An empirically derived recommendation for the classification of body dysmorphic disorder: Findings from structural equation modeling

DC FieldValueLanguage
dc.contributor.authorHartmann, Andrea Sabrina
dc.contributor.authorStaufenbiel, Thomas
dc.contributor.authorBielefeld, Lukas
dc.contributor.authorBuhlmann, Ulrike
dc.contributor.authorHeinrichs, Nina
dc.contributor.authorMartin, Alexandra
dc.contributor.authorRitter, Viktoria
dc.contributor.authorKollei, Ines
dc.contributor.authorGrocholewski, Anja
dc.date.accessioned2021-12-23T16:23:13Z-
dc.date.available2021-12-23T16:23:13Z-
dc.date.issued2020
dc.identifier.issn19326203
dc.identifier.urihttps://osnascholar.ub.uni-osnabrueck.de/handle/unios/14458-
dc.description.abstractBody dysmorphic disorder (BDD), together with its subtype muscle dysmorphia (MD), has been relocated from the Somatoform Disorders category in the DSM-IV to the newly created Obsessive-Compulsive and Related Disorders category in the DSM-5. Both categorizations have been criticized, and an empirically derived classification of BDD is lacking. A community sample of N = 736 participants completed an online survey assessing different psychopathologies. Using a structural equation modeling approach, six theoretically derived models, which differed in their allocation of BDD symptoms to various factors (i.e. general psychopathology, somatoform, obsessive-compulsive and related disorders, affective, body image, and BDD model) were tested in the full sample and in a restricted sample (n = 465) which indicated primary concerns other than shape and weight. Furthermore, measurement invariance across gender was examined. Of the six models, only the body image model showed a good fit (CFI = 0.972, RMSEA = 0.049, SRMR = 0.027, TLI = 0.959), and yielded better AIC and BIC indices than the competing models. Analyses in the restricted sample replicated these findings. Analyses of measurement invariance of the body image model showed partial metric invariance across gender. The findings suggest that a body image model provides the best fit for the classification of BDD and MD. This is in line with previous studies showing strong similarities between eating disorders and BDD, including MD. Measurement invariance across gender indicates a comparable presentation and comorbid structure of BDD in males and females, which also corresponds to the equal prevalence rates of BDD across gender.
dc.description.sponsorshipGerman Research Foundation (Deutsche Forschungsgemeinschaft)German Research Foundation (DFG); DFGGerman Research Foundation (DFG)European Commission [GR 4761/2-1]; AG received financial support from the German Research Foundation (Deutsche Forschungsgemeinschaft; DFG; https://www.dfg.de/; GR 4761/2-1) for a Scientific Network for Body Dysmorphic Disorder. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
dc.language.isoen
dc.publisherPUBLIC LIBRARY SCIENCE
dc.relation.ispartofPLOS ONE
dc.subjectAGE-OF-ONSET
dc.subjectANOREXIA-NERVOSA
dc.subjectCOMORBIDITY
dc.subjectEATING-DISORDERS
dc.subjectFIT INDEXES
dc.subjectIMAGE
dc.subjectMAJOR DEPRESSION
dc.subjectMultidisciplinary Sciences
dc.subjectOBSESSIVE-COMPULSIVE DISORDER
dc.subjectPREVALENCE
dc.subjectQUESTIONNAIRE
dc.subjectScience & Technology - Other Topics
dc.titleAn empirically derived recommendation for the classification of body dysmorphic disorder: Findings from structural equation modeling
dc.typejournal article
dc.identifier.doi10.1371/journal.pone.0233153; 10.1371/journal.pone.0233153.r001; 10.1371/journal.pone.0233153.r002; 10.1371/journal.pone.0233153.r003; 10.1371/journal.pone.0233153.r004
dc.identifier.isiISI:000539293000022
dc.description.volume15
dc.description.issue6
dc.contributor.orcid0000-0002-6251-3763
dc.contributor.orcid0000-0002-4235-8591
dc.contributor.orcid0000-0002-9938-9188
dc.contributor.researcheridAAX-2794-2020
dc.contributor.researcheridAAY-7165-2020
dc.publisher.place1160 BATTERY STREET, STE 100, SAN FRANCISCO, CA 94111 USA
dcterms.isPartOf.abbreviationPLoS One
dcterms.oaStatusgold, Green Published
crisitem.author.deptFB 08 - Humanwissenschaften-
crisitem.author.deptFB 08 - Humanwissenschaften-
crisitem.author.deptidfb08-
crisitem.author.deptidfb08-
crisitem.author.parentorgUniversität Osnabrück-
crisitem.author.parentorgUniversität Osnabrück-
crisitem.author.netidHaAn413-
crisitem.author.netidStTh533-
Show simple item record

Page view(s)

17
Last Week
0
Last month
1
checked on Jul 25, 2024

Google ScholarTM

Check

Altmetric