Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)

Early identification of individuals with Body dysmorphic disorder (BDD) is essential to direct them to appropriate care and to reduce the chance of developing or maintaining comorbid psychiatric disorders (like an eating disorder (ED)). The present study aimed to develop a simple screener, the Body...

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Main Authors: Y.R. Van Rood, N. Wyk van, S. Böhringer, N.J.A. van der Wee, A. Möllmann, A.E. Dingemans
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Comprehensive Psychiatry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X23000536
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author Y.R. Van Rood
N. Wyk van
S. Böhringer
N.J.A. van der Wee
A. Möllmann
A.E. Dingemans
author_facet Y.R. Van Rood
N. Wyk van
S. Böhringer
N.J.A. van der Wee
A. Möllmann
A.E. Dingemans
author_sort Y.R. Van Rood
collection DOAJ
description Early identification of individuals with Body dysmorphic disorder (BDD) is essential to direct them to appropriate care and to reduce the chance of developing or maintaining comorbid psychiatric disorders (like an eating disorder (ED)). The present study aimed to develop a simple screener, the Body Dysmorphic Disorder Screener for DSM-5 (BDDS-5), to overcome existing screeners' limitations and test its psychometric properties.The BDDS-5 consists of 12 statements with dichotomous answer options. Specific attention is paid to the readability of the screener for those with lower reading skills. Additional eating disorder screening questions (S section) were added to investigate whether these questions are necessary for detecting potential BDD cases. Finally, the factor structure, internal consistency, and validity of the BDDS-5 were examined within populations with a high risk of screening positive for BDD or ED. Principal axis factor analysis showed that two factors accounted for 63.5% of the variance. The factor analysis was based on polychoric correlation. Based on the BDDS-5, 33 persons (14% of N = 235) were screened as likely BDD cases. Nineteen persons were excluded as potential BDD cases based on the eating disorder related question (question D). Based on the S-section, this turned out to be largely correct for the majority, however, in 8% (n = 4) of the cases BDD was probably missed. The convergent validity appeared to be high (r > 0.80) with three other BDD measures.The BDDS-5 is a valid and widely applicable screener for BDD that may help in the early detection of BDD. The BDDS-5 uses simple wording and is thus suitable for people 8 years and older.
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spelling doaj.art-277a37aabc2f467392949a179af4087f2023-10-28T05:06:14ZengElsevierComprehensive Psychiatry0010-440X2023-11-01127152416Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)Y.R. Van Rood0N. Wyk van1S. Böhringer2N.J.A. van der Wee3A. Möllmann4A.E. Dingemans5Department of Psychiatry, Leiden University Medical Centre, Albinusdreef 2, PO Box 6900, 2300 RC Leiden, the Netherlands; Corresponding author at: Department of Psychiatry, Leiden University Medical Centre, Albinusdreef 2, PO Box 6900, 2300 RC Leiden, the Netherlands.Bartiméus, Oude Arnhemse Bovenweg 3, 3941 XM Doorn, the NetherlandsBiomedical Data Sciences, Leiden University Medical Center, Albinusdreef 2, PO Box 6900, 2300 RC Leiden, the Netherlands; Department of Clinical Pharmacology and Toxicology, Leiden University Medical Center, Albinusdreef 2, PO Box 6900, 2300 RC Leiden, the NetherlandsDepartment of Psychiatry, Leiden University Medical Centre, Albinusdreef 2, PO Box 6900, 2300 RC Leiden, the NetherlandsUniversity of Bielefeld, Department of Psychology, Clinical Child and Adolescent Psychology and Psychotherapy, Universitätsstrasse 25, 33615 Bielefeld, GermanyRivierduinen Eating Disorders Ursula, PO Box 405 2300, AK, Leiden, the Netherlands; Department of Psychiatry, Leiden University Medical Centre, Albinusdreef 2, PO Box 6900, 2300 RC Leiden, the NetherlandsEarly identification of individuals with Body dysmorphic disorder (BDD) is essential to direct them to appropriate care and to reduce the chance of developing or maintaining comorbid psychiatric disorders (like an eating disorder (ED)). The present study aimed to develop a simple screener, the Body Dysmorphic Disorder Screener for DSM-5 (BDDS-5), to overcome existing screeners' limitations and test its psychometric properties.The BDDS-5 consists of 12 statements with dichotomous answer options. Specific attention is paid to the readability of the screener for those with lower reading skills. Additional eating disorder screening questions (S section) were added to investigate whether these questions are necessary for detecting potential BDD cases. Finally, the factor structure, internal consistency, and validity of the BDDS-5 were examined within populations with a high risk of screening positive for BDD or ED. Principal axis factor analysis showed that two factors accounted for 63.5% of the variance. The factor analysis was based on polychoric correlation. Based on the BDDS-5, 33 persons (14% of N = 235) were screened as likely BDD cases. Nineteen persons were excluded as potential BDD cases based on the eating disorder related question (question D). Based on the S-section, this turned out to be largely correct for the majority, however, in 8% (n = 4) of the cases BDD was probably missed. The convergent validity appeared to be high (r > 0.80) with three other BDD measures.The BDDS-5 is a valid and widely applicable screener for BDD that may help in the early detection of BDD. The BDDS-5 uses simple wording and is thus suitable for people 8 years and older.http://www.sciencedirect.com/science/article/pii/S0010440X23000536Body Dysmorphic disorderDSM-5screenerquestionnaireeating disordervalidity
spellingShingle Y.R. Van Rood
N. Wyk van
S. Böhringer
N.J.A. van der Wee
A. Möllmann
A.E. Dingemans
Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)
Comprehensive Psychiatry
Body Dysmorphic disorder
DSM-5
screener
questionnaire
eating disorder
validity
title Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)
title_full Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)
title_fullStr Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)
title_full_unstemmed Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)
title_short Development of a body dysmorphic disorder screener for DSM-5 (BDDS-5)
title_sort development of a body dysmorphic disorder screener for dsm 5 bdds 5
topic Body Dysmorphic disorder
DSM-5
screener
questionnaire
eating disorder
validity
url http://www.sciencedirect.com/science/article/pii/S0010440X23000536
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