Lavell Cassie H, Oar Ella L, Rapee Ronald M
Macquarie University Lifespan Health and Wellbeing Research Centre, Macquarie University, Sydney, Australia.
Res Child Adolesc Psychopathol. 2025 Jan;53(1):43-55. doi: 10.1007/s10802-024-01245-2. Epub 2024 Sep 19.
Body dysmorphic disorder (BDD) is a common and debilitating disorder in adolescents, yet there is little research on the disorder in young people. The current study aimed to investigate peer relationship factors in 26 adolescents (aged 12 to 17 years) with BDD, compared to 27 adolescents with anxiety disorders and 25 adolescents without mental disorders. Participants completed self-report measures on peer appearance and general victimisation, peer support, appearance co-rumination and social media use. Adolescents with BDD and anxiety disorders perceived significantly less peer support than adolescents in the non-clinical control group. Although the frequency of perceived appearance and general victimisation did not differ significantly between groups, adolescents with BDD reported significantly more distress due to appearance victimisation than the non-clinical control group. Adolescents with BDD and anxiety disorders reported spending more time on social media than the non-clinical control group, and the BDD group engaged in significantly more online appearance comparisons than both the anxiety and control group. The relationships between BDD, victimisation, social media use, and other peer factors require further empirical investigation.
身体变形障碍（BDD）是青少年中一种常见且使人衰弱的疾病，但针对年轻人中该疾病的研究却很少。本研究旨在调查26名患有BDD的青少年（年龄在12至17岁之间）的同伴关系因素，并与27名患有焦虑症的青少年和25名没有精神障碍的青少年进行比较。参与者完成了关于同伴外貌、一般受欺负情况、同伴支持、外貌共同反刍和社交媒体使用的自我报告测量。患有BDD和焦虑症的青少年所感受到的同伴支持明显少于非临床对照组的青少年。尽管各组之间在感知到的外貌和一般受欺负频率上没有显著差异，但患有BDD的青少年因外貌受欺负而报告的痛苦明显多于非临床对照组。患有BDD和焦虑症的青少年报告在社交媒体上花费的时间比非临床对照组更多，并且BDD组进行的在线外貌比较明显多于焦虑症组和对照组。BDD、受欺负、社交媒体使用和其他同伴因素之间的关系需要进一步的实证研究。
