A cross‐sectional study on gender differences in body dysmorphic concerns in patients with skin conditions in relation to sociodemographic, clinical and psychological variables-Reference-Cited by-同舟云学术

A cross‐sectional study on gender differences in body dysmorphic concerns in patients with skin conditions in relation to sociodemographic, clinical and psychological variables

Published:2024-07-25 Issue: Volume: Page:
ISSN:0926-9959
Container-title:Journal of the European Academy of Dermatology and Venereology
language:en
Short-container-title:Acad Dermatol Venereol

Author:

Sampogna F.¹^ORCID,Samela T.¹^ORCID,Abeni D.¹,Schut C.²,Kupfer J.²^ORCID,Bewley A. P.³,Finlay A. Y.⁴^ORCID,Gieler U.⁵,Thompson A. R.⁶,Gracia‐Cazaña T.⁷^ORCID,Balieva F.⁸⁹,Ferreira B. R.¹⁰^ORCID,Jemec G. B.¹¹¹²,Lien L.¹³¹⁴,Misery L.¹⁵^ORCID,Marron S. E.¹⁶,Ständer S.¹⁷^ORCID,Zeidler C.¹⁷^ORCID,Szabó C.¹⁸,Szepietowski J. C.¹⁹^ORCID,Reich A.²⁰^ORCID,Svensson A.²¹^ORCID,Altunay I. K.²²,Legat F. J.²³^ORCID,Grivcheva‐Panovska V.²⁴,Romanov D. V.²⁵²⁶,Lvov A. N.²⁷²⁸^ORCID,Titeca G.²⁹^ORCID,Vulink N. C.³⁰,Tomás‐Aragones L.³¹^ORCID,van Beugen S.³²,Evers A. W. M.³²,Dalgard F. J.²¹³³^ORCID,

Affiliation:

1. Clinical Epidemiology Unit IDI‐IRCCS Rome Italy

2. Institute of Medical Psychology Justus‐Liebig‐University Gießen Gießen Germany

3. Barts Health NHS Trust & Queen Mary University London UK

4. Institute of Infection and Immunity, School of Medicine Cardiff University Cardiff UK

5. Department of Dermatology Justus‐Liebig‐ University Giessen and Vitos Klinik Giessen Germany

6. South Wales Clinical Psychology Programme, Cardiff & Vale University Health Board, & School of Psychology Cardiff University Cardiff UK

7. Miguel Servet University Hospital, IIS Aragón Universidad de Zaragoza Zaragoza Spain

8. Department of Dermatology Stavanger University Hospital Stavanger Norway

9. Department of Public Health, Faculty of Health Sciences University of Stavanger Norway

10. Department of Dermatology Coimbra University Hospital Coimbra Portugal

11. Department of Dermatology Zealand University Hospital Roskilde Denmark

12. Faculty of Health and Medical Sciences University of Copenhagen Copenhagen Denmark

13. Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders Innlandet Hospital Trust Brumunddal Norway

14. Faculty of Social and Health Sciences Inland Norway University of Applied Sciences Elverum Norway

15. Department of Dermatology University Hospital of Brest Brest France

16. Department of Dermatology University Hospital Miguel Servet, Aragon Psychodermatology Research Group (GAI+PD) Zaragoza Spain

17. Department of Dermatology University Clinic Münster Münster Germany

18. Institute of Psychology University of Szeged Szeged Hungary

19. Department of Dermatology, Venereology and Allergology Wroclaw Medical University Wroclaw Poland

20. Department of Dermatology, Institute of Medical Sciences Medical College of Rzeszow University Rzeszów Poland

21. Department of Dermatology and Venereology Skåne University Hospital Malmo Sweden

22. Şişli Hamidiiye Etfal Research and Training Hospital, Department of Dermatology and Venereology University of Health Sciences Istanbul Turkey

23. Department of Dermatology Medical University of Graz Graz Austria

24. School of Medicine, PHI University Clinic of Dermatology Skopje University St Cyril and Methodius Skopje North Macedonia

25. Department of Psychiatry and Psychosomatics I.M. Sechenov First Moscow State Medical University (Sechenov University) Moscow Russia

26. Department of Boundary Mental Conditions and Psychosomatic Disorders Mental Health Research Center Moscow Russia

27. Department of Dermatovenereology and Cosmetology Central State Medical Academy of Department of Presidential Affairs Moscow Russia

28. Medical Research and Educational Center Lomonosov Moscow State University Moscow Russia

29. Department of Dermatology/Clinique Notre Dame de Grâce Gosselies Belgium

30. Department of Psychiatry, Amsterdam UMC, Location Academic Medical Center University of Amsterdam Amsterdam the Netherlands

31. Department of Psychology University of Zaragoza Zaragoza Spain

32. Institute of Psychology, Health, Medical and Neuropsychology Unit Leiden University Leiden the Netherlands

33. Division of Mental Health and Addiction Vestfold Hospital Trust Tønsborg Norway

Abstract

AbstractBackgroundDysmorphic concern is an overconcern with an imagined or slight defect in physical appearance that can be a symptom of body dysmorphic disorder (BDD). Appearance‐related concerns are frequently reported by people with dermatological conditions. However, relatively little remains known about the relationship between dysmorphic concern and other variables within persons with different skin conditions.ObjectivesThe aim of this multicentre, cross‐sectional study was to investigate gender differences regarding dysmorphic concern and the prevalence of BDD in a large sample of patients with skin conditions, in relation to sociodemographic, clinical and psychological variables.MethodsParticipants aged ≥18 years with skin conditions were consecutively enrolled in dermatological clinics of 22 European centres. Dysmorphic concern and the possible presence of BDD were measured using the Dysmorphic Concern Questionnaire (DCQ) and compared between men and women in relation to sociodemographic, clinical and psychological variables, and separately for each skin condition.ResultsThe DCQ questionnaire was completed by 5290 dermatological patients. In all categories, mean scores were significantly higher in women than in men. Mean DCQ scores were also higher in women for most skin conditions, with the highest effect size in vitiligo. The percentage of patients who screened positive for BDD on the DCQ was 10.5%, 7.7% of men and 12.7% of women. The prevalence of BDD positive was 6.9% in patients with mild clinical severity, 11.1% for moderate and 19.1% for severe condition. In the multivariate model in patients with mild skin condition, the presence of BDD was positively associated with stress and stigma both in men and in women.ConclusionsDysmorphic concern and BDD were more frequent in women than in men with skin conditions. Both received and actual stigmatization might have an impact on body‐related concerns, in particular in women, who may be more at risk for sociocultural reasons.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/jdv.20247

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