Prevalence of body dysmorphic disorder on a psychiatric inpatient ward and the value of a screening question

Abstract The aim of this study was to estimate the prevalence of body dysmorphic disorder (BDD) on an inpatient ward in the UK with a larger sample than previously studied and to investigate the value of a simple screening question during an assessment interview. Four hundred and thirty two consecut...

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Bibliographic Details
Published in:Psychiatry research 2015-12, Vol.230 (2), p.383-386
Main Authors: Veale, David, Akyüz, Elvan U, Hodsoll, John
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Body dysmorphic disorder
Body Dysmorphic Disorders - diagnosis
Body Dysmorphic Disorders - epidemiology
Body Dysmorphic Disorders - psychology
Depressive Disorder - psychology
Diagnostic Errors - statistics & numerical data
Female
Hospitalization
Humans
Inpatient ward
Inpatients - psychology
Inpatients - statistics & numerical data
Male
Middle Aged
Prevalence
Psychiatric Department, Hospital - statistics & numerical data
Psychiatric Status Rating Scales - statistics & numerical data
Psychiatry
Screening
Sensitivity and Specificity
United Kingdom - epidemiology
Young Adult
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Summary:Abstract The aim of this study was to estimate the prevalence of body dysmorphic disorder (BDD) on an inpatient ward in the UK with a larger sample than previously studied and to investigate the value of a simple screening question during an assessment interview. Four hundred and thirty two consecutive admissions were screened for BDD on an adult psychiatric ward over a period of 13 months. Those who screened positive had a structured diagnostic interview for BDD. The prevalence of BDD was estimated to be 5.8% (C.I. 3.6–8.1%). Our screening question had a slightly low specificity (76.6%) for detecting BDD. The strength of this study was a larger sample size and narrower confidence interval than previous studies. The study adds to previous observations that BDD is poorly identified in psychiatric inpatients. BDD was identified predominantly in those presenting with depression, substance misuse or an anxiety disorder. The screening question could be improved by excluding those with weight or shape concerns. Missing the diagnosis is likely to lead to inappropriate treatment.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2015.09.023