpływem mediów społecznościowych na rozwój BDD, szczególnie w grupach wysokiego ryzyka, takich jak nastolatki i młodzi dorośli.87
Zróżnicowanie międzykulturowe
Rozpowszechnienie BDD różni się między krajami, co może wynikać z różnic kulturowych i odmiennych systemów opieki zdrowotnej.88 Badania przeprowadzone w różnych krajach wykazały następujące wskaźniki rozpowszechnienia BDD wśród kobiet:
- 1,9% wśród niemieckich kobiet89
- 2,5% wśród amerykańskich kobiet90
- 4,4% wśród niemieckich kobiet (w innym okresie)91
- 2,1% wśród szwedzkich kobiet92
W populacjach mieszanych (obu płci), rozpowszechnienie BDD wynosiło:
- 1,7% w populacji angielskiej93
- 2,4% w populacji francuskiej94
- 0,7% w populacji włoskiej95
- Około 28% wśród amerykańskich studentów96
- 15,2% w populacji hiszpańskiej, co jest znacznie wyższe niż w większości innych badań (19,9% u kobiet, 5,2% u mężczyzn)97
Szczególnie interesujące są wyniki badania przeprowadzonego w Pakistanie, które wykazało rozpowszechnienie BDD na poziomie 5,8% wśród studentów medycyny, z wyższym wskaźnikiem u mężczyzn niż u kobiet (stosunek 1,7).98 Autorzy sugerują, że czynniki kulturowe mogą wpływać zarówno na rozpowszechnienie, jak i na różnice płciowe w objawach BDD.99
Te różnice międzykulturowe podkreślają potrzebę uwzględnienia kontekstu kulturowego w badaniach nad epidemiologią BDD oraz w opracowywaniu strategii rozpoznawania i leczenia tego zaburzenia.
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Materiały źródłowe
- #1 Body dysmorphic disorder: Epidemiology and pathogenesis – UpToDatehttps://www.uptodate.com/contents/body-dysmorphic-disorder-epidemiology-and-pathogenesis/print
Body dysmorphic disorder (BDD) is characterized by excessive preoccupation with nonexistent or slight defects in physical appearance, such that patients believe they look abnormal, unattractive, ugly, or deformed, when in reality they look normal. […] BDD is common but underrecognized, and it is often associated with suicidal ideation and behavior. […] This topic reviews the epidemiology and pathogenesis of BDD.
- #2 Body dysmorphic disorder: Epidemiology and pathogenesis – UpToDatehttps://www.uptodate.com/contents/body-dysmorphic-disorder-epidemiology-and-pathogenesis
Body dysmorphic disorder (BDD) is common but underrecognized, and it is often associated with suicidal ideation and behavior. […] This topic reviews the epidemiology and pathogenesis of BDD.
- #3 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #4 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #5 The Prevalence of Body Dysmorphic Disorder in the United States Adult Population | CNS Spectrums | Cambridge Corehttps://www.cambridge.org/core/journals/cns-spectrums/article/prevalence-of-body-dysmorphic-disorder-in-the-united-states-adult-population/664486A24D8E14CD236C506295E46C48
In clinical samples, body dysmorphic disorder (BDD) is associated with substantial suffering and reduced quality of life. Limited surveys report widely varying prevalence estimates. To better establish the prevalence of BDD, we conducted a United States nationwide prevalence survey. […] The estimated point prevalence of DSM-IV BDD among respondents was 2.4% (49/2,048) (by gender: 2.5% for women, 2.2% for men), exceeding the prevalence of schizophrenia and bipolar disorder type I and about that of generalized anxiety disorder. […] BDD prevalence decreased after 44 years of age, and a larger proportion of BDD respondents were never married.
- #6 4.2 Body Dysmorphic Disorder – Abnormal Psychologyhttps://university.pressbooks.pub/abnormalpsychology/chapter/4-2-body-dysmorphic-disorder/
The point prevalence rate for BDD among U.S. adults is 2.4% (APA, 2013). […] Internationally, this rate drops to 1.7% 1.8% (APA, 2013). […] Gender-based prevalence rates indicate a fairly balanced sex ratio (2.5% females; 2.2% males; APA, 2013). […] While the diagnosis rates may be different, general symptoms of BDD appear to be the same across genders with one exception: males tend to report genital preoccupations, while females are more likely to present with a comorbid eating disorder.
- #7 4.2 Body Dysmorphic Disorder – Abnormal Psychologyhttps://university.pressbooks.pub/abnormalpsychology/chapter/4-2-body-dysmorphic-disorder/
The point prevalence rate for BDD among U.S. adults is 2.4% (APA, 2013). […] Internationally, this rate drops to 1.7% 1.8% (APA, 2013). […] Gender-based prevalence rates indicate a fairly balanced sex ratio (2.5% females; 2.2% males; APA, 2013). […] While the diagnosis rates may be different, general symptoms of BDD appear to be the same across genders with one exception: males tend to report genital preoccupations, while females are more likely to present with a comorbid eating disorder.
- #8 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #9 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #10 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
BDD patients present commonly as adolescents and young adults, and also frequently up to the individuals mid-30s and 40s. The mean age of onset is 1617 years, and the most common age at onset is 1213 years [8, 20]. Although patients may present at a later age, the majority (approximately two thirds) will have the onset of symptoms before the age of 18 [8]. The disorder is usually not formally diagnosed until 10 to 15 years after the onset of BDD [21, 22]. Although some may experience an abrupt onset of BDD, the disorder usually evolves gradually [23]. The disease can be severe and is often chronic. Clinical features appear similar among all age groups; however, those with an earlier age of onset are more likely to have comorbidity and suicidal ideation [24]. […] In the clinical dermatology setting, studies have estimated a prevalence of BDD of 914%. Within the cosmetic surgery setting, the prevalence ranges from 3 to 53% (see Table 9.1) [2635].
- #11 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
BDD patients present commonly as adolescents and young adults, and also frequently up to the individuals mid-30s and 40s. The mean age of onset is 1617 years, and the most common age at onset is 1213 years [8, 20]. Although patients may present at a later age, the majority (approximately two thirds) will have the onset of symptoms before the age of 18 [8]. The disorder is usually not formally diagnosed until 10 to 15 years after the onset of BDD [21, 22]. Although some may experience an abrupt onset of BDD, the disorder usually evolves gradually [23]. The disease can be severe and is often chronic. Clinical features appear similar among all age groups; however, those with an earlier age of onset are more likely to have comorbidity and suicidal ideation [24]. […] In the clinical dermatology setting, studies have estimated a prevalence of BDD of 914%. Within the cosmetic surgery setting, the prevalence ranges from 3 to 53% (see Table 9.1) [2635].
- #12 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
BDD patients present commonly as adolescents and young adults, and also frequently up to the individuals mid-30s and 40s. The mean age of onset is 1617 years, and the most common age at onset is 1213 years [8, 20]. Although patients may present at a later age, the majority (approximately two thirds) will have the onset of symptoms before the age of 18 [8]. The disorder is usually not formally diagnosed until 10 to 15 years after the onset of BDD [21, 22]. Although some may experience an abrupt onset of BDD, the disorder usually evolves gradually [23]. The disease can be severe and is often chronic. Clinical features appear similar among all age groups; however, those with an earlier age of onset are more likely to have comorbidity and suicidal ideation [24]. […] In the clinical dermatology setting, studies have estimated a prevalence of BDD of 914%. Within the cosmetic surgery setting, the prevalence ranges from 3 to 53% (see Table 9.1) [2635].
- #13 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #14 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #15 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #16https://www.njcmindia.com/index.php/file/article/view/2157
Body Dysmorphic Disorder (BDD) is a psychiatric disorder characterized by preoccupation with a perceived flaw(s) in ones appearance, leads sufferers to engage in repetitive behaviours to try to hide or fix the flaw(s) causing significant distress and interference. […] The objective of the study is to determine the prevalence of BDD among higher secondary students in Imphal West, Manipur. […] About 2.6% met the DSM-V criteria for BDD. […] The study revealed BDD was prevalent but many individuals were unaware about the condition and its treatment.
- #17 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
BDD patients present commonly as adolescents and young adults, and also frequently up to the individuals mid-30s and 40s. The mean age of onset is 1617 years, and the most common age at onset is 1213 years [8, 20]. Although patients may present at a later age, the majority (approximately two thirds) will have the onset of symptoms before the age of 18 [8]. The disorder is usually not formally diagnosed until 10 to 15 years after the onset of BDD [21, 22]. Although some may experience an abrupt onset of BDD, the disorder usually evolves gradually [23]. The disease can be severe and is often chronic. Clinical features appear similar among all age groups; however, those with an earlier age of onset are more likely to have comorbidity and suicidal ideation [24]. […] In the clinical dermatology setting, studies have estimated a prevalence of BDD of 914%. Within the cosmetic surgery setting, the prevalence ranges from 3 to 53% (see Table 9.1) [2635].
- #18 Body Dysmorphic Disorder (BDD): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/9888-body-dysmorphic-disorder
Experts estimate that BDD affects about 2.4% of adults in the U.S. overall. Outside the U.S., it affects between 1.7% and 2.9% of people. […] BDD is most likely to start in your teens or early adult years. People usually develop BDD around 12 or 13 years old. Two-thirds of people with BDD develop it before age 18. However, BDD can also start in adulthood. […] Most people with BDD dont get a diagnosis until 10 to 15 years after the symptoms become serious enough to meet the criteria for diagnosis. […] Without treatment, body dysmorphic disorder has the potential to disrupt your life severely. Self-harm or suicide are also more common among people living with untreated BDD. Up to 80% of people with BDD have suicidal thoughts, and 1 in 4 people with BDD attempt suicide. People with BDD are also 45 times more likely to die by suicide than people without it. Because of this, early diagnosis and treatment especially in people who develop BDD before age 18 are critical.
- #19 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
BDD patients present commonly as adolescents and young adults, and also frequently up to the individuals mid-30s and 40s. The mean age of onset is 1617 years, and the most common age at onset is 1213 years [8, 20]. Although patients may present at a later age, the majority (approximately two thirds) will have the onset of symptoms before the age of 18 [8]. The disorder is usually not formally diagnosed until 10 to 15 years after the onset of BDD [21, 22]. Although some may experience an abrupt onset of BDD, the disorder usually evolves gradually [23]. The disease can be severe and is often chronic. Clinical features appear similar among all age groups; however, those with an earlier age of onset are more likely to have comorbidity and suicidal ideation [24]. […] In the clinical dermatology setting, studies have estimated a prevalence of BDD of 914%. Within the cosmetic surgery setting, the prevalence ranges from 3 to 53% (see Table 9.1) [2635].
- #20 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
BDD is more common in women than in men in general population studies (approximately 60% women versus 40% men). However, it is more common in men than in women in cosmetic surgery and dermatology settings. […] Some studies have examined how common other psychiatric disorders were among the people they studied and found that even more people had BDD than had other disorders that are considered to be common, such as social anxiety disorder (social phobia) and obsessive-compulsive disorder.
- #21 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #22 4.2 Body Dysmorphic Disorder – Abnormal Psychologyhttps://university.pressbooks.pub/abnormalpsychology/chapter/4-2-body-dysmorphic-disorder/
The point prevalence rate for BDD among U.S. adults is 2.4% (APA, 2013). […] Internationally, this rate drops to 1.7% 1.8% (APA, 2013). […] Gender-based prevalence rates indicate a fairly balanced sex ratio (2.5% females; 2.2% males; APA, 2013). […] While the diagnosis rates may be different, general symptoms of BDD appear to be the same across genders with one exception: males tend to report genital preoccupations, while females are more likely to present with a comorbid eating disorder.
- #23 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
BDD is more common in women than in men in general population studies (approximately 60% women versus 40% men). However, it is more common in men than in women in cosmetic surgery and dermatology settings. […] Some studies have examined how common other psychiatric disorders were among the people they studied and found that even more people had BDD than had other disorders that are considered to be common, such as social anxiety disorder (social phobia) and obsessive-compulsive disorder.
- #24 Epidemiology of Body Dysmorphic Disorder and Appearance Preoccupation in Youth: Prevalence, Comorbidity and Psychosocial Impairment – PubMedhttps://pubmed.ncbi.nlm.nih.gov/38508411/
Little is known about how common and impairing body dysmorphic disorder (BDD) is in the general population of youth. […] The point prevalence of BDD was 1.0% (95% CI = 0.8%-1.3%). BDD was significantly more common among adolescents than children (1.9 vs 0.1%; OR = 22.5, p .001), and among female than male participants (1.8% vs 0.3%; OR = 7.3, p .001). […] Approximately 70% of young people with BDD had psychiatric comorbidity, most commonly internalizing disorders. […] BDD and appearance preoccupation are relatively common, especially among adolescent girls, and are associated with substantial co-occurring psychopathology, impairment, and risk. […] Data from an epidemiological survey of 7,654 youth aged 5 to19 years in England indicated that BDD affects approximately 1% of children and adolescents. BDD was significantly more common in adolescents compared to children and in females compared to males. Both BDD and broader appearance preoccupation were linked with high rates of psychiatric comorbidity and significant psychosocial impairment, indicating a need for better screening and access to treatment.
- #25 4.2 Body Dysmorphic Disorder – Abnormal Psychologyhttps://university.pressbooks.pub/abnormalpsychology/chapter/4-2-body-dysmorphic-disorder/
The point prevalence rate for BDD among U.S. adults is 2.4% (APA, 2013). […] Internationally, this rate drops to 1.7% 1.8% (APA, 2013). […] Gender-based prevalence rates indicate a fairly balanced sex ratio (2.5% females; 2.2% males; APA, 2013). […] While the diagnosis rates may be different, general symptoms of BDD appear to be the same across genders with one exception: males tend to report genital preoccupations, while females are more likely to present with a comorbid eating disorder.
- #26 Body Dysmorphic Disorder (BDD) – PsychDBhttps://www.psychdb.com/ocd/body-dysmorphic
The lifetime prevalence of BDD is approximately 2%, with an almost equal distribution between genders. […] The prevalence can be as high as 9 to 15% among dermatology patients, and 3 to 16% among international cosmetic surgery patients. […] Males are more likely to have genital preoccupations, while females are more likely to have a comorbid feeding or eating disorder. […] Muscle dysmorphia occurs almost exclusively in males.
- #27 4.2 Body Dysmorphic Disorder – Abnormal Psychologyhttps://university.pressbooks.pub/abnormalpsychology/chapter/4-2-body-dysmorphic-disorder/
The point prevalence rate for BDD among U.S. adults is 2.4% (APA, 2013). […] Internationally, this rate drops to 1.7% 1.8% (APA, 2013). […] Gender-based prevalence rates indicate a fairly balanced sex ratio (2.5% females; 2.2% males; APA, 2013). […] While the diagnosis rates may be different, general symptoms of BDD appear to be the same across genders with one exception: males tend to report genital preoccupations, while females are more likely to present with a comorbid eating disorder.
- #28 Body Dysmorphic Disorder (BDD) – PsychDBhttps://www.psychdb.com/ocd/body-dysmorphic
The lifetime prevalence of BDD is approximately 2%, with an almost equal distribution between genders. […] The prevalence can be as high as 9 to 15% among dermatology patients, and 3 to 16% among international cosmetic surgery patients. […] Males are more likely to have genital preoccupations, while females are more likely to have a comorbid feeding or eating disorder. […] Muscle dysmorphia occurs almost exclusively in males.
- #29 Body Dysmorphic Disorder (BDD) – PsychDBhttps://www.psychdb.com/ocd/body-dysmorphic
The lifetime prevalence of BDD is approximately 2%, with an almost equal distribution between genders. […] The prevalence can be as high as 9 to 15% among dermatology patients, and 3 to 16% among international cosmetic surgery patients. […] Males are more likely to have genital preoccupations, while females are more likely to have a comorbid feeding or eating disorder. […] Muscle dysmorphia occurs almost exclusively in males.
- #30 Body Dysmorphic Statistics | Facts About Body Dysmorphia Disorderhttps://www.therecoveryvillage.com/mental-health/body-dysmorphic-disorder/bdd-statistics/
Men, particularly those who participate in an elite sport or appearance-driven competitions such as body-building, may be more susceptible to a subtype of BDD called muscle dysphoria. […] While BDD can be diagnosed and treated on its own, it shares many features and symptoms with mood disorders, obsessive-compulsive disorder (OCD) and eating disorders. […] People with BDD are at increased risk of suicide. […] BDD rates are reported to be much higher in those who have received plastic surgery or cosmetic dental work.
- #31 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #32 Cosmetic Treatments and Body Dysmorphic Disorder – BDDhttps://bdd.iocdf.org/expert-opinions/cosmetic-treatments-and-bdd/
Cosmetic surgery is a commonly sought treatment for individuals with BDD, with 26%-40% of individuals with BDD pursuing cosmetic surgery. […] In American cosmetic surgery samples, 7%-8% of individuals meet criteria for BDD and in international cosmetic populations, the prevalence rates vary greatly, ranging between 3%-53%. […] Prevalence rates of BDD in dermatology settings range from 9%-15%. One recent study showed that 14% of individuals in cosmetic dermatology settings met criteria for BDD compared to 7% in general dermatology settings. […] Two studies have investigated the prevalence of BDD in reconstructive surgical settings (e.g., breast reconstruction), and found that 7%-16% of patients showed symptoms consistent with BDD. […] Rates of suicidality in individuals with BDD are quite high, including suicidal ideation and suicide attempts. […] Although there is little research on the association between cosmetic treatments and risk for suicidality, studies of women who have sought breast augmentation have shown suicide rates that were two to three times higher than rates in the general population.
- #33 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #34 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
Studies suggest that the most common complaints from BDD patients involve facial defects, such as skin blemishes or nasal shape. […] The prevalence of BDD has ranged from 20.7 to 24.5% in those seeking rhinoplasty surgery (see Table 9.1) [1, 40, 41]. […] In patients receiving psychiatric treatment, 3.2% of the outpatients and up to 12.1% of the inpatients have been reported to have a BDD diagnosis [2, 3, 42]. The prevalence is approximately equivalent in males and females in outpatient psychiatric patients [2]. […] Most studies indicate comorbid depression and social phobia in more than 70% of BDD patients [2]. Comorbid major depression in BDD patients has also been reported as high as 80% [43]. Rates of coincident anxiety disorder in BDD patients are also high, with 38% reporting a lifetime history of social phobia and 60% reporting any anxiety disorder [2].
- #35 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #36 Body Dysmorphic Disorder (BDD) | Doctorhttps://patient.info/doctor/body-dysmorphic-disorder-pro
It is thought that 0.5% to 0.7% of the population have BDD. However, one review found: BDD in adults in the community was estimated to be 1.9%. […] In adolescents 2.2%. […] In student populations 3.3%. […] In adult psychiatric inpatients 7.4%. […] In adolescent psychiatric inpatients 7.4%. […] In adult psychiatric outpatients 5.8%. […] In general cosmetic surgery 13.2%. […] In rhinoplasty surgery 20.1%. […] In orthognathic surgery 11.2%. […] In orthodontics/cosmetic dentistry settings 5.2%. […] In dermatology outpatients 11.3%. […] In cosmetic dermatology outpatients 9.2%. […] In acne dermatology clinics 11.1%. […] Women outnumbered men in the majority of settings but not in cosmetic or dermatological settings.
- #37 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #38 Body Dysmorphic Disorder (BDD) | Doctorhttps://patient.info/doctor/body-dysmorphic-disorder-pro
It is thought that 0.5% to 0.7% of the population have BDD. However, one review found: BDD in adults in the community was estimated to be 1.9%. […] In adolescents 2.2%. […] In student populations 3.3%. […] In adult psychiatric inpatients 7.4%. […] In adolescent psychiatric inpatients 7.4%. […] In adult psychiatric outpatients 5.8%. […] In general cosmetic surgery 13.2%. […] In rhinoplasty surgery 20.1%. […] In orthognathic surgery 11.2%. […] In orthodontics/cosmetic dentistry settings 5.2%. […] In dermatology outpatients 11.3%. […] In cosmetic dermatology outpatients 9.2%. […] In acne dermatology clinics 11.1%. […] Women outnumbered men in the majority of settings but not in cosmetic or dermatological settings.
- #39 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #40 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
In a cohort of 289 individuals with BDD, Phillips et al. [37] reported 76.4% sought nonpsychiatric treatment and 66.0% actually received it. […] In a 2009 cross-sectional Brazilian study [1], 150 general and cosmetic dermatology patients, and 50 controls were interviewed by clinical psychologists and surveyed for the presence of BDD. The study determined that the prevalence of BDD was higher in the dermatology groups (n=31), as compared to the control group (n=1). Cosmetic dermatology patients were further significantly more likely to have BDD than their general dermatology counterparts, with a BDD diagnosis in 14% compared with 6.7% of general dermatology patients. […] Similarly, a cross-sectional Turkish study in 2013 [25] also evaluated the frequency of BDD in cosmetic and general dermatology settings.
- #41 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #42 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
In a cohort of 289 individuals with BDD, Phillips et al. [37] reported 76.4% sought nonpsychiatric treatment and 66.0% actually received it. […] In a 2009 cross-sectional Brazilian study [1], 150 general and cosmetic dermatology patients, and 50 controls were interviewed by clinical psychologists and surveyed for the presence of BDD. The study determined that the prevalence of BDD was higher in the dermatology groups (n=31), as compared to the control group (n=1). Cosmetic dermatology patients were further significantly more likely to have BDD than their general dermatology counterparts, with a BDD diagnosis in 14% compared with 6.7% of general dermatology patients. […] Similarly, a cross-sectional Turkish study in 2013 [25] also evaluated the frequency of BDD in cosmetic and general dermatology settings.
- #43 Body Dysmorphic Disorder (BDD) | Doctorhttps://patient.info/doctor/body-dysmorphic-disorder-pro
It is thought that 0.5% to 0.7% of the population have BDD. However, one review found: BDD in adults in the community was estimated to be 1.9%. […] In adolescents 2.2%. […] In student populations 3.3%. […] In adult psychiatric inpatients 7.4%. […] In adolescent psychiatric inpatients 7.4%. […] In adult psychiatric outpatients 5.8%. […] In general cosmetic surgery 13.2%. […] In rhinoplasty surgery 20.1%. […] In orthognathic surgery 11.2%. […] In orthodontics/cosmetic dentistry settings 5.2%. […] In dermatology outpatients 11.3%. […] In cosmetic dermatology outpatients 9.2%. […] In acne dermatology clinics 11.1%. […] Women outnumbered men in the majority of settings but not in cosmetic or dermatological settings.
- #44 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
Studies suggest that the most common complaints from BDD patients involve facial defects, such as skin blemishes or nasal shape. […] The prevalence of BDD has ranged from 20.7 to 24.5% in those seeking rhinoplasty surgery (see Table 9.1) [1, 40, 41]. […] In patients receiving psychiatric treatment, 3.2% of the outpatients and up to 12.1% of the inpatients have been reported to have a BDD diagnosis [2, 3, 42]. The prevalence is approximately equivalent in males and females in outpatient psychiatric patients [2]. […] Most studies indicate comorbid depression and social phobia in more than 70% of BDD patients [2]. Comorbid major depression in BDD patients has also been reported as high as 80% [43]. Rates of coincident anxiety disorder in BDD patients are also high, with 38% reporting a lifetime history of social phobia and 60% reporting any anxiety disorder [2].
- #45 Cosmetic Treatments and Body Dysmorphic Disorder – BDDhttps://bdd.iocdf.org/expert-opinions/cosmetic-treatments-and-bdd/
Cosmetic surgery is a commonly sought treatment for individuals with BDD, with 26%-40% of individuals with BDD pursuing cosmetic surgery. […] In American cosmetic surgery samples, 7%-8% of individuals meet criteria for BDD and in international cosmetic populations, the prevalence rates vary greatly, ranging between 3%-53%. […] Prevalence rates of BDD in dermatology settings range from 9%-15%. One recent study showed that 14% of individuals in cosmetic dermatology settings met criteria for BDD compared to 7% in general dermatology settings. […] Two studies have investigated the prevalence of BDD in reconstructive surgical settings (e.g., breast reconstruction), and found that 7%-16% of patients showed symptoms consistent with BDD. […] Rates of suicidality in individuals with BDD are quite high, including suicidal ideation and suicide attempts. […] Although there is little research on the association between cosmetic treatments and risk for suicidality, studies of women who have sought breast augmentation have shown suicide rates that were two to three times higher than rates in the general population.
- #46 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
In a cohort of 289 individuals with BDD, Phillips et al. [37] reported 76.4% sought nonpsychiatric treatment and 66.0% actually received it. […] In a 2009 cross-sectional Brazilian study [1], 150 general and cosmetic dermatology patients, and 50 controls were interviewed by clinical psychologists and surveyed for the presence of BDD. The study determined that the prevalence of BDD was higher in the dermatology groups (n=31), as compared to the control group (n=1). Cosmetic dermatology patients were further significantly more likely to have BDD than their general dermatology counterparts, with a BDD diagnosis in 14% compared with 6.7% of general dermatology patients. […] Similarly, a cross-sectional Turkish study in 2013 [25] also evaluated the frequency of BDD in cosmetic and general dermatology settings.
- #47 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
In the dermatological patient population, the prevalence is predominantly higher, with 8.8% of Turkish dermatology patients; 14% of US dermatology patients; 6.7% of Brazilian dermatology patients; 4.2% of Turkish dermatology patients in another time frame; 4.9% of Swedish dermatology patients; and from 2.9 to 24.9% in patients of multiple nationalities. […] The prevalence of BDD in patients who underwent plastic surgery procedures is around 620%. […] Among BDD patients, 76% have already considered plastic surgery as a treatment for their defects, of which most of them, 6466%, have previously undergone some plastic surgery. […] Although the dissatisfaction level with the results is high, the idea of perfection is based on delusional thoughts about one’s esthetics complaints, which are not reachable by cosmetic treatments or surgeries.
- #48 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #49 Body Dysmorphic Disorder (BDD) | Doctorhttps://patient.info/doctor/body-dysmorphic-disorder-pro
It is thought that 0.5% to 0.7% of the population have BDD. However, one review found: BDD in adults in the community was estimated to be 1.9%. […] In adolescents 2.2%. […] In student populations 3.3%. […] In adult psychiatric inpatients 7.4%. […] In adolescent psychiatric inpatients 7.4%. […] In adult psychiatric outpatients 5.8%. […] In general cosmetic surgery 13.2%. […] In rhinoplasty surgery 20.1%. […] In orthognathic surgery 11.2%. […] In orthodontics/cosmetic dentistry settings 5.2%. […] In dermatology outpatients 11.3%. […] In cosmetic dermatology outpatients 9.2%. […] In acne dermatology clinics 11.1%. […] Women outnumbered men in the majority of settings but not in cosmetic or dermatological settings.
- #50 Body Dysmorphic Disorder – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK555901/
BDD is reported globally in all ages, in both males and females. The overall global prevalence is 2% to 3%, with a higher incidence in females than males. […] Community studies conducted in multiple countries, including the United States, have estimated the prevalence to be approximately 2% to 3% in adults, 2% to 5% in adolescents, and 3% among higher education students. […] Requests for cosmetic surgical procedures are common for patients with BDD. An estimated 13% of patients in general cosmetic surgery clinics have BDD. […] The estimated prevalence of BDD in patients pursuing rhinoplasty is 20%. […] Approximately 11% of patients seeking orthognathic (jaw) surgery are affected by BDD. […] Between 5% to 10% of patients requesting orthodontic dentistry treatment are also affected. […] BDD is often a comorbid psychiatric illness among those diagnosed with anxiety, depression, psychotic, or bipolar spectrum disorders. For those with any of these comorbid psychiatric illnesses, the inpatient prevalence of BDD is estimated at 7%, while the outpatient prevalence is approximately 6%.
- #51 Body Dysmorphic Disorder (BDD) | Doctorhttps://patient.info/doctor/body-dysmorphic-disorder-pro
It is thought that 0.5% to 0.7% of the population have BDD. However, one review found: BDD in adults in the community was estimated to be 1.9%. […] In adolescents 2.2%. […] In student populations 3.3%. […] In adult psychiatric inpatients 7.4%. […] In adolescent psychiatric inpatients 7.4%. […] In adult psychiatric outpatients 5.8%. […] In general cosmetic surgery 13.2%. […] In rhinoplasty surgery 20.1%. […] In orthognathic surgery 11.2%. […] In orthodontics/cosmetic dentistry settings 5.2%. […] In dermatology outpatients 11.3%. […] In cosmetic dermatology outpatients 9.2%. […] In acne dermatology clinics 11.1%. […] Women outnumbered men in the majority of settings but not in cosmetic or dermatological settings.
- #52 Body Dysmorphic Disorder (BDD) | Doctorhttps://patient.info/doctor/body-dysmorphic-disorder-pro
It is thought that 0.5% to 0.7% of the population have BDD. However, one review found: BDD in adults in the community was estimated to be 1.9%. […] In adolescents 2.2%. […] In student populations 3.3%. […] In adult psychiatric inpatients 7.4%. […] In adolescent psychiatric inpatients 7.4%. […] In adult psychiatric outpatients 5.8%. […] In general cosmetic surgery 13.2%. […] In rhinoplasty surgery 20.1%. […] In orthognathic surgery 11.2%. […] In orthodontics/cosmetic dentistry settings 5.2%. […] In dermatology outpatients 11.3%. […] In cosmetic dermatology outpatients 9.2%. […] In acne dermatology clinics 11.1%. […] Women outnumbered men in the majority of settings but not in cosmetic or dermatological settings.
- #53 A Review of Body Dysmorphic Disorder and Its Presentation in Different Clinical Settingshttps://www.psychiatrist.com/pcc/review-body-dysmorphic-disorder-presentation-different/
In a prospective study of the course of BDD for up to 8 years in a sample of 514 participants, 1.8% to 4.8% had current BDD and 2.6% to 6.1% had lifetime BDD. […] Patients with BDD attending a psychiatric clinic have been found to have an equal male:female ratio, and they are usually single or separated and unemployed. […] Body dysmorphic disorder usually begins early in adolescence; 1 study found one-third of inpatient adolescents currently had a body image disorder or problematic body image concerns. […] A considerable overlap exists between BDD and other psychiatric disorders such as OCD, anxiety, and delusional disorder, and this comorbidity should be considered in evaluation, management, and long-term follow-up of the disorder. […] Over 60% of BDD patients were reported to have a lifetime history of an anxiety disorder.
- #54 A Review of Body Dysmorphic Disorder and Its Presentation in Different Clinical Settingshttps://www.psychiatrist.com/pcc/review-body-dysmorphic-disorder-presentation-different/
In a prospective study of the course of BDD for up to 8 years in a sample of 514 participants, 1.8% to 4.8% had current BDD and 2.6% to 6.1% had lifetime BDD. […] Patients with BDD attending a psychiatric clinic have been found to have an equal male:female ratio, and they are usually single or separated and unemployed. […] Body dysmorphic disorder usually begins early in adolescence; 1 study found one-third of inpatient adolescents currently had a body image disorder or problematic body image concerns. […] A considerable overlap exists between BDD and other psychiatric disorders such as OCD, anxiety, and delusional disorder, and this comorbidity should be considered in evaluation, management, and long-term follow-up of the disorder. […] Over 60% of BDD patients were reported to have a lifetime history of an anxiety disorder.
- #55 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
Studies suggest that the most common complaints from BDD patients involve facial defects, such as skin blemishes or nasal shape. […] The prevalence of BDD has ranged from 20.7 to 24.5% in those seeking rhinoplasty surgery (see Table 9.1) [1, 40, 41]. […] In patients receiving psychiatric treatment, 3.2% of the outpatients and up to 12.1% of the inpatients have been reported to have a BDD diagnosis [2, 3, 42]. The prevalence is approximately equivalent in males and females in outpatient psychiatric patients [2]. […] Most studies indicate comorbid depression and social phobia in more than 70% of BDD patients [2]. Comorbid major depression in BDD patients has also been reported as high as 80% [43]. Rates of coincident anxiety disorder in BDD patients are also high, with 38% reporting a lifetime history of social phobia and 60% reporting any anxiety disorder [2].
- #56 A Review of Body Dysmorphic Disorder and Its Presentation in Different Clinical Settingshttps://www.psychiatrist.com/pcc/review-body-dysmorphic-disorder-presentation-different/
In a prospective study of the course of BDD for up to 8 years in a sample of 514 participants, 1.8% to 4.8% had current BDD and 2.6% to 6.1% had lifetime BDD. […] Patients with BDD attending a psychiatric clinic have been found to have an equal male:female ratio, and they are usually single or separated and unemployed. […] Body dysmorphic disorder usually begins early in adolescence; 1 study found one-third of inpatient adolescents currently had a body image disorder or problematic body image concerns. […] A considerable overlap exists between BDD and other psychiatric disorders such as OCD, anxiety, and delusional disorder, and this comorbidity should be considered in evaluation, management, and long-term follow-up of the disorder. […] Over 60% of BDD patients were reported to have a lifetime history of an anxiety disorder.
- #57 Body Dysmorphic Disorder: Epidemiology and Specific Cohorts | Plastic Surgery Keyhttps://plasticsurgerykey.com/body-dysmorphic-disorder-epidemiology-and-specific-cohorts/
Studies suggest that the most common complaints from BDD patients involve facial defects, such as skin blemishes or nasal shape. […] The prevalence of BDD has ranged from 20.7 to 24.5% in those seeking rhinoplasty surgery (see Table 9.1) [1, 40, 41]. […] In patients receiving psychiatric treatment, 3.2% of the outpatients and up to 12.1% of the inpatients have been reported to have a BDD diagnosis [2, 3, 42]. The prevalence is approximately equivalent in males and females in outpatient psychiatric patients [2]. […] Most studies indicate comorbid depression and social phobia in more than 70% of BDD patients [2]. Comorbid major depression in BDD patients has also been reported as high as 80% [43]. Rates of coincident anxiety disorder in BDD patients are also high, with 38% reporting a lifetime history of social phobia and 60% reporting any anxiety disorder [2].
- #58 A Review of Body Dysmorphic Disorder and Its Presentation in Different Clinical Settingshttps://www.psychiatrist.com/pcc/review-body-dysmorphic-disorder-presentation-different/
The lifetime co-occurrence rate for social phobia is roughly 38%, which tends to predate the onset of body dysmorphic disorder. […] Nearly all studies report a high level of comorbidity with depression and social phobia, which is estimated to occur in more than 70% of BDD patients and could explain the response of the disorder to selective serotonin reuptake inhibitors (SSRIs).
- #59 Body Dysmorphic Disorder (300.7) | Abnormal Psychologyhttps://courses.lumenlearning.com/atd-herkimer-abnormalpsych/chapter/body-dysmorphic-disorder-300-7/
BDD is relatively common with prevalence rates from 0.7% to 2.4% in the general population (Didie et al., 2010). […] Prevalence rates tend to increase in clinical settings. Prevalence rates in the medical population of dermatology increase to 9%-12%, and in the cosmetic surgery population, an increase of 3%-53% (Didie et al., 2010). […] BDD is relatively common in outpatients with OCD (8% to 37%); social phobia (11% to 13%); trichotillomania (26%); and atypical major depressive disorder (14% to 42%) (Didie et al., 2010).
- #60 Analysis Determines Body Dysmorphic Disorder Is the Most Common in Adolescent Girlshttps://www.contemporaryclinic.com/view/analysis-determines-body-dysmorphic-disorder-is-the-most-common-in-adolescent-girls
Most young people (69.8%; 95% CI = 56.8%-80.4%) with BDD were observed to meet the diagnostic criteria for at least 1 additional psychiatric disorder, with the most common comorbidities being anxiety-related disorders (58.7%; 95% CI = 45.6%-70.8%) and depressive disorders (31.7%; 95% CI = 20.9%-44.8%). […] Further, self-harm or suicide attempts were also common among those with BDD (self-report: 46.3%; parent-report: 35.0%). […] The investigators noted not observing any instances of autism spectrum disorders.
- #61 Body Dysmorphic Statistics | Facts About Body Dysmorphia Disorderhttps://www.therecoveryvillage.com/mental-health/body-dysmorphic-disorder/bdd-statistics/
Men, particularly those who participate in an elite sport or appearance-driven competitions such as body-building, may be more susceptible to a subtype of BDD called muscle dysphoria. […] While BDD can be diagnosed and treated on its own, it shares many features and symptoms with mood disorders, obsessive-compulsive disorder (OCD) and eating disorders. […] People with BDD are at increased risk of suicide. […] BDD rates are reported to be much higher in those who have received plastic surgery or cosmetic dental work.
- #62 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
The rhinoplasty surgery, in special, is a common practice in BDD patients community, and the diagnoses of severe cases of BDD before surgery are very frequently connected to the high level of dissatisfaction with the results after surgery. […] The prevalence of BDD is larger in esthetics dermatological clinics (14%); compared to general dermatological clinics (6.7%) and in the control group (2%), the prevalence of BDD was almost equal to the general population. […] The same happens to the work capability of the BDD patients: when the disorder starts earlier in life, the social and labor impairment usually is worse. […] BDD patients usually have emotional impairment, remaining single (56.3%). […] The majority of BDD patients have suicidal ideas (80%), and a considerable percentage of them have already presented suicidal attempts (24%). […] Among American population, it has been noticed that suicide rates are 45 times larger in BDD patients when related to the rest of the population.
- #63 Body Dysmorphic Disorder (BDD): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/9888-body-dysmorphic-disorder
Experts estimate that BDD affects about 2.4% of adults in the U.S. overall. Outside the U.S., it affects between 1.7% and 2.9% of people. […] BDD is most likely to start in your teens or early adult years. People usually develop BDD around 12 or 13 years old. Two-thirds of people with BDD develop it before age 18. However, BDD can also start in adulthood. […] Most people with BDD dont get a diagnosis until 10 to 15 years after the symptoms become serious enough to meet the criteria for diagnosis. […] Without treatment, body dysmorphic disorder has the potential to disrupt your life severely. Self-harm or suicide are also more common among people living with untreated BDD. Up to 80% of people with BDD have suicidal thoughts, and 1 in 4 people with BDD attempt suicide. People with BDD are also 45 times more likely to die by suicide than people without it. Because of this, early diagnosis and treatment especially in people who develop BDD before age 18 are critical.
- #64 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
The rhinoplasty surgery, in special, is a common practice in BDD patients community, and the diagnoses of severe cases of BDD before surgery are very frequently connected to the high level of dissatisfaction with the results after surgery. […] The prevalence of BDD is larger in esthetics dermatological clinics (14%); compared to general dermatological clinics (6.7%) and in the control group (2%), the prevalence of BDD was almost equal to the general population. […] The same happens to the work capability of the BDD patients: when the disorder starts earlier in life, the social and labor impairment usually is worse. […] BDD patients usually have emotional impairment, remaining single (56.3%). […] The majority of BDD patients have suicidal ideas (80%), and a considerable percentage of them have already presented suicidal attempts (24%). […] Among American population, it has been noticed that suicide rates are 45 times larger in BDD patients when related to the rest of the population.
- #65 Body Dysmorphic Disorder (BDD): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/9888-body-dysmorphic-disorder
Experts estimate that BDD affects about 2.4% of adults in the U.S. overall. Outside the U.S., it affects between 1.7% and 2.9% of people. […] BDD is most likely to start in your teens or early adult years. People usually develop BDD around 12 or 13 years old. Two-thirds of people with BDD develop it before age 18. However, BDD can also start in adulthood. […] Most people with BDD dont get a diagnosis until 10 to 15 years after the symptoms become serious enough to meet the criteria for diagnosis. […] Without treatment, body dysmorphic disorder has the potential to disrupt your life severely. Self-harm or suicide are also more common among people living with untreated BDD. Up to 80% of people with BDD have suicidal thoughts, and 1 in 4 people with BDD attempt suicide. People with BDD are also 45 times more likely to die by suicide than people without it. Because of this, early diagnosis and treatment especially in people who develop BDD before age 18 are critical.
- #66 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
The rhinoplasty surgery, in special, is a common practice in BDD patients community, and the diagnoses of severe cases of BDD before surgery are very frequently connected to the high level of dissatisfaction with the results after surgery. […] The prevalence of BDD is larger in esthetics dermatological clinics (14%); compared to general dermatological clinics (6.7%) and in the control group (2%), the prevalence of BDD was almost equal to the general population. […] The same happens to the work capability of the BDD patients: when the disorder starts earlier in life, the social and labor impairment usually is worse. […] BDD patients usually have emotional impairment, remaining single (56.3%). […] The majority of BDD patients have suicidal ideas (80%), and a considerable percentage of them have already presented suicidal attempts (24%). […] Among American population, it has been noticed that suicide rates are 45 times larger in BDD patients when related to the rest of the population.
- #67 Body Dysmorphic Disorder (BDD): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/9888-body-dysmorphic-disorder
Experts estimate that BDD affects about 2.4% of adults in the U.S. overall. Outside the U.S., it affects between 1.7% and 2.9% of people. […] BDD is most likely to start in your teens or early adult years. People usually develop BDD around 12 or 13 years old. Two-thirds of people with BDD develop it before age 18. However, BDD can also start in adulthood. […] Most people with BDD dont get a diagnosis until 10 to 15 years after the symptoms become serious enough to meet the criteria for diagnosis. […] Without treatment, body dysmorphic disorder has the potential to disrupt your life severely. Self-harm or suicide are also more common among people living with untreated BDD. Up to 80% of people with BDD have suicidal thoughts, and 1 in 4 people with BDD attempt suicide. People with BDD are also 45 times more likely to die by suicide than people without it. Because of this, early diagnosis and treatment especially in people who develop BDD before age 18 are critical.
- #68 Analysis Determines Body Dysmorphic Disorder Is the Most Common in Adolescent Girlshttps://www.contemporaryclinic.com/view/analysis-determines-body-dysmorphic-disorder-is-the-most-common-in-adolescent-girls
Most young people (69.8%; 95% CI = 56.8%-80.4%) with BDD were observed to meet the diagnostic criteria for at least 1 additional psychiatric disorder, with the most common comorbidities being anxiety-related disorders (58.7%; 95% CI = 45.6%-70.8%) and depressive disorders (31.7%; 95% CI = 20.9%-44.8%). […] Further, self-harm or suicide attempts were also common among those with BDD (self-report: 46.3%; parent-report: 35.0%). […] The investigators noted not observing any instances of autism spectrum disorders.
- #69 Body Dysmorphic Disorder (BDD): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/9888-body-dysmorphic-disorder
Experts estimate that BDD affects about 2.4% of adults in the U.S. overall. Outside the U.S., it affects between 1.7% and 2.9% of people. […] BDD is most likely to start in your teens or early adult years. People usually develop BDD around 12 or 13 years old. Two-thirds of people with BDD develop it before age 18. However, BDD can also start in adulthood. […] Most people with BDD dont get a diagnosis until 10 to 15 years after the symptoms become serious enough to meet the criteria for diagnosis. […] Without treatment, body dysmorphic disorder has the potential to disrupt your life severely. Self-harm or suicide are also more common among people living with untreated BDD. Up to 80% of people with BDD have suicidal thoughts, and 1 in 4 people with BDD attempt suicide. People with BDD are also 45 times more likely to die by suicide than people without it. Because of this, early diagnosis and treatment especially in people who develop BDD before age 18 are critical.
- #70 Body dysmorphic disorder (BDD) | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/body-dysmorphic-disorder-bdd
Body dysmorphic disorder (BDD) is a mental illness characterised by constant worrying over a perceived or slight defect in appearance. […] It is thought that between one and two per cent of the population may have BDD, with men and women equally affected. […] Suicide rates among people with BDD are high. […] Diagnosis of BDD is difficult for many reasons, including: People with BDD are more likely to seek help from dermatologists and cosmetic surgeons than psychologists and psychiatrists. […] This type of mental illness doesn’t get much publicity, so some health professionals may not even be aware that BDD exists.
- #71 Body dysmorphic disorder (BDD) | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/body-dysmorphic-disorder-bdd
Body dysmorphic disorder (BDD) is a mental illness characterised by constant worrying over a perceived or slight defect in appearance. […] It is thought that between one and two per cent of the population may have BDD, with men and women equally affected. […] Suicide rates among people with BDD are high. […] Diagnosis of BDD is difficult for many reasons, including: People with BDD are more likely to seek help from dermatologists and cosmetic surgeons than psychologists and psychiatrists. […] This type of mental illness doesn’t get much publicity, so some health professionals may not even be aware that BDD exists.
- #72 Body dysmorphic disorder (BDD) | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/body-dysmorphic-disorder-bdd
Body dysmorphic disorder (BDD) is a mental illness characterised by constant worrying over a perceived or slight defect in appearance. […] It is thought that between one and two per cent of the population may have BDD, with men and women equally affected. […] Suicide rates among people with BDD are high. […] Diagnosis of BDD is difficult for many reasons, including: People with BDD are more likely to seek help from dermatologists and cosmetic surgeons than psychologists and psychiatrists. […] This type of mental illness doesn’t get much publicity, so some health professionals may not even be aware that BDD exists.
- #73 Prevalence of BDD – BDDhttps://bdd.iocdf.org/professionals/prevalence/
Body Dysmorphic Disorder currently affects 1.7% to 2.9% of the general population. This means that more than 5 million people to nearly 10 million people in the United States alone have BDD. These numbers are based on five nationwide population-based prevalence studies. […] Itâs possible that BDD may be even more common than this, because people with this disorder are often reluctant to reveal their BDD symptoms to others due to embarrassment and shame. […] This means that BDD is about as common as, or perhaps more common than, obsessive-compulsive disorder (OCD) and more common than disorders such as anorexia nervosa and schizophrenia. […] BDD affects an even higher proportion of people who are seen in various health care settings (e.g., cosmetic surgery, cosmetic dental, adult orthodontia, dental, or mental health settings). For example, the prevalence of BDD is 11-13% in dermatology settings, 13-15% in general cosmetic surgery settings, and 20% in rhinoplasty surgery settings.
- #74 Body Dysmorphic Disorder (BDD): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/9888-body-dysmorphic-disorder
Experts estimate that BDD affects about 2.4% of adults in the U.S. overall. Outside the U.S., it affects between 1.7% and 2.9% of people. […] BDD is most likely to start in your teens or early adult years. People usually develop BDD around 12 or 13 years old. Two-thirds of people with BDD develop it before age 18. However, BDD can also start in adulthood. […] Most people with BDD dont get a diagnosis until 10 to 15 years after the symptoms become serious enough to meet the criteria for diagnosis. […] Without treatment, body dysmorphic disorder has the potential to disrupt your life severely. Self-harm or suicide are also more common among people living with untreated BDD. Up to 80% of people with BDD have suicidal thoughts, and 1 in 4 people with BDD attempt suicide. People with BDD are also 45 times more likely to die by suicide than people without it. Because of this, early diagnosis and treatment especially in people who develop BDD before age 18 are critical.
- #75 Body dysmorphic disorder – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/symptoms-causes/syc-20353938
Body dysmorphic disorder typically starts in the early teenage years and it affects both males and females. […] Certain factors seem to increase the risk of developing or triggering body dysmorphic disorder, including: Having blood relatives with body dysmorphic disorder or obsessive-compulsive disorder. […] Body dysmorphic disorder usually doesn’t get better on its own. If left untreated, it may get worse over time, leading to anxiety, extensive medical bills, severe depression, and even suicidal thoughts and behavior.
- #76 Body dysmorphic disorder – Wikipediahttps://en.wikipedia.org/wiki/Body_dysmorphic_disorder
BDD is frequently comorbid with anxiety, depression, psychotic, or bipolar spectrum disorders. […] BDD is particularly associated with anxiety disorders, especially social anxiety disorder, as individuals often fear being judged for their appearance and avoid social interactions. […] BDD also frequently coexists with depression, with feelings of sadness and hopelessness often arising when obsessing over perceived flaws, sometimes leading to suicidal ideation and the development of MDD. […] Estimates place the Body Dysmorphic Disorder Questionnaire’s sensitivity at 100% (0% false negatives) and specificity at 92.5% (7.5% false positives).
- #77 Body Dysmorphic Disorder | Abnormal Psychologyhttps://courses.lumenlearning.com/wm-abnormalpsych/chapter/body-dysmorphic-disorder/
An estimated 2.4% of the adults in the United States meet the criteria for body dysmorphic disorder, with slightly higher rates in women than in men (APA, 2013). […] The prevalence of BDD in the general population is approximately 2% and is strongly associated with a history of cosmetic surgery and higher rates of suicidal ideation and suicide attempts. […] BDDs prevalence is markedly increased in the inpatient psychiatric setting, at approximately 16%. […] Prevalence in those seeking outpatient care for OCD, social anxiety, and other disorders ranged from 10% to 40%. […] BDD is often initially undetected, suggesting the importance of BDD-specific screening practices and their role in achieving better outcomes. […] The two largest population-based studies of BDD (one conducted in the United States, the other in Germany) found a point prevalence of 2.5% of women versus 2.2% of men, and 1.9% of women and 1.4% of men, respectively.
- #78 Exploring the effects of social media on body dysmorphic disorder among citizens of Bahrain: a cross-sectional study | BMC Psychology | Full Texthttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02101-0
The prevalence of BDD in the general population of adults is estimated to be 0.7-2.4%. […] Compared with the general population, certain populations, such as students and psychiatric and dermatology patients, have exhibited a higher weighted prevalence (3.3%, 5.8-7.4%, and 9.2-11.3%, respectively). […] The prevalence of BDD in our sample was 1.8%. […] Increased overall social media use was associated with BDD (p=0.030). […] BDD was associated with comparing ones body image with that of people on social media (p=0.001). […] The purpose of this study was to explore the association between social media use and BDD and to determine whether social media use is a predisposing factor for BDD. […] Our study revealed that younger age, being single and being a student were associated with BDD.
- #79 Exploring the effects of social media on body dysmorphic disorder among citizens of Bahrain: a cross-sectional study | BMC Psychology | Full Texthttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02101-0
The prevalence of BDD in the general population of adults is estimated to be 0.7-2.4%. […] Compared with the general population, certain populations, such as students and psychiatric and dermatology patients, have exhibited a higher weighted prevalence (3.3%, 5.8-7.4%, and 9.2-11.3%, respectively). […] The prevalence of BDD in our sample was 1.8%. […] Increased overall social media use was associated with BDD (p=0.030). […] BDD was associated with comparing ones body image with that of people on social media (p=0.001). […] The purpose of this study was to explore the association between social media use and BDD and to determine whether social media use is a predisposing factor for BDD. […] Our study revealed that younger age, being single and being a student were associated with BDD.
- #80 The Prevalence of Body Dysmorphic Disorder in the United States Adult Population | CNS Spectrums | Cambridge Corehttps://www.cambridge.org/core/journals/cns-spectrums/article/prevalence-of-body-dysmorphic-disorder-in-the-united-states-adult-population/664486A24D8E14CD236C506295E46C48
In clinical samples, body dysmorphic disorder (BDD) is associated with substantial suffering and reduced quality of life. Limited surveys report widely varying prevalence estimates. To better establish the prevalence of BDD, we conducted a United States nationwide prevalence survey. […] The estimated point prevalence of DSM-IV BDD among respondents was 2.4% (49/2,048) (by gender: 2.5% for women, 2.2% for men), exceeding the prevalence of schizophrenia and bipolar disorder type I and about that of generalized anxiety disorder. […] BDD prevalence decreased after 44 years of age, and a larger proportion of BDD respondents were never married.
- #81 Exploring the effects of social media on body dysmorphic disorder among citizens of Bahrain: a cross-sectional study | BMC Psychology | Full Texthttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02101-0
The prevalence of BDD in the general population of adults is estimated to be 0.7-2.4%. […] Compared with the general population, certain populations, such as students and psychiatric and dermatology patients, have exhibited a higher weighted prevalence (3.3%, 5.8-7.4%, and 9.2-11.3%, respectively). […] The prevalence of BDD in our sample was 1.8%. […] Increased overall social media use was associated with BDD (p=0.030). […] BDD was associated with comparing ones body image with that of people on social media (p=0.001). […] The purpose of this study was to explore the association between social media use and BDD and to determine whether social media use is a predisposing factor for BDD. […] Our study revealed that younger age, being single and being a student were associated with BDD.
- #82 Body dysmorphic disorder – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/symptoms-causes/syc-20353938
Body dysmorphic disorder typically starts in the early teenage years and it affects both males and females. […] Certain factors seem to increase the risk of developing or triggering body dysmorphic disorder, including: Having blood relatives with body dysmorphic disorder or obsessive-compulsive disorder. […] Body dysmorphic disorder usually doesn’t get better on its own. If left untreated, it may get worse over time, leading to anxiety, extensive medical bills, severe depression, and even suicidal thoughts and behavior.
- #83 JMIR Formative Research – Prevalence of Body Dysmorphic Disorder in the Spanish Population: Cross-Sectional Web-Based Questionnaire Studyhttps://formative.jmir.org/2024/1/e46515
Our study shows that the sociodemographic characteristics most associated with the diagnosis of BDD are gender (female and other), age group of 18-24 years, students, income level of less than 500/month, and a diagnosis of previous dermatologic or psychiatric disease. […] Participants with BDD in our study were concerned about an average of 4.6 different body parts, which is in line with that reported by previous studies. […] The prevalence of BDD in participants with dermatologic conditions in our study falls within the range reported in the literature. […] Our study showed a significant comorbidity with anxiety disorders, making it necessary to conduct future studies in this subgroup. […] Ultimately, the diagnosis of BDD was associated with a perception of reduced quality of life that is not subsidiary to the presence of mental health disorders.
- #84 Exploring the effects of social media on body dysmorphic disorder among citizens of Bahrain: a cross-sectional study | BMC Psychology | Full Texthttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02101-0
The prevalence of BDD in the general population of adults is estimated to be 0.7-2.4%. […] Compared with the general population, certain populations, such as students and psychiatric and dermatology patients, have exhibited a higher weighted prevalence (3.3%, 5.8-7.4%, and 9.2-11.3%, respectively). […] The prevalence of BDD in our sample was 1.8%. […] Increased overall social media use was associated with BDD (p=0.030). […] BDD was associated with comparing ones body image with that of people on social media (p=0.001). […] The purpose of this study was to explore the association between social media use and BDD and to determine whether social media use is a predisposing factor for BDD. […] Our study revealed that younger age, being single and being a student were associated with BDD.
- #85 Exploring the effects of social media on body dysmorphic disorder among citizens of Bahrain: a cross-sectional study | BMC Psychology | Full Texthttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02101-0
Increased time spent on social media was also associated with BDD. […] The subthreshold BDD group was also associated with believing that others view their appearance as abnormal and that others judge people based on their appearance. […] Further research is needed to explore BDD and the impacts that social media has on developing BDD.
- #86 Exploring the effects of social media on body dysmorphic disorder among citizens of Bahrain: a cross-sectional study | BMC Psychology | Full Texthttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02101-0
Increased time spent on social media was also associated with BDD. […] The subthreshold BDD group was also associated with believing that others view their appearance as abnormal and that others judge people based on their appearance. […] Further research is needed to explore BDD and the impacts that social media has on developing BDD.
- #87 Exploring the effects of social media on body dysmorphic disorder among citizens of Bahrain: a cross-sectional study | BMC Psychology | Full Texthttps://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02101-0
Increased time spent on social media was also associated with BDD. […] The subthreshold BDD group was also associated with believing that others view their appearance as abnormal and that others judge people based on their appearance. […] Further research is needed to explore BDD and the impacts that social media has on developing BDD.
- #88 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #89 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #90 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #91 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #92 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #93 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #94 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #95 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #96 Body Dysmorphic Disorder: Characteristics, Psychopathology, Clinical Associations, and Influencing Factors | IntechOpenhttps://www.intechopen.com/chapters/60898
Body dysmorphic disorder (BDD) is defined by a recurring and persistent concern characterized by psychic suffering caused by a possible physical imperfection in appearance. […] The prevalence of BDD is increasing around the world and differs between countries, because of cultural differences and different health-care systems. […] Studies have found a BDD prevalence of 1.9 in German women; 2.5% in American women; 2.0% in American women in another time frame; 4.4% in German women in another time frame; 2.1% in Swedish women. […] In mixed populations (both genders), the prevalence of BDD was 1.7% in English population and 2.4% in French population; 0.7% in Italian population, and around 28% in the population of American college students. […] In the worldwide population, the prevalence of BDD is around 12%; it can reach 3% of global population.
- #97 JMIR Formative Research – Prevalence of Body Dysmorphic Disorder in the Spanish Population: Cross-Sectional Web-Based Questionnaire Studyhttps://formative.jmir.org/2024/1/e46515
Body dysmorphic disorder (BDD) is defined as excessive concern with mild or nonexistent defects in personal physical appearance, which are not perceived by others. The worldwide prevalence of BDD ranges between 0.5% and 3.2%, with no differences across genders. The mean age of onset of BDD is 16.9 years. BDD is typically associated with young age, psychiatric disorders, and dermatological procedures. Patients with BDD typically display poorer mental health status than patients diagnosed with other mental disorders. […] The prevalence of BDD in the population assessed in this study was 15.2% (284/1421, 19.9% in females vs 34/653, 5.2% in males). […] Our study reports that the prevalence of BDD in adults is 15.2% in Spain, which is higher than that reported in the general population (0.5%-3.2%) in another study and higher than that reported in a Spanish multicentric study in patients with acne (10.6%).
- #98 Body Dysmorphic Disorder: Gender differences and prevalence in a Pakistani medical student population | BMC Psychiatry | Full Texthttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-8-20
Body dysmorphic disorder (BDD) is a psychiatric disorder characterized by a preoccupation with an imagined or slight defect which causes significant distress or impairment in functioning. […] This study was designed to determine the point prevalence of BDD in Pakistani medical students and the gender differences in prevalence of BDD, body foci of concern and symptoms of BDD. […] The prevalence of BDD was computed to be 5.8% (9/156). The male to female ratio was 1.7 (7.5%:4.5%). […] The present study revealed that the prevalence of BDD in the medical students in the medical college was 5.8% with a male to female ratio of 1.7. […] The slightly higher prevalence of BDD in our sample could be accounted for by a number of different factors. Medical students might be more conscious about their physical appearance than students in most other fields of study, because of society’s high expectations from a doctor in terms of grooming and appearance.
- #99 Body Dysmorphic Disorder: Gender differences and prevalence in a Pakistani medical student population | BMC Psychiatry | Full Texthttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-8-20
The present study showed that the male to female ratio for BDD it was 1.7. […] Our finding of the male to female ratio being 1.7 for BDD was inconsistent with our hypothesis that more females would have self-reported BDD. […] The present study had a number of limitations which merit discussion. […] BDD is fairly common in our medical student population. Our study indicates that BDD is more prevalent in males. […] Cultural factors influence the prevalence as well as gender differences in BDD symptomatology. Further research is required to establish the gender ratio in the prevalence of BDD in community settings.