Clinical and subclinical body dysmorphic disorder

Carlo Altamura, Michela Minio Paluello, Emanuela Mundo, Stefania Medda, Piero Mannu

Research output: Contribution to journalArticlepeer-review


Background: The aim of the study was to define the main demographic and clinical characteristics of Body Dysmorphic Disorder (BDD) and subclinical BDD (sBDD) in a sample derived by a screening survey done on a population of individuals referring to aesthetical medicine centers. Method: 487 subjects referring to hospital centers for aesthetical medicine were administered the SCID-I and the Yale-Brown Obsessive-Compulsive Scale adapted for BDD (BDD-YBOCS). The sample was thus sub-divided in three sub-samples: 1) BDD, 2) sub-clinical BDD, and 3) controls. The main demographic and clinical variables were considered and compared between the BDD and the sBDD samples. Results: As previously reported, the prevalence of BDD and sBDD was 6.3% and 18.4%, respectively. The most frequent comorbid diagnosis in both BDD and sBDD patients and their relatives was Obsessive-Compulsive Disorder (OCD). A higher severity of symptoms was found in male BDD patients, while no gender-related differences were found in the sBDD group. Suicidal ideation was found in 12.1% of the sBDD and in 49.7% of the BDD patients. Conclusions: These results support the hypothesis of BDD and sBDD belonging to the OCD spectrum, and appear to advise long-term follow-up studies on the course and the prognosis of sBDD.

Original languageEnglish
Pages (from-to)105-108
Number of pages4
JournalEuropean Archives of Psychiatry and Clinical Neuroscience
Issue number3
Publication statusPublished - 2001


  • Body dysmorphic disorder
  • Comorbidity
  • Family history
  • Subclinical body dysmorphic disorder
  • Suicidal ideation

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Neuropsychology and Physiological Psychology

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