Body Dysmorphic Disorder in People living with Chronic illness

Key things to know What the evidence shows
How common is it? Not established universal; dermatology patients ~12.5%
Is it more common among people living with chronic illness? Appearance-altering illnesses particularly relevant
Are people living with chronic illness at higher risk? Strong in dermatology/cosmetic populations; not chronic illness generally
How much higher is the risk? General dermatology 12.5%; cosmetic dermatology 25%
How often can it be missed? Very High
Does it show up differently among people living with chronic illness? Strong Yes contextually
How might it look different? Actual physical symptoms/visible changes can make it difficult to distinguish proportionate concern from excessive BDD preoccupation
What commonly occurs alongside it? Depression; anxiety; OCD
What can it be confused with? Proportionate concern about actual illness/skin condition; OCD; illness anxiety
Common screening tool BDDQ — Body Dysmorphic Disorder Questionnaire
Separate screening tool for people living with chronic illness BDDQ-DV — Body Dysmorphic Disorder Questionnaire–Dermatology Version where dermatological concerns are relevant
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