Evidence map›Paper›PMID 41783468›Full record

ArticleClinical psychology in Europe2026

The Relationship Between Body Dysmorphic Symptoms, Depressive Symptoms and Suicidality - A Mediation Analysis.

Hannah Vogel, Jens Barenbrügge, Julia Jenisch, Johanna Schulte, Ulrike Buhlmann

Abstract read
In one paragraph

Article in Clinical psychology in Europe, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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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

5 authors.

Hannah Vogel *Department of Psychology and Sports Sciences, University of Münster, Münster, Germany.ORCID https://orcid.org/0009-0008-7056-3294
Jens Barenbrügge *Department of Psychology and Sports Sciences, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-1676-4705
Julia JenischDepartment of Psychology and Sports Sciences, University of Münster, Münster, Germany.
Johanna SchulteDepartment of Psychology and Sports Sciences, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0001-9795-1168
Ulrike BuhlmannDepartment of Psychology and Sports Sciences, University of Münster, Münster, Germany.ORCID https://orcid.org/0000-0003-4997-3236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Body dysmorphic disorder (BDD) is characterized by an excessive preoccupation with perceived appearance flaws, often accompanied by repetitive behaviors such as frequent mirror checking. It is further associated with severe occupational and social impairments, depression, and high levels of suicidality, including suicidal thoughts, suicide attempts and completed suicide. Given the high rates of depression and suicidality found in BDD, this study aimed to examine whether BDD symptoms may also be directly linked to suicidality, independent of depressive symptoms. Method: A mediation analysis was conducted to investigate the relationships between BDD symptoms, depression, and suicidality. Cross-sectional data were collected through an online self-test for BDD, assessing BDD symptoms, depression and suicidality. A total of 1,256 participants (aged 18-71; 72% female) met DSM-5 criteria for BDD (based on self-report). Results: Depressive symptoms partially mediated the relationship between BDD symptoms and suicidality. However, a direct association between BDD symptoms and suicidality was also observed, indicating that suicidality in individuals with BDD is not solely attributable to comorbid depressive symptoms. Conclusion: The findings underscore the need for thorough suicidality assessments in individuals with BDD, regardless of the presence of depressive symptoms. This further highlights the importance of targeted interventions to address suicidality in this population.

Indexed as

body dysmorphic disorderdepressionmediationsuicidality

Identifiers

PMID41783468
PMCPMC12955305

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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.