BMC psychiatry · 2026
Body dysmorphic disorder among patients who have follow-up in the dermatology unit in Ethiopia: a cross-sectional study.
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Tilahun Shimelis, Alemu Bezaye, Tesfaye Yonas
Аннотация
BACKGROUND: Body dysmorphic disorder is a common mental disorder among dermatology patients and causes significant psychological distress. However, its screening is usually missed in clinical settings. Moreover, limited studies have been conducted in sub-Saharan Africa, including Ethiopia. Hence, this study aimed to assess the magnitude and associated factors of body dysmorphic symptoms among dermatology patients in an Ethiopian setting.
OBJECTIVE: The objective of this study was to assess the magnitude and associated factors of body dysmorphic disorder among dermatology patients during follow-up.
METHODS: A hospital-based cross-sectional study was conducted on a total of 404 study participants from September 1 to 30, 2023. Systematic random sampling was utilized to recruit participants. The Body Dysmorphic Disorder Questionnaire (BDDQ), a screening tool based on DSM-IV criteria, was used to assess body dysmorphic disorders. Multivariable regression analysis was performed to evaluate the strength of associations. A P-value less than 0.05 indicated statistical significance.
RESULTS: A total of 399 patients participated in the study, for a response rate of 98.8%. The prevalence of body dysmorphic disorder was 70(17.5%) with a 95% CI: (13.8, 21.30). Female sex (AOR = 2.81, 95% (CI = 1.30-6.08), low family income (AOR = 2.26, 95% (1.09-4.69), sexual abuse (AOR = 3.65, 95% (CI = 1.45-9.15), physical abuse (AOR = 2.85, 95% (CI = 1.10-7.39), low self-esteem (AOR = 3.31, 95% (CI = 1.14-9.61), depression (AOR = 2.64; 95% (CI = 1.26-5.53), anxiety (AOR = 2.23, 95% (CI = 1.07-4.63), stress (AOR = 2.76, 95% (CI = 1.34-5.684) and perceived stigma (AOR = 2.46, 95% (CI = 1.20-5.02) were factors associated with body dysmorphic disorder.
CONCLUSION: The prevalence of body dysmorphic disorder among dermatology patients was high and positively associated with symptoms such as depression, anxiety, stress, sexual and physical abuse, low self-esteem, and perceived stigma. Therefore, skin health care providers are recommended to screen the patients for body dysmorphic disorder among dermatology patients and facilitate referral to mental health care.
OBJECTIVE: The objective of this study was to assess the magnitude and associated factors of body dysmorphic disorder among dermatology patients during follow-up.
METHODS: A hospital-based cross-sectional study was conducted on a total of 404 study participants from September 1 to 30, 2023. Systematic random sampling was utilized to recruit participants. The Body Dysmorphic Disorder Questionnaire (BDDQ), a screening tool based on DSM-IV criteria, was used to assess body dysmorphic disorders. Multivariable regression analysis was performed to evaluate the strength of associations. A P-value less than 0.05 indicated statistical significance.
RESULTS: A total of 399 patients participated in the study, for a response rate of 98.8%. The prevalence of body dysmorphic disorder was 70(17.5%) with a 95% CI: (13.8, 21.30). Female sex (AOR = 2.81, 95% (CI = 1.30-6.08), low family income (AOR = 2.26, 95% (1.09-4.69), sexual abuse (AOR = 3.65, 95% (CI = 1.45-9.15), physical abuse (AOR = 2.85, 95% (CI = 1.10-7.39), low self-esteem (AOR = 3.31, 95% (CI = 1.14-9.61), depression (AOR = 2.64; 95% (CI = 1.26-5.53), anxiety (AOR = 2.23, 95% (CI = 1.07-4.63), stress (AOR = 2.76, 95% (CI = 1.34-5.684) and perceived stigma (AOR = 2.46, 95% (CI = 1.20-5.02) were factors associated with body dysmorphic disorder.
CONCLUSION: The prevalence of body dysmorphic disorder among dermatology patients was high and positively associated with symptoms such as depression, anxiety, stress, sexual and physical abuse, low self-esteem, and perceived stigma. Therefore, skin health care providers are recommended to screen the patients for body dysmorphic disorder among dermatology patients and facilitate referral to mental health care.