Comprehensive Psychiatry
Volume 47, Issue 2 , Pages 77-87 , March 2006

Gender similarities and differences in 200 individuals with body dysmorphic disorder

  • Katharine A. Phillips

      Affiliations

    • Body Dysmorphic Disorder and Body Image Program, Butler Hospital, Providence, RI 02906, USA
    • Department of Psychiatry and Human Behavior, Brown Medical School, Providence, RI 02906, USA
    • Corresponding Author InformationCorresponding author. Body Dysmorphic Disorder and Body Image Program, Butler Hospital, Providence, RI 02906, USA. Tel.: +1 401 455 6490; fax: +1 401 455 6539.
  • ,
  • William Menard

      Affiliations

    • Body Dysmorphic Disorder and Body Image Program, Butler Hospital, Providence, RI 02906, USA
  • ,
  • Christina Fay

      Affiliations

    • Body Dysmorphic Disorder and Body Image Program, Butler Hospital, Providence, RI 02906, USA

References 

  1. Institute of Medicine. Exploring the biological contributions to human health: does sex matter?. Washington (DC): National Academy Press; 2001;
  2. Institute of Medicine. Gender differences in susceptibility to environmental factors: a priority assessment. Washington (DC): National Academy Press; 1998;
  3. American Psychiatric Association. A sex/gender research agenda for DSM-V. Washington, DC: American Psychiatric Association [in press].
  4. Angst J. The course of affective disorders. II. Typology of bipolar manic-depressive illness. Arch Psychiat Neurol Sci. 1978;226:265–273
  5. Kessler R, Rubinow D, Holmes C, Abelson J, Zhao S. The epidemiology of DSM-III-R bipolar I disorder in a general population survey. Psychol Med. 1997;27:1079–1089
  6. Bauer MS, Calabrese J, Dunner DL, Post R, Whybrow PC, Gyulai L, et al. Multisite data reanalysis of the validity of rapid cycling as a course modifier for bipolar disorder in DSM-IV. Am J Psychiatry. 1994;151:506–515
  7. Goldstein JM, Tsuang MT. Gender and schizophrenia: an introduction and synthesis of findings. Schizophr Bull. 1990;16:179–183
  8. Seeman MV, Lang M. The role of estrogens in schizophrenia gender differences. Schizophr Bull. 1990;16:185–194
  9. Phillips KA. Body dysmorphic disorder. In:  Phillips KA editors. Somatoform and factitious disorders.  Oldham JM,  Riba MB editor. Review of Psychiatry Series. vol. 20, No. 3:Washington (DC): American Psychiatric Publishing; 2001;p. 67–94
  10. Bienvenu OJ, Samuels JF, Riddle MA, Hoehn-Saric R, Liang KY, Cullen BA, et al. The relationship of obsessive-compulsive disorder to possible spectrum disorders: results from a family study. Biol Psychiatry. 2000;48:287–293
  11. Phillips KA, Diaz S. Gender differences in body dysmorphic disorder. J Nerv Ment Dis. 1997;185:570–577
  12. Perugi G, Akiskal HS, Giannotti D, Frare F, Di Vaio S, Cassano GB. Gender-related differences in body dysmorphic disorder (dysmorphophobia). J Nerv Ment Dis. 1997;185:578–582
  13. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fourth edition (DSM-IV). Washington (DC): American Psychiatric Association; 1994;
  14. Goisman RM, Warshaw MG, Peterson LG, Rogers MP, Cuneo P, Tomlin-Albanese JM, et al. Panic, agoraphobia, and panic with agoraphobia: data from a multi-center anxiety disorder study. J Nerv Ment Dis. 1994;182:72–79
  15. Phillips KA, McElroy SL, Keck PE, Pope HG, Hudson JI. Body dysmorphic disorder: 30 cases of imagined ugliness. Am J Psychiatry. 1993;150:302–308
  16. Phillips KA, Hollander E, Rasmussen SA, Aronowitz BR, DeCaria C, Goodman WK. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacol Bull. 1997;33:17–22
  17. Rosen JC, Reiter J. Development of the Body Dysmorphic Disorder Examination. Behav Res Ther. 1996;34:755–766
  18. Coryell W, Leon A, Winokur G, Endicott J, Keller M, Akiskal H, et al. Importance of psychotic features to long-term course in major depressive disorder. Am J Psychiatry. 1996;153:483–489
  19. Keller MB, Yonkers KA, Warshaw MG, Gollan J, Massion AO, White K, et al. Remission and relapse in subjects with panic disorder and panic with agoraphobia: a prospective short-interval naturalistic follow-up. J Nerv Ment Dis. 1994;182:290–296
  20. Warshaw MG, Keller MB, Stout RL. Reliability and validity of the longitudinal interval follow-up evaluation for assessing outcome of anxiety disorders. J Psychiatr Res. 1994;28:531–545
  21. Eisen JL, Phillips KA, Baer L, Beer DA, Atala KD, Rasmussen SA. The Brown Assessment of Beliefs Scale: reliability and validity. Am J Psychiatry. 1998;155:102–108
  22. Miller IW, Bishop S, Normal WH, Maddever H. The Modified Hamilton Rating Scale for Depression: reliability and validity. Psychiatry Res. 1985;14:131–142
  23. Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46:1006–1011
  24. Davidson JR, Miner CM, De Veaugh-Geiss J, Tupler LA, Colket JT, Potts NL. The Brief Social Phobia Scale: a psychometric evaluation. Psychol Med. 1997;27:161–166
  25. Spitzer RL, Williams JBW, Gibbon M, First MB. The Structured Clinical Interview for DSM-III-R (SCID). I. History, rationale, and description. Arch Gen Psychiatry. 1992;49:624–629
  26. Hollingshead AB. Two factor index of social position. New Haven (Conn): Yale University Department of Sociology; 1965;
  27. Leon AC, Solomon DA, Mueller TI, Turvey CL, Endicott J, Keller MB. The Range of Impaired Functioning Tool (LIFE-RIFT): a brief measure of functional impairment. Psychol Med. 1999;29:869–878
  28. Weissman MM, Prusoff BA, Thompson DW, Harding PS, Myers JK. Social adjustment by self-report in a community sample and in psychiatric outpatients. J Nerv Ment Dis. 1978;166:317–326
  29. Ware JE. SF-36 health survey manual and interpretation guide. Boston: The Health Institute, New England Medical Center; 1993;
  30. Endicott J, Nee J, Harrison W, Blumenthal R. Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacol Bull. 1993;29:321–326
  31. Rosner B. Fundamentals of biostatistics. 4th ed.. Belmont (Calif): Duxbury Press; 1995;
  32. Rothman KJ. No adjustments are needed for multiple comparisons. Epidemiology. 1990;1:43–46
  33. Dolan BM, Birtchnell SA, Lacey JH. Body image distortion in non-eating disordered women and men. J Psychosom Res. 1987;31:513–520
  34. Pope HG, Phillips KA, Olivardia R. The Adonis complex: how to identify, treat, and prevent body obsession in men and boys. New York: The Free Press; 2002;
  35. Cash TF. Losing hair, losing points? The effects of male pattern baldness on social impression formation. J Appl Soc Psychol. 1990;20:154–167
  36. Drenowski A, Yee DK. Men and body image: are males satisfied with their body weight?. Psychosom Med. 1987;49:626–634
  37. Moore DC. Body image and eating behavior in adolescent boys. Am J Dis Child. 1990;144:475–479
  38. Thompson JK, Heinberg LJ, Altabe M, Tantleff-Dunn S. Sociocultural theory: the media and society. In: Exacting beauty: theory, assessment, and treatment of body image disturbance. Washington (DC): American Psychological Association; 1999;
  39. Olivardia R, Pope HG, Mangweth B, Hudson JI. Eating disorders in college men. Am J Psychiatry. 1995;152:1279–1285
  40. Bourdon KH, Boyd JH, Rae DS, Burns BJ, Thompson JW, Locke BZ. Gender differences in phobias: results of the ECA community survey. J Anxiety Disord. 1988;2:227–241
  41. Cameron OG, Hill EM. Women and anxiety. Psychiatr Clin North Am. 1989;12:175–187
  42. Weissman MM, Klerman GL. Sex differences and the epidemiology of depression. Arch Gen Psychiatry. 1977;34:98–111
  43. The American Society for Aesthetic Plastic Surgery. Cosmetic surgery national data bank. http://www.surgery.org/press/statistics-2003.php
  44. Phillips KA, Grant J, Siniscalchi J, Albertini RS. Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder. Psychosomatics. 2001;42:504–510
  45. Veale D, Boocock A, Gournay K, Dryden W, Shah F, Willson R, et al. Body dysmorphic disorder: a survey of fifty cases. Br J Psychiatry. 1996;169:196–201
  46. Rosen JC, Reiter J, Orosan P. Assessment of body image in eating disorders with the Body Dysmorphic Disorder Examination. Behav Res Ther. 1995;33:77–84
  47. Bergner M, Remer P, Whetsell C. Transforming women's body image: a feminist counseling approach. Women Ther. 1985;4:25–38
  48. Striegel-Moore RH, Franko DL. Body image issues among girls and women. In: Body image: a handbook of theory, research, and clinical practice. New York: The Guilford Press; 2002;p. 183–191
  49. Faravelli C, Salvatori S, Galassi F, Aiazzi L, Drei C, Cabras P. Epidemiology of somatoform disorders: a community survey in Florence. Soc Psychiatry Psychiatr Epidemiol. 1997;32:24–29
  50. Neziroglu FA, Yaryura-Tobias JA. Body dysmorphic disorder: phenomenology and case descriptions. Behav Psychother. 1993;21:27–36
  51. Hollander E, Cohen LJ, Simeon D. Body dysmorphic disorder. Psychiatr Ann. 1993;23:359–364
  52. Rutter M, Caspi A, Moffitt TE. Using sex differences in psychopathology to study causal mechanisms: unifying issues and research strategies. J Child Psychol Psychiatry. 2003;44:1092–1115

 This study was supported by a grant from the National Institute of Mental Health (R01 MH60241) to Dr Phillips.

PII: S0010-440X(05)00081-7

doi: 10.1016/j.comppsych.2005.07.002

Comprehensive Psychiatry
Volume 47, Issue 2 , Pages 77-87 , March 2006