Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing

Introduction: Recent reclassifications have expanded the understanding of Obsessive-Compulsive Disorders (OCDs), now incorporated into a broader category known as Obsessive-Compulsive Disorder and Related Disorders (OCRDs). This study sought to assess obsessive-compulsive symptoms and body uneasines...

Full description

Bibliographic Details
Main Authors: S. Tempia Valenta, G. Campanile, U. Albert, F. Marcolini, G. Faedi, D. De Ronchi, A.R. Atti
Format: Article
Language:English
Published: Elsevier 2024-07-01
Series:Comprehensive Psychiatry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X24000324
_version_ 1827256645606965248
author S. Tempia Valenta
G. Campanile
U. Albert
F. Marcolini
G. Faedi
D. De Ronchi
A.R. Atti
author_facet S. Tempia Valenta
G. Campanile
U. Albert
F. Marcolini
G. Faedi
D. De Ronchi
A.R. Atti
author_sort S. Tempia Valenta
collection DOAJ
description Introduction: Recent reclassifications have expanded the understanding of Obsessive-Compulsive Disorders (OCDs), now incorporated into a broader category known as Obsessive-Compulsive Disorder and Related Disorders (OCRDs). This study sought to assess obsessive-compulsive symptoms and body uneasiness among outpatients seeking treatment for Eating Disorders (ED). Additionally, we aimed to explore associations and potential mediation effects between obsessive-compulsive symptoms and body uneasiness. This investigation extended beyond concerns related solely to body shape and weight, encompassing fears associated with specific body components (such as facial features, abdominal region, and limbs) or functions (including sweating, blushing, emitting noises, and releasing odors). Methods: Psychometric assessments included the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Body Uneasiness Test (BUT). Statistical analyses involved bivariate correlations, linear regression, and mediation analysis to explore the associations and potential mediation effects between obsessive-compulsive symptoms and different manifestations of body uneasiness. Results: The sample (N = 210) demonstrated substantial obsessive-compulsive symptoms and notable body discomfort. OCI-R scores positively correlated with various dimensions of body dissatisfaction, including shape, weight, and specific body components or functions. Linear regression revealed significant associations between OCI-R scores and overall body uneasiness (BUT-A) as well as concerns about body components or functions (BUTB). Mediation analysis indicated that BUT-A mediated the relationship between obsessive-compulsive symptoms and BUTB. Conclusion: This study offers new insights into the comprehensive landscape of OCRDs. It specifically emphasizes the association between obsessive-compulsive symptoms and body uneasiness, embracing not only concerns about body shape and weight but also extending to body components and functions.
first_indexed 2024-04-24T16:32:04Z
format Article
id doaj.art-db967149ef8447f99e6661fd8cf2b7d2
institution Directory Open Access Journal
issn 0010-440X
language English
last_indexed 2025-03-22T01:42:12Z
publishDate 2024-07-01
publisher Elsevier
record_format Article
series Comprehensive Psychiatry
spelling doaj.art-db967149ef8447f99e6661fd8cf2b7d22024-05-09T04:35:18ZengElsevierComprehensive Psychiatry0010-440X2024-07-01132152481Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushingS. Tempia Valenta0G. Campanile1U. Albert2F. Marcolini3G. Faedi4D. De Ronchi5A.R. Atti6Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy; Corresponding author at: Department of Biomedical and Neuromotor Sciences, University of Bologna, Viale Pepoli 5, Bologna 40123, Italy.Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ItalyDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, ItalyDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ItalyDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ItalyDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ItalyDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, ItalyIntroduction: Recent reclassifications have expanded the understanding of Obsessive-Compulsive Disorders (OCDs), now incorporated into a broader category known as Obsessive-Compulsive Disorder and Related Disorders (OCRDs). This study sought to assess obsessive-compulsive symptoms and body uneasiness among outpatients seeking treatment for Eating Disorders (ED). Additionally, we aimed to explore associations and potential mediation effects between obsessive-compulsive symptoms and body uneasiness. This investigation extended beyond concerns related solely to body shape and weight, encompassing fears associated with specific body components (such as facial features, abdominal region, and limbs) or functions (including sweating, blushing, emitting noises, and releasing odors). Methods: Psychometric assessments included the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Body Uneasiness Test (BUT). Statistical analyses involved bivariate correlations, linear regression, and mediation analysis to explore the associations and potential mediation effects between obsessive-compulsive symptoms and different manifestations of body uneasiness. Results: The sample (N = 210) demonstrated substantial obsessive-compulsive symptoms and notable body discomfort. OCI-R scores positively correlated with various dimensions of body dissatisfaction, including shape, weight, and specific body components or functions. Linear regression revealed significant associations between OCI-R scores and overall body uneasiness (BUT-A) as well as concerns about body components or functions (BUTB). Mediation analysis indicated that BUT-A mediated the relationship between obsessive-compulsive symptoms and BUTB. Conclusion: This study offers new insights into the comprehensive landscape of OCRDs. It specifically emphasizes the association between obsessive-compulsive symptoms and body uneasiness, embracing not only concerns about body shape and weight but also extending to body components and functions.http://www.sciencedirect.com/science/article/pii/S0010440X24000324obsessivenessdysmorphicself-perceptionbody functioningbody concernsbody check
spellingShingle S. Tempia Valenta
G. Campanile
U. Albert
F. Marcolini
G. Faedi
D. De Ronchi
A.R. Atti
Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing
Comprehensive Psychiatry
obsessiveness
dysmorphic
self-perception
body functioning
body concerns
body check
title Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing
title_full Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing
title_fullStr Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing
title_full_unstemmed Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing
title_short Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing
title_sort beyond the surface understanding obsessive symptoms and body perceptions from shape concerns to fear of blushing
topic obsessiveness
dysmorphic
self-perception
body functioning
body concerns
body check
url http://www.sciencedirect.com/science/article/pii/S0010440X24000324
work_keys_str_mv AT stempiavalenta beyondthesurfaceunderstandingobsessivesymptomsandbodyperceptionsfromshapeconcernstofearofblushing
AT gcampanile beyondthesurfaceunderstandingobsessivesymptomsandbodyperceptionsfromshapeconcernstofearofblushing
AT ualbert beyondthesurfaceunderstandingobsessivesymptomsandbodyperceptionsfromshapeconcernstofearofblushing
AT fmarcolini beyondthesurfaceunderstandingobsessivesymptomsandbodyperceptionsfromshapeconcernstofearofblushing
AT gfaedi beyondthesurfaceunderstandingobsessivesymptomsandbodyperceptionsfromshapeconcernstofearofblushing
AT dderonchi beyondthesurfaceunderstandingobsessivesymptomsandbodyperceptionsfromshapeconcernstofearofblushing
AT aratti beyondthesurfaceunderstandingobsessivesymptomsandbodyperceptionsfromshapeconcernstofearofblushing