Body dysmorphic disorder, social anxiety and the role of rejection sensitivity in Karachi's adolescents

Authors

  • Binish Nawaz Institute of Professional Psychology, Bahria University
  • Benish Fatima Federal Urdu University of Arts Science and Technology Fuuast, Abdul Haq Campus
  • Tahira Yousuf Institute of Professional Psychology, Bahria University
  • Humaira Muryum Department of Dermatology, Fazaia Ruth Pfau Medical College, Air University
  • Neelum Jamal Department of Community Medicine, Fazaia Ruth Pfau Medical College, Karachi
  • Kamal Ahmed Department of Medicine, Liaquat National Hospital, Karachi
  • Neeta Maheshwary Helix Pharma, Karachi

Keywords:

Social anxiety, Role of rejection sensitivity, Body dysmorphic disorder, Adolescence

Abstract

Objective The objective of this study was to determine the association between body dysmorphic disorder, role of rejection sensitivity and social anxiety disorder concerns among adolescence.   Methods Three questionnaires, namely the Body Dysmorphic Disorder Symptoms Scale (BDD-SS), Children Rejection Sensitivity Questionnaire (CRSQ), and Social Anxiety Disorder (SAD) Questionnaire, were utilized to measure the different variables. The data collection process involved non-probability convenience sampling, where participants were selected based on specific criteria, and face-to-face interviews were conducted after obtaining informed consent. The collected data were analyzed using SPSS version 23.0, employing bivariate correlation to assess the relationships between variables and an independent sample t-test to examine mean differences between two groups, namely males and females.   Results The sample consisted of 260 students, with 131 males and 129 females, selected from various schools. Their ages ranged from 11 to 17 years, with a mean age of 14.6±0.49. The findings indicate a weak positive correlation between the role of rejection sensitivity and body dysmorphic disorder concerns among adolescents. Additionally, a significant gender difference was observed in terms of body dysmorphic disorder concerns, Role of Rejection Sensitivity, and Social Anxiety Disorder among adolescents. Furthermore, no correlation was found between Body Dysmorphic Disorder concerns and Social Anxiety.   Conclusion In conclusion, the results of this research study suggest a weak and low association between Body Dysmorphic Disorder (BDD) concerns and of rejection sensitivity.  

References

American Psychological Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.

Phillips KA, Hollander E, Rasmussen SA, Aronowitz BR. Body dysmorphic disorder: 30 cases of imagined ugliness. Am J Psychiatry. 2005;162(2):217-222.

Hofmann SG. Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cogn Behav Ther. 2007;36(4):193-209.

Leary MR, Kowalski RM. Social anxiety. Guilford Press; 1995.

Coles ME, Turk CL, Heimberg RG, Fresco DM. Effects of varying levels of anxiety within social situations: Relationship to memory perspective and attributions in social anxiety disorder. Behav Res Ther. 2006;44(4):561-574.

Fang A, Hofmann SG. Relationship between social anxiety disorder and body dysmorphic disorder. Clin Psychol Rev. 2010;30(8):1040-1048.

Kelly MM, Walters C, Phillips KA. Social anxiety and its relationship to functional impairment in body dysmorphic disorder. Behav Ther. 2010;41(2):143-153.

Watson D, Friend R. Measurement of social-evaluative anxiety. J Consult Clin Psychol. 1969;33(4):448-457.

Downey G, Feldman SI. Implications of rejection sensitivity for intimate relationships. J Pers Soc Psychol. 1996;70(6):1327-1343.

Ricciardelli LA, McCabe MP. Self-esteem and negative affect as moderators of sociocultural influences on body dissatisfaction, strategies to decrease weight, and strategies to increase muscles among adolescent boys and girls. Sex Roles. 2001;44(3-4):189-207.

Barker ET, Bornstein MH. Global self-esteem, appearance satisfaction, and self-reported dieting in early adolescence. J Early Adolesc. 2010;30(2):205-224.

Williams J, Currie C. Self-esteem and physical development in early adolescence: Pubertal timing and body image. J Early Adolesc. 2000;20(2):129-149.

Carlson JS, Rose AJ. A prospective examination of friendships in early childhood: What are the consequences of having socially withdrawn or rejected friends? Dev Psychol. 2007;43(2):338-349.

Levine, MP.; Smolak, M. Cash, TF.; Pruzinsky, T. Body Image: A Handbook of Theory, Research, and Clinical Practice. The Guilford Press; New York: 2002. Body image development in adolescence; p.74-82.

McCabe MP, Ricciardelli LA. Body image and body change techniques among young adolescent boys. European Eating Disorders Review 2001;9:335–347.

Neziroglu FA, Yaryura-Tobias JA. Body dysmorphic disorder: phenomenology and case descriptions. Behavioural and Cognitive Psychotherapy 1993;21:27–36.

Rapaport MH, Clary C, Fayyed R, Endicott J. Quality of life impairment in depressive and anxiety disorders. American Journal of Psychiatry 2005;162:1171–1178. [PubMed: 15930066]

Wilhelm S, Otto MW, Zucker BG, Pollack MH. Prevalence of body dysmorphic disorder in patients with anxiety disorders. Journal of Anxiety Disorders. 1997;11:499–502.

Williams J, Hadjistavropoulos T, Sharpe D. A meta-analysis of psychological and pharmacological treatments for body dysmorphic disorder. Behaviour Research and Therapy. 2006;44:99–111.

Williams JMG, Mathews A, MacLeod C. The emotional Stroop task and psychopathology. Psychological Bulletin. 1996;120:3–24.

Published

2024-05-06

How to Cite

1.
Nawaz B, Fatima B, Yousuf T, Muryum H, Jamal N, Ahmed K, Maheshwary N. Body dysmorphic disorder, social anxiety and the role of rejection sensitivity in Karachi’s adolescents. J Pak Assoc Dermatol [Internet]. 2024May6 [cited 2025Oct.12];34(1):134-40. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/2444

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Original Articles