Lebanese International University, School of Pharmacy, Beirut, Lebanon.
J Cosmet Dermatol. 2024 Feb;23(2):591-599. doi: 10.1111/jocd.16003. Epub 2023 Sep 25.
Body dysmorphic disorder (BDD) is a mental health disorder characterized by an excessive preoccupation with perceived flaws or defects in one's appearance. This study aimed to assess the prevalence of BDD, identify the predictors of BDD, explore the associations of BDD with social anxiety and social phobia, and examine the effect of social media on BDD.
In this cross-sectional study that was conducted between January and March 2023, Lebanese adult females completed an online survey that included questions about sociodemographic characteristics, cosmetic interventions, BDD, social media use, and Social Interaction Anxiety Scale (SISA-6)/Social Phobia Scale (SPS-6). The collected information was analyzed using descriptive statistics and regression analysis. Statistical significance was set at p value <0.05.
A sample of 1048 were eligible for analysis and the mean age was 29.94 ± 10.01 years. It was shown that 141 (13.5%) participants were BDD positive. The results of the multivariable logistic regression showed that only females living in urban areas (aOR = 2.351 [95% CI 1.502-3.680], p < 0.001), unmarried (aOR = 1.672 [95% CI 1.041-2.684], p = 0.033), reporting higher social media use score (aOR = 1.526 (95% CI 1.401-1.661), p < 0.001), and higher SIAS/SPS score (aOR = 1.040 (95% CI 1.022-1.060), p < 0.001) were significantly positively associated with BDD.
This study found a high BDD prevalence (13.5%) among Lebanese adult females compared with other regions and was associated with anxiety and increased social media platforms use. This highlights the need for a comprehensive approach in the assessment of BDD, along with preventive measures to address the negative impacts of social media on well-being and promote healthy body image.
身体畸形障碍（BDD）是一种心理健康障碍，其特征是过度关注自己外表上的感知缺陷或瑕疵。本研究旨在评估 BDD 的患病率，确定 BDD 的预测因素，探讨 BDD 与社交焦虑和社交恐惧症的关联，并研究社交媒体对 BDD 的影响。
本横断面研究于 2023 年 1 月至 3 月期间进行，黎巴嫩成年女性完成了一项在线调查，其中包括社会人口统计学特征、美容干预、BDD、社交媒体使用以及社交互动焦虑量表（SISA-6）/社交恐惧症量表（SPS-6）的问题。使用描述性统计和回归分析对收集到的信息进行分析。统计显著性设为 p 值<0.05。
共有 1048 名符合条件的参与者被纳入分析，平均年龄为 29.94±10.01 岁。结果显示，141 名（13.5%）参与者为 BDD 阳性。多变量逻辑回归结果显示，仅居住在城市地区的女性（OR=2.351[95%CI 1.502-3.680]，p<0.001）、未婚（OR=1.672[95%CI 1.041-2.684]，p=0.033）、社交媒体使用评分较高（OR=1.526[95%CI 1.401-1.661]，p<0.001）和较高的 SIAS/SPS 评分（OR=1.040[95%CI 1.022-1.060]，p<0.001）与 BDD 显著正相关。
与其他地区相比，本研究发现黎巴嫩成年女性 BDD 的患病率较高（13.5%），且与焦虑和增加的社交媒体平台使用有关。这突显了需要综合评估 BDD，并采取预防措施，以解决社交媒体对幸福感的负面影响，并促进健康的身体形象。
