Callaghan Glenn M, Duenas Julissa A, Nadeau Sarah E, Darrow Sabrina M, Van der Merwe Jessica, Misko Jennifer
San José State University.
Int J Behav Consult Ther. 2012 Apr 1;7(2-3):16-24. doi: 10.1037/h0100932.
The literature examining body image disturbance and Body Dysmorphic Disorder (BDD) is fraught with competing theoretical constructions of the etiology and nosology of these problems. Recent studies on various forms of psychopathology suggest that intrapersonal processes, including experiential avoidance, and interpersonal processes such as difficulties identifying and expressing emotions with others, correlate with higher levels of psychopathology. The present study aimed to investigate the relationship of body image disturbance and diagnosable BDD to the contemporary behavioral variables of experiential avoidance and interpersonal expression of affect. A large sample of participants including those who are diagnosable with BDD were examined. Results indicate that both intrapersonal and interpersonal variables are significant predictors of both body image disturbance in a large population and of BDD as a subsample and that these variables may be important targets for treatment. This principle-based conceptualization has parsimony and potential utility for clinical interventions of these problems. Implications are discussed for the use of contemporary behavioral treatments such as Functional Analytic Psychotherapy and Acceptance and Commitment Therapy to address both body image disturbance and BDD.
探讨身体意象障碍和身体变形障碍（BDD）的文献充满了关于这些问题病因和分类学的相互竞争的理论构建。最近对各种形式精神病理学的研究表明，包括经验性回避在内的个体内部过程，以及诸如难以识别和向他人表达情感等人际过程，与更高水平的精神病理学相关。本研究旨在调查身体意象障碍和可诊断的BDD与经验性回避和情感人际表达等当代行为变量之间的关系。对包括可诊断为BDD的参与者在内的大量样本进行了检查。结果表明，个体内部和人际变量都是大量人群中身体意象障碍以及作为子样本的BDD的重要预测因素，并且这些变量可能是治疗的重要目标。这种基于原则的概念化对于这些问题的临床干预具有简洁性和潜在效用。讨论了使用当代行为疗法（如功能分析心理治疗和接纳与承诺疗法）来解决身体意象障碍和BDD的意义。
