Body dysmorphic disorder in patients attending a dermatology clinic in Nigeria: sociodemographic and clinical correlates*

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dc.contributor.authorAkinboro AO
dc.contributor.authorAdelufosi AO
dc.contributor.authorOnayemi O
dc.contributor.authorAsaolu SO
dc.date.accessioned2022-07-27T19:26:33Z
dc.date.available2022-07-27T19:26:33Z
dc.date.issued2019
dc.descriptionAnais Brasileiros de Dermatologia
dc.description.abstractAbstract Background: Body dysmorphic disorder is a relatively common psychiatric disorder in the context of dermatology and cosmetic and plastic surgery but is underdiagnosed and underreported in Africa. Objectives: To evaluate the prevalence of body dysmorphic disorder and symptoms of anxiety/depression and determine their sociodemographic and clinical correlates. Methods: A systematic random sampling design was made to recruit 114 patients with skin diseases. Sociodemographic and clinical data were obtained. The Body Dysmorphic Disorder Modification of the Yale-Brown Obsessive-Compulsive Scale, Hospital Anxiety and Depression Scale was administered, and data were analyzed using SPSS 20. Results: Mean age of participants was 37.70±17.47 years, and 67/114 (58.8%) were females. Prevalence of body dysmorphic disorder was 41/114 (36.0%), and prevalence of anxiety/depression symptoms was 35/114 (30.7%). Prevalence of body dysmorphic disorder in patients with anxiety/depression symptoms was 15/41 (36.6%), and patients with facial disorders expressed the highest burden of anxiety/depression symptoms, in 15/35 (42.9%). Factors associated with significantly higher mean body dysmorphic disorder include age<50years (p=0.039), and anxiety/depression (p<0.001), education below high school was associated with higher mean anxiety/depression score (P= 0.031). In a binary logistic regression model, presence of anxiety/depression symptoms was predictive of body dysmorphic disorder (OR=10.0, CI: 4.1-28.2, p<0.001). Study limitations: the study is uncontrolled, conducted in a single source of care, thus limiting generalization to nonrelated settings. Conclusion: Prevalence of body dysmorphic disorder is high among dermatology patients and most prevalent in facial disorders. Facial diseases are associated with the highest burden of anxiety/depression symptoms. This is a clarion call for dermatologists to routinely assess for body dysmorphic disorder and appropriately refer affected patients to mental health care.
dc.identifier.citation10.1590/abd1806-4841.20197919
dc.identifier.issn0365-0596
dc.identifier.urihttps://nerd.ethesis.ng/handle/123456789/440
dc.language.isoen
dc.subjectAnxiety
dc.subjectBody dysmorphic disorders
dc.subjectDermatology
dc.titleBody dysmorphic disorder in patients attending a dermatology clinic in Nigeria: sociodemographic and clinical correlates*
dc.typeArticle
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