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Title: The association between perfectionism and Body Dysmorphic Disorder (BDD) : a systematic review
Author: Quinn, Rachel Elizabeth
ISNI:       0000 0004 8499 8989
Awarding Body: King's College London
Current Institution: King's College London (University of London)
Date of Award: 2018
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Perfectionism is a transdiagnostic process associated with a variety of clinical disorders. Although perfectionism has been postulated as being involved in Body Dysmorphic Disorder (BDD), it is unclear whether this association is supported by empirical data and no previous systematic review has attempted to synthesis findings in this field. The aim of the current review was therefore to consolidate published literature that has explored the relationship between perfectionism and BDD. Given the limited literature on BDD patients, this review included studies of the association between perfectionism and appearance-related concerns in analogue samples, unselected samples, and other clinical groups. However, studies that exclusively focussed on body weight/shape concerns pertaining to eating disorders were excluded. Three electronic databases were searched: PsychINFO, PubMed, and Web of Science, returning a total of 1,047 articles, where 41 published articles met the inclusion criteria, utilising 44 independent samples. Only two studies included clinical samples of patients with BDD. The outcome measures used to assess perfectionism and appearance-related concerns were diverse. Nevertheless, 90% of cross-sectional studies reported significant associations between perfectionism and appearance-related concerns. Therefore, in the context of largely cross-sectional data, perfectionism does appear to be reliably associated with appearance-related concerns. The review also demonstrated that Concern over Mistakes (CoM), Doubts about Actions (DaA), Socially-Prescribed Perfectionism (SPP), and maladaptive dimensions of perfectionism were the most consistently related to appearance-related outcomes. These findings need to be considered alongside their limitations. In particular, the vast majority of studies were conducted in unselected student samples, and so it remains unclear whether these findings generalise to patients diagnosed with BDD. Notwithstanding the limitations, the current review highlights the potential role of perfectionism in BDD and the need for further research in this field.
Supervisor: Chadwick, Paul Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available