Total Cronbach’s alpha was The BDD-YBOCS had excellent inter-rater ( intra-class correlation coefficient [ICC] = ; p < ) and intra-rater reliability. The BDD-YBOCS is an observer rated scale to assess the severity of BDD The COPS is a self-report scale designed to screen for symptoms of BDD in. body dysmorphic disorder scale notes. The body dysmorphic disorder scale ( BDD-YBOCS) was developed by Katharine Phillips and colleagues (details at the .

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Open in a separate window. Construct validity was tested by comparing the BDD-YBOCS with factors considered yobcs with symptoms of severely negative body image and with the degree of dissatisfaction with appearance.

Interrater reliability ratings were based on audiotaped interviews conducted by only one rater, rather than separate interviews conducted by each rater; thus, these ratings provide an upper-bound estimate of reliability. Spine Phila Pa An open-label study of escitalopram in body dysmorphic disorder.

Suicidality in body dysmorphic disorder: Test-retest ICCs for individual item scores ranged bvd 0.

The impact of body-image experiences: The increasing growth of plastic surgery lawsuits in Brazil. Of the subjects, met diagnostic criteria for current BDD, and 24 met criteria for past BDD at the time of intake into the study. Updates on the prevalence of body dysmorphic disorder: In the only previous study that examined the psychometric properties of the BDD-YBOCS, the scale had strong reliability, validity, and sensitivity to change in individuals who were seeking a clinical evaluation or treatment for BDD Phillips et al.


Diagnosis and Clinical Assessment in BDD – BDD

After informed consent, patients were given the opportunity to express their comprehension of the scale and suggest any changes they considered necessary. References American Psychiatric Association. Sao Paulo Med J. Limitations include relatively small sample sizes for analyses of interrater and test-retest reliability. Finally, patients who meet all diagnostic criteria for BDD should be evaluated for the muscle dysmorphia specifierand their level of insight should be determined, as discussed previously.

Body dysmorphic disorder and other clinically significant body image concerns in adolescent psychiatric inpatients: In the prior report Phillips et al. This is a bxd for increased risk for suicide.

Disclosure The authors report no conflicts of interest.

Diagnosis and Clinical Assessment in BDD

To examine test-retest reliability, baseline ratings from the 64 subjects in the fluoxetine study were compared to ratings obtained by the same rater after one yboca of placebo run-in.

Obsessive-compulsive and related disorders. Aust N Z J Psychiatry.

The level of significance was set at 0. Psychopharmacology Bulletin, 33 1 The Brief Social Phobia Scale: This semi-structured interview is fairly lengthy, and it is of limited usefulness for patients with more severe BDD symptoms. Preoccupations with fat or weight in a normal-appearing person that meet diagnostic criteria for an eating disorder should not be diagnosed as BDD.

Scales used for BDD

Both back-translated versions were evaluated and compared with the original instrument by the same multidisciplinary committee to check for possible errors made during back-translation. Morselli PG, Boriani F.


The muscle dysmorphia form of BDD is diagnosed if the individual is preoccupied with concerns that that his or her body build is too small or insufficiently muscular. An example of insight in OCD is how convinced the patient is that the house will actually burn down if the stove is not checked 30 times.

The interview was repeated three hours later on the same day by psychologist 2.

After translation and cultural adaptation, the final version of the scale was tested for reliability in 20 patients, and for face, content, and construct validity in 43 patients. This neural dynamics seems to have an impact on thinking and overall perception, which in individuals with BDD appears dbd, affecting their level of insight.

National Center for Biotechnology InformationU. And, one in four individuals with BDD actually attempt suicide. Clinicians can probe for BDD-related distress by ybocx directly about distress as well as asking about resulting depressed mood or anxious mood, feelings of embarrassment or shame, or suicidal ideation.

All items favorably contributed to the internal consistency of the scale Table 1.