Evidence map›Paper›PMID 34130638›Full record

SynthesisBMC psychiatry2021

Body dysmorphic disorder and self-esteem: a meta-analysis.

Nora Kuck, Lara Cafitz, Paul-Christian Bürkner, Laura Hoppen, Sabine Wilhelm, Ulrike Buhlmann

Registry-linked trialAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05402475 (Online Cognitive Behavioural Therapy), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05402475 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Online Cognitive Behavioural Therapy (CBT) Intervention for Body Dysmorphic Disorder: Comparison of CBT - Mindfulness to CBT Alone

TypeinterventionalSponsorYork UniversityRan2022 to 2023Enrolled40ConditionsBody Dysmorphic Disorder, Body Image DisturbanceArmsCBT + Mindfulness
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nora KuckDepartment of Psychology and Sport Science, University of Münster, Münster, North Rhine-Westphalia, Germany.
Lara CafitzDepartment of Psychology and Sport Science, University of Münster, Münster, North Rhine-Westphalia, Germany.
Paul-Christian BürknerCluster of Excellence SimTech, University of Stuttgart, Stuttgart, Baden-Württemberg, Germany.
Laura HoppenDepartment of Psychology and Sport Science, University of Münster, Münster, North Rhine-Westphalia, Germany.
Sabine WilhelmDepartment of Psychiatry, Massachusetts General Hospital / Harvard Medical School, Boston, MA, USA.
Ulrike BuhlmannDepartment of Psychology and Sport Science, University of Münster, Münster, North Rhine-Westphalia, Germany. ulrike.buhlmann@wwu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBody dysmorphic disorder (BDD) is associated with low self-esteem. The aim of this meta-analysis was to examine the strength of the cross-sectional relationship between BDD symptom severity and global self-esteem in individuals with BDD, mentally healthy controls, community or student samples, and cosmetic surgery patients. Moreover, the role of depressive symptom severity in this relationship and other moderating factors were investigated.

methodsA keyword-based literature search was performed to identify studies in which BDD symptoms and global self-esteem were assessed. Random effects meta-analysis of Fisher's z-transformed correlations and partial correlations controlling for the influence of depressive symptom severity was conducted. In addition to meta-analysis of the observed effects, we corrected the individual correlations for variance restrictions to address varying ranges of BDD symptom severity across samples.

resultsTwenty-five studies with a total of 6278 participants were included. A moderately negative relationship between BDD symptom severity and global self-esteem was found (r = -.42, CI = [-.48, -.35] for uncorrected correlations, r = -.45, CI = [-.51, -.39] for artifact-corrected correlations). A meta-analysis of partial correlations revealed that depressive symptom severity could partly account for the aforementioned relationship (pr = -.20, CI = [-.25, -.15] for uncorrected partial correlations, pr = -.23, CI = [-.28, -.17] for artifact-corrected partial correlations). The sample type (e.g., individuals with BDD, mentally healthy controls, or community samples) and diagnosis of BDD appeared to moderate the relationship only before artifact correction of effect sizes, whereas all moderators were non-significant in the meta-analysis of artifact-corrected correlations.

conclusionsThe findings demonstrate that low self-esteem is an important hallmark of BDD beyond the influence of depressive symptoms. It appears that negative evaluation in BDD is not limited to appearance but also extends to other domains of the self. Altogether, our findings emphasize the importance of addressing self-esteem and corresponding core beliefs in prevention and treatment of BDD.

Indexed as

Body Dysmorphic DisordersCross-Sectional StudiesHumansSelf ConceptSurveys and QuestionnairesAppearance concernsBody dysmorphic disorderBody imageMeta-analysisSelf-esteem

Identifiers

PMID34130638
PMCPMC8207567

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.