Fear of being rejected because of one's appearance as well as rejection sensitivity to general situations are high in those suffering from Body Dysmorphic Disorder, a new study has revealed. These fears, referred to as personal rejection sensitivity and appearance-based rejection sensitivity, can lead to diminished quality of life and poorer mental and overall health. BDD is a common, often severe, and under-recognized body image disorder that affects an estimated 1.7 to 2.4 percent of the population. The study is published in the current issue of the journal Body Image.
"People with BDD obsess about physical features or attributes that they believe are ugly or hideous, often spending hours looking in the mirror and taking extraordinary measures to try to correct imperfections that only they can see," said Katharine Phillips, M.D., director of the Body Dysmorphic Disorder program at Rhode Island Hospital, and senior author of the study. "So they are particularly sensitive to what they believe is rejection from others based on these or other perceived flaws."
She continued, "This study suggests that those with BDD experience an increased expectation of personal rejection, often to the detriment of their overall health and quality of life."
"Generally speaking, no one enjoys being rejected or feeling embarrassed," Phillips said. "But for people with BDD, feelings of being rejected by others are exacerbated, sometimes to the point where individuals are debilitated by these concerns, even if the rejection was simply perceived, not real."
BDD typically starts during early adolescence. The disorder consists of intrusive, time-consuming preoccupations about perceived defects in one's physical appearance (for example, acne, hair loss, or nose size) whereas the perceived flaws are actually minimal or even nonexistent in the eyes of others. Individuals with BDD may engage in obsessive grooming, skin picking or plastic surgery (which appears to usually be ineffective). BDD also often leads to social impairments, missed work or school and difficulty forming and maintaining meaningful relationships. It is associated with high lifetime rates of psychiatric hospitalization and suicide.
"More research is needed to help patients and their families better understand BDD and associated rejection sensitivity. Studies are also needed to help clinicians determine the best treatment to help patients who are suffering with BDD lead lives that are as productive and satisfying as possible," Phillips said.