Body dysmorphic disorder in patients with anorexia nervosa: Prevalence, clinical features, and delusionality of body image
Article first published online: 23 AUG 2002
Copyright © 2002 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 32, Issue 3, pages 291–300, November 2002
How to Cite
Grant, J. E., Kim, S. W. and Eckert, E. D. (2002), Body dysmorphic disorder in patients with anorexia nervosa: Prevalence, clinical features, and delusionality of body image. Int. J. Eat. Disord., 32: 291–300. doi: 10.1002/eat.10091
- Issue published online: 23 AUG 2002
- Article first published online: 23 AUG 2002
- Manuscript Accepted: 2 JAN 2002
- body dysmorphic disorder;
- anorexia nervosa;
- body image;
The prevalence of body dysmorphic disorder in patients with anorexia nervosa is unknown. We hypothesized that body dysmorphic disorder would be underdiagnosed in patients with anorexia nervosa and that comorbidity with body dysmorphic disorder would result in greater overall dysfunction.
Forty-one patients with DSM-IV anorexia nervosa completed the Body Dysmorphic Disorder Questionnaire, a self-report screen for body dysmorphic disorder. A follow-up interview was conducted using a reliable clinician-administered semistructured diagnostic instrument for DSM-IV body dysmorphic disorder. Delusionality about appearance was assessed using a validated semistructured interview. Comorbid DSM-IV diagnoses, number of hospitalizations and suicide attempts were obtained by means of a detailed diagnostic interview.
Sixteen (39%) of the 41 patients with anorexia nervosa were diagnosed with comorbid body dysmorphic disorder unrelated to weight concerns. The anorexia nervosa patients with body dysmorphic disorder had significantly lower overall functioning and higher levels of delusionality than the anorexic patients without body dysmorphic disorder.
These preliminary results suggest that body dysmorphic disorder may be relatively common among patients with anorexia nervosa. The presence of comorbid body dysmorphic disorder may indicate a more severe form of illness. © 2002 by Wiley Periodicals, Inc. Int J Eat Disord 32: 291–300, 2002.