title: Personal and appearance-based rejection sensitivity in body dysmorphic disorder.
abstract: Although rejection sensitivity may be an important feature of body dysmorphic disorder (BDD), no studies have examined rejection sensitivity in a clinical sample and compared types of rejection sensitivity in individuals with BDD. Personal and appearance-based rejection sensitivity scores in forty-six patients diagnosed with BDD were compared with published norms. Associations between rejection sensitivity, BDD severity, and other clinical variables were examined. Personal and appearance-based rejection sensitivity scores were 0.6 and 1.1 standard deviation units above published norms, respectively. Greater personal rejection sensitivity was associated with more severe BDD and depressive symptoms, poorer mental health, general health, and physical and social functioning. Greater appearance-based rejection sensitivity was associated with more severe BDD and depressive symptoms, and poorer general health. Appearance-based rejection sensitivity contributed more unique variance to BDD severity than personal rejection sensitivity did; however, personal rejection sensitivity contributed more unique variance to general health than appearance-based rejection sensitivity did.
authors: Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA; University of Massachusetts Medical School, Worcester, MA, USA; Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: megan.kelly@umassmed.edu.
authors: Megan M
authors: MM
authors: Kelly
authors: Alpert Medical School of Brown University, Providence, RI, USA; Rhode Island Hospital, Providence, RI, USA.
authors: Elizabeth R
authors: ER
authors: Didie
authors: Alpert Medical School of Brown University, Providence, RI, USA; Rhode Island Hospital, Providence, RI, USA.
authors: Katharine A
authors: KA
authors: Phillips
mesh_terms: D000293:Adolescent; D000328:Adult; D057215:Body Dysmorphic Disorders / Q000150:complications / Q000523:psychology*; D001828:Body Image / Q000523:psychology*; D003863:Depression / Q000150:complications / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007398:Interpersonal Relations; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications / Q000523:psychology; D011446:Prospective Studies; D012929:Psychological Distance; D011788:Quality of Life / Q000523:psychology; D012720:Severity of Illness Index; D012917:Social Adjustment; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Appearance; Body dysmorphic disorder; Functioning; Obsessive-compulsive and related disorders; Quality of life; Rejection sensitivity