title: Social-evaluative versus self-evaluative appearance concerns in Body Dysmorphic Disorder.
abstract: Body Dysmorphic Disorder (BDD) is characterised by significant preoccupation and distress relating to an imagined or slight defect in appearance. Individuals with BDD frequently report marked concerns relating to perceived negative evaluation of their appearance by others, but research specifically investigating such concerns remains limited. This study investigated the extent and nature of appearance-related social-evaluative and self-evaluative concerns in individuals with BDD and healthy controls. BDD participants, in comparison to controls, reported high levels of importance and anxiety associated with perceptions of others' views of their appearance, in addition to their own view. No differences were observed in the level of importance and anxiety associated with their self-view in comparison to others' views. These findings support existing evidence indicating that appearance-related social-evaluative concerns are a central feature of BDD. Cognitive-behavioural treatment implications are discussed.
authors.affiliation: NIHR Specialist Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust, and the Institute of Psychiatry, King's College London, UK. martin.anson@kcl.ac.uk
authors.forename: Martin
authors.initials: M
authors.lastname: Anson
authors.forename: David
authors.initials: D
authors.lastname: Veale
authors.forename: Padmal
authors.initials: P
authors.lastname: de Silva
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001007:Anxiety / Q000523:psychology*; D057215:Body Dysmorphic Disorders / Q000453:epidemiology / Q000523:psychology*; D001828:Body Image / Q000523:psychology*; D016022:Case-Control Studies; D015897:Comorbidity; D004954:Esthetics / Q000523:psychology; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D010698:Phobic Disorders / Q000453:epidemiology; D011594:Psychometrics; D012649:Self Concept; D012938:Social Perception; D011795:Surveys and Questionnaires