BODY
IMAGE DISORDER AFFECTING MORE MEN
Although women are generally more dissatisfied with their appearance
than men in this country, a study of nearly 200 people found that
men are as likely as women to seek clinical help for the image
obsession known as body dysmorphic disorder (BDD).
The study shows that BDD, a debilitating disorder in which sufferers
are preoccupied with imagined flaws in their appearance, afflicts
the sexes to a similar degree, though men and women obsess about
different parts of the body, said Dr. Katharine A. Phillips, a
Brown University psychiatrist and one of the study's two authors.
"Some people assume that because BDD involves the body image
it is only seen in women," said Phillips. "Don't assume."
The study, reported in a recent issue of The Journal of Nervous
and Mental Disease, is the largest ever published on BDD, said
Phillips, director of the Body Dysmorphic Disorder and Body Image
Program at Butler Hospital in Providence.
In general, it is estimated that as many as one in 50 people have
BDD. This study provided an overall picture as to the way the disorder
afflicts men and women and found there are more similarities than
differences.
The 93 women and 95 men in the study were patients in Phillips'
practice. Predominantly unmarried and often unemployed, most of
the patients started having symptoms of BDD during adolescence.
Differences between the genders centered mainly on the body part
that was of concern to the patient. While men were often concerned
with body build, hair loss and the size of genitals, women focused
on weight and hips and the condition of their skin. These differences
led to variations in the way the patients handled their perceived
flaws. Men were likely to use a hat to camouflage the perceived
defect whereas women were likely to use makeup.
Unexpectedly, the study found a similar rate of suicide attempts
among patients with BDD despite the fact that women are twice as
likely as men to attempt suicide in the general population. Also,
although more women than men suffer from major depression, panic
disorders and anorexia nervosa, the frequency was the same between
male and female BDD patients.
Phillips conducted the study with Susan F. Diaz, M.D., of Butler
Hospital.
The results are likely to be representative of what a psychiatrist
would see in any clinical practice, said Phillips. However, large-scale
studies still need to be done to determine the rate of occurrence
in the general population. Also, future research will need to investigate
whether gender ratio and gender differences are consistent across
cultures. As psychiatrists learn more about this little-known disease,
they will be better able to recognize sufferers, Phillips said.
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