Han Solee, Chee Hyun Seung
Department of Psychiatry, Chungnam National University Hospital, Daejeon, Republic of Korea.
Brain Research Institute, Chungnam National University, Daejeon, Republic of Korea.
Psychiatry Investig. 2025 Feb;22(2):186-195. doi: 10.30773/pi.2024.0234. Epub 2025 Feb 17.
Previous studies showed that personality traits, which influences self-perception, anger expression and coping mechanisms, are associated with body dissatisfaction in various ways. However, few studies investigated the role of personality traits on body dissatisfaction in Korea. The aim of this study was to identify specific personality characteristics associated with body dissatisfaction and categorize participants into subgroups of potential clinical significance.
In total, 345 adults in Korea completed the Body Dysmorphic Disorder Examination Self-Report, HEXACO Personality-Inventory-Revised, paranoia, borderline features, antisocial features of the Personality Assessment Inventory, the Ways of Coping Checklist, and the State-Trait Anger Expression Inventory. Cluster analysis was performed to categorize participants.
It showed that major contributing factors of body dissatisfaction among young adults were identity problems, anger in, and resentment. Cluster analysis resulted in three personality types, cluster 1 exhibited introverted and lack of ability to cope with stress and control anger, cluster 2 was characterized by honesty, humility, extraversion, amiability, and conscientiousness, and cluster 3 displayed socially aversive behavior, highly emotional traits, and passive coping skills. Cluster 2 was associated with lower body dissatisfaction compared to cluster 1 and 3.
This study indicates the pivotal role of personality traits in understanding and addressing body dissatisfaction. Identification of specific personality types offers insights for tailored treatment strategies, suggesting potential implications for treatment outcomes and prognosis. Clinicians should also be aware of the body dissatisfaction when seeing patients with introverted, socially aversive, emotional personality traits or who lack ability to manage stress and anger.
先前的研究表明，人格特质会影响自我认知、愤怒表达和应对机制，并且以多种方式与身体不满相关。然而，在韩国，很少有研究调查人格特质对身体不满的作用。本研究的目的是确定与身体不满相关的特定人格特征，并将参与者分类为具有潜在临床意义的亚组。
共有345名韩国成年人完成了身体变形障碍检查自评量表、修订版HEXACO人格量表、人格评估量表中的偏执、边缘特征、反社会特征、应对方式清单以及状态-特质愤怒表达量表。采用聚类分析对参与者进行分类。
结果表明，年轻人身体不满的主要促成因素是身份认同问题、内在愤怒和怨恨。聚类分析产生了三种人格类型，第1组表现为内向，缺乏应对压力和控制愤怒的能力；第2组的特征是诚实、谦逊、外向、和蔼可亲且尽责；第3组表现出社会厌恶行为、高度情绪化的特质和消极的应对技巧。与第1组和第3组相比，第2组与较低的身体不满相关。
本研究表明人格特质在理解和解决身体不满方面的关键作用。识别特定的人格类型为量身定制的治疗策略提供了见解，对治疗结果和预后具有潜在意义。临床医生在诊治具有内向、社会厌恶、情绪化人格特质或缺乏管理压力和愤怒能力的患者时，也应意识到身体不满的问题。
