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Interpretive Biases for Ambiguous Information in Body Dysmorphic Disorder

  • Ulrike Buhlmann, Sabine Wilhelm, Richard J. McNally, Brunna Tuschen-Caffier, Lee Baer and Michael A. Jenike...

Abstract

Anxiety-disordered patients and individuals with high trait anxiety tend to interpret ambiguous information as threatening. The purpose of this study was to investigate whether interpretive biases would also occur in body dysmorphic disorder (BDD), which is characterized by a preoccupation with imagined defects in one's appearance. We tested whether BDD participants, compared with obsessive-compulsive disorder participants and healthy controls, would choose threatening interpretations for ambiguous body-related, ambiguous social, and general scenarios. As we hypothesized, BDD participants exhibited a negative interpretive bias for body-related scenarios and for social scenarios, whereas the other groups did not. Moreover, both clinical groups exhibited a negative interpretive bias for general scenarios.

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Corresponding author

Please direct all correspondence to: Sabine Wilhelm, PhD, Massachusetts General Hospital-East, OCD Clinic / Department of Psychiatry, Building 149, 13th Street, Charlestown, MA 02129. Tel: 617-724-6146, Fax: 617-726-4078, E-mail: wilhelm@psych.mgh.harvard.edu.

References

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1.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th edition. Washington, DC: American Psychiatric Association Press; 1994.
2.Rich, N, Rosen, JC, Orosan, T, Reiter, J. Prevalence of body dysmorphic disorder in nonclinical populations. Annual Convention of the Association for Advancement of Behavior Therapy: Boston, Mass; 1992.
3.Hollander, E, Neville, D, Frenkel, M, Josephson, S, Liebowitz, MR. Body dysmorphic disorder. Diagnostic issues and related disorders. Psychosomatics. 1992;33:156165.
4.Neziroglu, F, Anderson, M, Yaryura-Tobias, JA. An in-depth review of obsessive-compulsive disorder, body dysmorphic disorder, hypochondriasis, and trichotillomania: therapeutic issues and current research. Crisis Interv. 1999;5:5994.
5.Phillips, KA, Atala, KD, Albertini, RS. Case study: Body dysmorphic disorder in adolescents. J Am Acad Child Psychiatry. 1995;34:12161220.
6.McNally, RJ. Cognitive bias in the anxiety disorders. Nebr Symp Motiv. 1996;43:211250.
7.Williams, JMG, Watts, FN, MacLeod, C, Mathews, A. Cognitive Psychology and Emotional Disorders. Chichester, England: John Wiley & Sons; 1997.
8.Buhlmann, U, McNally, RJ, Wilhelm, S, Florin, I. Selective processing of emotional information in body dysmorphic disorder. J Anxiety Disord. In press.
9.Hope, DA, Rapee, RM, Heimberg, RG, Dombeck, MJ. Representations of the self in social phobia: vulnerability to social threat. Cognitive Ther Res. 1990;14:177189.
10.Amin, N, Foa, EB, Coles, ME. Negative interpretation bias in social phobia. Behav Res Ther. 1998;36:945957.
11.Constans, JI, Penn, DL, Ihen, GH, Hope, DA. Interpretive biases for ambiguous stimuli in social anxiety. Behav Res Ther. 1999;37:643651.
12.McNally, RJ, Foa, EB. Cognition and agoraphobia: bias in the interpretation of threat. Cognitive Ther Res. 1987;11:567581.
13.First, MB, Spitzer, RL, Gibbon, M, et al.Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition. New York, NY: Biometrics Research Department, New York Psychiatric Institute; 1995.
14.Beck, AT, Steer, RA. Beck Depression Inventory Manual. San Antonio, Tex: The Psychological Corporation; 1987.
15.Phillips, KA, Hollander, E, Rasmussen, SA, Aronowitz, BR, Decaria, C, Goodman, WK. A severity rating scale for body dysmorphic disorder: development, reliability and validity of a modified version of the Yale-Brown Obsessive-Compulsive Scale. Psychopharmacol Bull. 1997;33:1722.
16.Watson, D, Friend, R. Measurement of social-evaluative anxiety. J Consult Clin Psychol. 1969;33:448457.
17.Zachary, RA. Shipley Institute of Living Scale: Revised Manual. Los Angeles, Calif: Western Psychological Services; 1991.
18.Goodman, WK, Price, LH, Rasmussen, SA, et al.The Yale-Brown Obsessive-Compulsive Scale. II. Validity. Arch Gen Psychiatry. 1989;46:10121016.
19.Wechsler, D. Manual for the Wechsler Adult Intelligence Scale-Revised. New York, NY: The Psychological Corporation; 1981.
20.Butler, G, Mathews, A. Cognitive processes in anxiety. Adv Behav Res Ther. 1983;5:5162.
21.Phillips, KA, McElroy, SL, Keck, PE, Pope, HG, Hudson, JI. Body dysmorphic disorder: 30 cases of imagined ugliness. Am J Psychiatry. 1993;150:302308.
22.Phillips, KA, McElroy, SL, Hudson, JI, Pope, HG Jr.Body dysmorphic disorder: an obsessive compulsive spectrum disorder, a form of affective spectrum disorder, or both? J Clin Psychiatry. 1995;56:4151.
23.Eisen, JL, Phillips, KA, Rasmussen, SA. Delusionality in obsessive-compulsive disorder, body dysmorphic disorder, and mood disorders. Syllabus and Proceedings Summary, American Psychiatric Association, 149th Annual Meeting. New York, NY: American Psychiatric Association, 1996: 165.
24.Wilhelm, S, Neziroglu, F. Cognitive Theory of body dysmorphic disorder. In: Frost, RO, Steketee, G, eds. Cognitive Approaches to Obsessions and Compulsions: Theory, Assessment and Treatment. Oxford, England: Elsevier Press. In press.

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