Assessment of body dysmorphic disorder in patients with anorexia nervosa and bulimia nervosa. The final data of the study

E Okonishnikova,A Bryukhin,I Belokrylov,T Lineva

doi:10.1192/j.eurpsy.2021.951

Abstract

IntroductionAnorexia nervosa (AN) and bulimia nervosa (BN) occur predominantly females, take one of the first places in the risk of fatal outcome among mental disorders, have a tendency to chronicity, disability with social disadaptation, high suicidal risk. The psychopathological basis of these diseases is dysmorphophobia, characterized intrusive, overvalued or delusional ideas of physical disability. The significant role of dysmorphophobia determines the urgency of the detailed study using psychometric techniques.ObjectivesAssess the degree of satisfaction/dissatisfaction with one’s body and its separate parts in patients with AN and BN.Methods130 female patients with AN and BN at the age of 13-44 years (the average age is 18). The disease duration from 6 months to 24 years. The psychometric method using the validated Questionnaire image of one’s own body (QIOB) and the Scale of satisfaction with one’s body (SSOB).ResultsAccording to QIOB 84,62% in the category expressed dissatisfaction with their appearance, 15,38% in moderate category. According to SSOB, 32,31% of the patients is not satisfied with characteristics that belong to head, 45,38% is not satisfied with characteristics that belong to torso, 56,92% is not satisfied with characteristics that belong to the lower part of body. The number of dissatisfied with all of these body parts equals 38% which indicates the presence of polydismorfofobia.ConclusionsHigh rates of dissatisfaction with one’s appearance, which are consistent with the severe somatic state of patients, affect the dynamics and outcome of the disease. Publication was prepared with support of the “RUDN University Program 5-100”.

Highlights

Anorexia nervosa (AN) and bulimia nervosa (BN) occur predominantly females, take one of the first places in the risk of fatal outcome among mental disorders, have a tendency to chronicity, disability with social disadaptation, high suicidal risk
We aimed to assess the complex interactions between the sub-components of mentalizing and empathy and ED symptoms through a network analysis approach
The significant role of dysmorphophobia determines the urgency of the detailed study using psychometric techniques

Summary

European Psychiatry

Objectives: We aimed to assess the complex interactions between the sub-components of mentalizing and empathy and ED symptoms through a network analysis approach. Results: In the partial correlation network inference of cognitive mental states and shape concern were the nodes with the highest strength centrality. Inference of emotional mental states was the node with the highest bridge strength in the cluster of social cognition functions. Conclusions: This is the first network analysis study which integrates self-reported symptoms and objective socio-cognitive performance in people with Eds. Our results provide evidence of the complex interactions between mentalizing, empathy and psychopathological symptoms in people with EDs. confirm that the ability to infer others’ mental state may represent a useful target for clinical intervention in EDs. Assessment of body dysmorphic disorder in patients with anorexia nervosa and bulimia nervosa. Belokrylov1 1Department Of Psychiatry And Medical Psychology, RUDN University Moscow., Moscow, Russian Federation and 2Department Of Psychiatry And Medical Psychologi, Peoples Friendship University of Russia (RUDN University), Moscow, Russian Federation

Introduction