Background

Body Dysmorphic Disorder (BDD) is an obsessive-compulsive-related disorder causing clinically significant distress or impairment in functioning. The objective of this study was to assess the BDD symptoms and factors associated with BDD symptomatology among undergraduate students.

Methodology

A cross-sectional study was conducted from November 2019 to March 2020 in six different universities (3 private and 3 public) across Bangladesh. A total of 1204 undergraduate students were selected through the multistage sampling technique. The BDD-YBOCS tool was used to assess the BDD symptomatology.

Results

Mild to moderate BDD symptoms was observed among 11.0 % participants, and 1.5 % had severe BDD symptoms. Around 58 % of participants had at least one body defect. Most embarrassments occurred due to acne (12.5 %), followed by thin hair (9.5 %) and scar marks (6.4 %). Males had significantly lower odds of having BDD symptomatology (OR = 0.394; 95%CI = 0.254–0.614) and Participants aged between 20 and 24 years had higher odds (OR = 4.639; 95%CI = 1.024–21.107). Studying in private universities had 1.7 times higher odds in comparison to the public universities (OR = 1.671, 95%CI = 1.052–2.656). Smokers were more prone to have BDD symptomatology than non-smokers (OR = 2.72; 95%CI = 1.571–4.709) and students who had body defects had higher odds (OR = 2.647; CI = 1.723–4.066) of BDD symptomatology.

Conclusion

The study has successfully revealed status and predictors of BDD symptomatology among university students. Further nationwide studies would be conducted to know the overall situation of Bangladesh.

中文翻译：

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孟加拉国大学生身体变形障碍 (BDD) 症状学

背景

身体畸形障碍 (BDD) 是一种与强迫症相关的疾病，会导致临床上显着的痛苦或功能障碍。本研究的目的是评估本科生的 BDD 症状和与 BDD 症状相关的因素。

方法

2019 年 11 月至 2020 年 3 月，在孟加拉国六所不同的大学（三所私立大学和三所公立大学）进行了一项横断面研究。通过多阶段抽样技术共抽取了 1204 名本科生。BDD-YBOCS 工具用于评估 BDD 症状。

结果

在 11.0% 的参与者中观察到轻度到中度的 BDD 症状，1.5% 的参与者有严重的 BDD 症状。大约 58% 的参与者至少有一种身体缺陷。大多数尴尬是由于痤疮 (12.5 %)，其次是头发稀疏 (9.5 %) 和疤痕 (6.4 %)。男性患有 BDD 症状的几率明显较低（OR = 0.394；95%CI = 0.254–0.614），而年龄在 20 至 24 岁之间的参与者的几率更高（OR = 4.639；95%CI = 1.024–21.107）。在私立大学学习的几率是公立大学的 1.7 倍（OR = 1.671，95%CI = 1.052–2.656）。吸烟者比不吸烟者更容易出现 BDD 症状（OR = 2.72；95%CI = 1.571–4.709），而有身体缺陷的学生出现 BDD 症状的几率更高（OR = 2.647；CI = 1.723–4.066）。

结论

该研究成功地揭示了大学生 BDD 症状学的现状和预测因素。将进行进一步的全国性研究，以了解孟加拉国的整体情况。