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11-01-2022 | Original Article

Body Dysmorphic Symptoms in Youth with Obsessive-compulsive Disorder: Prevalence, Clinical Correlates, and Cognitive Behavioral Therapy Outcome

Auteurs: Þórhildur Ólafsdóttir, Bernhard Weidle, Tord Ivarsson, Davíð R. M. A. Højgaard, Karin Melin, Judith Becker Nissen, Nor Christian Torp, Per Hove Thomsen, Gudmundur Skarphedinsson

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2023

Abstract

The aims of the study were to estimate the prevalence of body dysmorphic symptoms in a sample of children and adolescents with obsessive-compulsive disorder, possible clinical correlates and whether BDD symptoms predict poorer treatment outcomes after cognitive behavioral therapy. The study included 269 children and adolescents with OCD, aged 7–17 years, from Denmark, Sweden, and Norway, who were treated with 14 weekly sessions of manualized, exposure-based CBT. Twenty-one patients (7.8%) had BDD symptoms. BDD symptoms were associated with older age (p = 0.003) and a higher prevalence of comorbid anxiety disorders (p = 0.025). In addition, patients with BDD symptoms endorsed a greater number of OCD symptoms than did those without BDD symptoms. Having symptoms of BDD did not affect the CBT outcome on OCD. The results of the study suggest that CBT for OCD is equally effective for those with and without comorbid BDD symptoms.

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Mattheisen M, Samuels JF, Wang Y, Greenberg BD, Fyer AJ, McCracken JT et al (2014) Genome-wide association study in obsessive-compulsive disorder: results from the OCGAS. Mol Psychiatry 20:337PubMedPubMedCentralCrossRef

Flament MF, Whitaker A, Rapoport JL, Davies M, Berg CZ, Kalikow K et al (1988) Obsessive compulsive disorder in adolescence: an epidemiological study. J Am Acad Child Adolesc Psychiatry 27:764–771PubMedCrossRef

Rapoport JL, Inoff-Germain G, Weissman MM, Greenwald S, Narrow WE, Jensen PS et al (2000) Childhood obsessive-compulsive disorder in the NIMH MECA study: parent versus child identification of cases. Methods for the Epidemiology of Child and Adolescent Mental Disorders. J Anxiety Disord 14:535–548PubMedCrossRef

Ruscio AM, Stein DJ, Chiu WT, Kessler RC (2010) The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication. Mol Psychiatry 15:53–63PubMedCrossRef

Valleni-Basile LA, Garrison CZ, Jackson KL, Waller JL, McKeown RE, Addy CL et al (1994) Frequency of obsessive-compulsive disorder in a community sample of young adolescents. J Am Acad Child Adolesc Psychiatry 33:782–791PubMedCrossRef

Ivarsson T, Melin K, Wallin L (2008) Categorical and dimensional aspects of co-morbidity in obsessive-compulsive disorder (OCD). Eur Child Adolesc Psychiatry 17:20–31PubMedCrossRef

Geller D, Biederman J, Faraone SV, Frazier J, Coffey BJ, Kim G et al (2000) Clinical correlates of obsessive compulsive disorder in children and adolescents referred to specialized and non-specialized clinical settings. Depress Anxiety 11:163–168PubMedCrossRef

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders DSM-5. In:American Psychiatric Association

National Collaborating Centre for Mental Health (2006) Obsessive-Compulsive Disorder: Core Interventions in the Treatment of Obsessive-Compulsive Disorder and Body Dysmorphic Disorder.340

10.

Schneider SC, Turner CM, Mond J, Hudson JL (2016) Prevalence and correlates of body dysmorphic disorder in a community sample of adolescents. Aust New Zealand J Psychiatr 51:595–603CrossRef

11.

Schneider SC, Baillie AJ, Mond J, Turner CM, Hudson JL (2018) The classification of body dysmorphic disorder symptoms in male and female adolescents. J Affect Disord 225:429–437PubMedCrossRef

12.

Bjornsson AS, Didie ER, Phillips KA (2010) Body dysmorphic disorder. Dialog Clin Neurosci 12:221–232CrossRef

13.

Frare F, Perugi G, Ruffalo G, Toni C (2004) Obsessive-compulsive disorder and body dysmorphic disorder: a comparison of clinical features. European Psychiatry 19:292–298PubMedCrossRef

14.

Bellino S, Zizza M, Paradiso E, Rivarossa A, Fulcheri M, Bogetto F (2006) Dysmorphic concern symptoms and personality disorders: a clinical investigation in patients seeking cosmetic surgery. Psychiatry Res 144:73–78PubMedCrossRef

15.

Rautio D, Jassi A, Krebs G, Andrén P, Monzani B, Gumpert M et al (2020) Clinical characteristics of 172 children and adolescents with body dysmorphic disorder. Eur Child Adolescent Psychiatr

16.

Hart AS, Phillips KA (2013) Symmetry concerns as a symptom of body dysmorphic disorder. J Obsessive-Compulsive Related Disorders 2:292–298CrossRef

17.

Conceicao Costa DL, Chagas Assuncao M, Arzeno Ferrao Y, Archetti Conrado L, Hajaj Gonzalez C, Franklin Fontenelle L et al (2012) Body dysmorphic disorder in patients with obsessive-compulsive disorder: prevalence and clinical correlates. Depress Anxiety 29:966–975PubMedCrossRef

18.

Phillips KA, Dwight MM, McElroy SL (1998) Efficacy and safety of fluvoxamine in body dysmorphic disorder. J Clin Psychiatry 59:165–171PubMedCrossRef

19.

Phillips KA, Pinto A, Menard W, Eisen JL, Mancebo M, Rasmussen SA (2007) Obsessive-compulsive disorder versus body dysmorphic disorder: a comparison study of two possibly related disorders. Depress Anxiety 24:399–409PubMedPubMedCentralCrossRef

20.

Pascual-Vera B, Belloch A (2021) Dysmorphic and illness anxiety-related unwanted intrusive thoughts in individuals with obsessive-compulsive disorder. Clin Psychol Psychother

21.

Castle D, Beilharz F, Phillips KA, Brakoulias V, Drummond LM, Hollander E et al (2021) Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology. Int Clin Psychopharmacol 36

22.

National Institute for Heath and Clinical Excellence (2005) Obsessive compulsive disorder (OCD) and body dysmorphic disorder (BDD). In: Excellence NIfHaC (ed)National Institute for Health and Clinical Excellence, London, National Institute for Health and Clinical Excellence

23.

Socialstyrelsen (2017) Nationella riktlinjer för vård vid depression och ångestsyndrom – Stöd för styrning och ledning (The Swedish Clinical Guidlines for anxiety- and effective disorders. Support for managment and administration. Socialstyrelsen, Stockholm

24.

Sundhedsstyrelsen (2016) NKR: behandling af obsessiv-kompulsiv tilstand (OCD). Sundhedsstyrelsen, København

25.

Harrison A, Fernández de la Cruz L, Enander J, Radua J, Mataix-Cols D (2016) Cognitive-behavioral therapy for body dysmorphic disorder: a systematic review and meta-analysis of randomized controlled trials. Clin Psychol Rev 48:43–51PubMedCrossRef

26.

Greenberg JL, Mothi SS, Wilhelm S (2016) Cognitive-behavioral therapy for adolescent body dysmorphic disorder: a pilot study. Behav Ther 47:213–224PubMedCrossRef

27.

Belloch A, Roncero M, Perpina C (2012) Ego-syntonicity and ego-dystonicity associated with upsetting intrusive cognitions. J Psychopathol Behav Assess 34:94–106CrossRef

28.

Castle DJ, Rossell S, Kyrios M (2006) Body dysmorphic disorder. Psychiatric Clinics 29:521–538PubMed

29.

Summerfeldt LJ (2006) Incompleteness, ordering and arranging. Cog Behav Ther OCD Basics:187–208

30.

Selles RR, Højgaard DRMA, Ivarsson T, Thomsen PH, McBride N, Storch EA et al (2018) Symptom insight in pediatric obsessive-compulsive disorder: outcomes of an international aggregated cross-sectional sample. J Am Acad Child Adol Psychiatr 57:615-619e615CrossRef

31.

Garcia AM, Sapyta JJ, Moore PS, Freeman JB, Franklin ME, March JS et al (2010) Predictors and moderators of treatment outcome in the Pediatric Obsessive Compulsive Treatment Study (POTS I). J Am Acad Child Adol Psychiatr 49:1024–1033CrossRef

32.

Phillips KA, Pinto A, Hart AS, Coles ME, Eisen JL, Menard W et al (2012) A comparison of insight in body dysmorphic disorder and obsessive-compulsive disorder. J Psychiatr Res 46:1293–1299PubMedPubMedCentralCrossRef

33.

Hartmann AS, Buhlmann U (2017) Body dysmorphic disorder. In: Goldstein S, DeVries M (eds) Handbook of DSM-5 disorders in children and adolescents. Springer International Publishing, Cham, pp 233–248CrossRef

34.

Torp NC, Dahl K, Skarphedinsson G, Thomsen PH, Valderhaug R, Weidle B et al (2015) Effectiveness of cognitive behavior treatment for pediatric obsessive-compulsive disorder: acute outcomes from the Nordic Long-term OCD Treatment Study (NordLOTS). Behav Res Ther 64:15–23PubMedCrossRef

35.

Thomsen PH, Torp NC, Dahl K, Christensen K, Englyst I, Melin KH et al (2013) The Nordic long-term OCD treatment study (NordLOTS): rationale, design, and methods. Child Adolesc Psychiatry Mental Health 7:41CrossRef

36.

Ivarsson T, Thomsen PH, Dahl K, Valderhaug R, Weidle B, Nissen JB et al (2010) The rationale and some features of the nordic long-term OCD treatment study (NordLOTS) in childhood and adolescence. Child Youth Care Forum 39:91–99CrossRef

37.

Scahill L, Riddle MA, McSwiggin-Hardin M, Ort SI, King RA, Goodman WK et al (1997) Children’s yale-brown obsessive compulsive scale: reliability and validity. Journal of the American Academy of Child & Adolescent Psychiatry 36:844–852CrossRef

38.

Boileau B (2011) A review of obsessive-compulsive disorder in children and adolescents. Dialogues Clin Neurosci 13:401–411PubMedPubMedCentralCrossRef

39.

Storch EA, De Nadai AS, Jacob ML, Lewin AB, Muroff J, Eisen J et al (2014) Phenomenology and correlates of insight in pediatric obsessive-compulsive disorder. Compr Psychiatry 55:613–620PubMedCrossRef

40.

Storch EA, Milsom VA, Merlo LJ, Larson M, Geffken GR, Jacob ML et al (2008) Insight in pediatric obsessive-compulsive disorder: associations with clinical presentation. Psychiatry Res 160:212–220PubMedCrossRef

41.

Kaufman J, Birmaher B, Brent D, Rao UMA, Flynn C, Moreci P et al (1997) Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatr 36:980–988CrossRef

42.

Lauth B, Arnkelsson GB, Magnússon P, Skarphéðinsson G, Ferrari P, Pétursson H (2010) Validity of K-SADS-PL (Schedule for Affective Disorders and Schizophrenia for School-Age Children—Present and Lifetime Version) depression diagnoses in an adolescent clinical population. Nord J Psychiatry 64:409–420PubMedCrossRef

43.

Villabø MA, Oerbeck B, Skirbekk B, Hansen BH, Kristensen H (2016) Convergent and divergent validity of K-SADS-PL anxiety and attention deficit hyperactivity disorder diagnoses in a clinical sample of school-aged children. Nord J Psychiatry 70:358–364PubMedCrossRef

44.

Kragh K, Husby M, Melin K, Weidle B, Torp NC, Højgaard DRMA et al (2019) Convergent and divergent validity of the schedule for affective disorders and schizophrenia for school-age children – present and lifetime version diagnoses in a sample of children and adolescents with obsessive–compulsive disorder. Nord J Psychiatry 73:111–117PubMedCrossRef

45.

Jarbin H, Andersson M, Råstam M, Ivarsson T (2017) Predictive validity of the K-SADS-PL 2009 version in school-aged and adolescent outpatients. Nord J Psychiatry 71:270–276PubMedCrossRef

46.

Piacentini J, Peris TS, Bergman RL, Chang S, Jaffer M (2007) BRIEF REPORT: functional impairment in childhood OCD: development and psychometrics properties of the child obsessive-compulsive impact scale-revised (COIS-R). J Clin Child Adolesc Psychol 36:645–653PubMedCrossRef

47.

Skarphedinsson G, Melin KH, Valderhaug R, Wentzel-Larsen T, Højgaard DRMA, Thomsen PH et al (2015) Evaluation of the factor structure of the Child Obsessive–Compulsive Impact Scale – Revised (COIS-R) in Scandinavia with confirmatory factor analysis. J Obsessive-Comp Related Disorders 7:65–72CrossRef

48.

Achenbach TM, Rescorla LA (2001) Manual for the ASEBA School-Age Forms & Profiles. University of Vermont, Research Center for Children, Youth, and Families, Burlington, VT

49.

Ancold A, Stephen C (1995) Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. Int J Methods Psychiatr Res 5:237–249

50.

Messer SC, Angold A, Costello EJ, Loeber R (1995) Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents: Factor composition and structure across development. International journal of methods in psychiatric research

51.

Wood A, Kroll L, Moore A, Harrington R (1995) Properties of the mood and feelings questionnaire in adolescent psychiatric outpatients: a research note. J Child Psychol Psychiatry 36:327–334PubMedCrossRef

52.

Ehlers S, Gillberg C (1993) The epidemiology of asperger syndrome. J Child Psychol Psychiatry 34:1327–1350PubMedCrossRef

53.

Posserud M-B, Lundervold AJ, Gillberg C (2006) Autistic features in a total population of 7–9-year-old children assessed by the ASSQ (Autism Spectrum Screening Questionnaire). J Child Psychol Psychiatry 47:167–175PubMedCrossRef

54.

Ehlers S, Gillberg C, Wing L (1999) A screening questionnaire for asperger syndrome and other high-functioning autism spectrum disorders in school age children. J Autism Dev Disord 29:129–141PubMedCrossRef

55.

Arildskov TW, Højgaard DRMA, Skarphedinsson G, Thomsen PH, Ivarsson T, Weidle B et al (2016) Subclinical autism spectrum symptoms in pediatric obsessive–compulsive disorder. Eur Child Adolesc Psychiatry 25:711–723PubMedCrossRef

56.

Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry 38:1230–1236PubMedCrossRef

57.

Ivarsson T, Skarphedinsson G, Andersson M, Jarbin H (2018) The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth. Child Psychiatry Hum Dev 49:234–243PubMedCrossRef

58.

Fitzmaurice GM, Laird NM, Ware JH (2011) Applied longitudinal analysis. Wiley, Hoboken, NJCrossRef

59.

Hollander E, Cohen Lisa J, Simeon D (1993) Body dysmorphic disorder. Psychiatric Ann 23:359–364CrossRef

60.

Bienvenu OJ, Samuels JF, Riddle MA, Hoehn-Saric R, Liang K-Y, Cullen BAM et al (2000) The relationship of obsessive–compulsive disorder to possible spectrum disorders: results from a family study. Biol Psychiatry 48:287–293PubMedCrossRef

61.

Phillips KA, McElroy SL, Hudson JI, Pope HG Jr (1995) Body dysmorphic disorder: an obsessive-compulsive spectrum disorder, a form of affective spectrum disorder, or both? J Clin Psychiatry 56(Suppl 4):41–51. discussion 52PubMed

62.

Brawman-Mintzer O, Lydiard RB, Phillips KA, Morton A, Czepowicz V, Emmanuel N et al (1995) Body dysmorphic disorder in patients with anxiety disorders and major depression: a comorbidity study. Am J Psychiatry 152:1665–1667PubMedCrossRef

63.

Simeon D, Hollander E, Stein DJ, Cohen L, Aronowitz B (1995) Body dysmorphic disorder in the DSM-IV field trial for obsessive-compulsive disorder. Am J Psychiatry 152:1207–1209PubMedCrossRef

64.

Lochner C, Stein DJ (2010) Obsessive-compulsive spectrum disorders in obsessive-compulsive disorder and other anxiety disorders. Psychopathology 43:389–396PubMedCrossRef

65.

Jaisoorya TS, Reddy YCJ, Srinath S (2003) The relationship of obsessive-compulsive disorder to putative spectrum disorders: results from an Indian study. Compr Psychiatr 44:317–323CrossRef

66.

du Toit PL, van Kradenburg J, Niehaus D, Stein DJ (2001) Comparison of obsessive-compulsive disorder patients with and without comorbid putative obsessive-compulsive spectrum disorders using a structured clinical interview. Compr Psychiatry 42:291–300PubMedCrossRef

67.

Otto MW, Wilhelm S, Cohen LS, Harlow BL (2001) Prevalence of body dysmorphic disorder in a community sample of women. Am J Psychiatry 158:2061–2063PubMedCrossRef

68.

Diniz JB, Rosario-Campos MC, Shavitt RG, Curi M, Hounie AG, Brotto SA et al (2004) Impact of age at onset and duration of illness on the expression of comorbidities in obsessive-compulsive disorder. J Clin Psychiatry 65:22–27PubMedCrossRef

69.

Stewart SE, Stack DE, Wilhelm S (2008) Severe obsessive-compulsive disorder with and without body dysmorphic disorder: clinical correlates and implications. Ann Clin Psychiatry 20:33–38PubMedCrossRef

70.

Lewin AB, Bergman RL, Peris TS, Chang S, McCracken JT, Piacentini J (2010) Correlates of insight among youth with obsessive-compulsive disorder. J Child Psychol Psychiatry 51:603–611PubMedCrossRef

Titel: Body Dysmorphic Symptoms in Youth with Obsessive-compulsive Disorder: Prevalence, Clinical Correlates, and Cognitive Behavioral Therapy Outcome
Auteurs: Þórhildur Ólafsdóttir
Bernhard Weidle
Tord Ivarsson
Davíð R. M. A. Højgaard
Karin Melin
Judith Becker Nissen
Nor Christian Torp
Per Hove Thomsen
Gudmundur Skarphedinsson
Publicatiedatum: 11-01-2022
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 4/2023
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-021-01298-0

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