Body dysmorphic disorder (BDD) is a common disorder associated with substantial comorbidity, impairment, and poor quality of life. Research on subcultural variations of BDD is limited but may impact assessment and treatment of the disorder. The current study examined clinical features in a sample of sexual minority (SM; = 43) and heterosexual (n = 155) women with diagnosed BDD. Participants completed self-report and clinician-administered measures of demographic and clinical characteristics. Results indicated largely similar clinical features across groups with some exceptions: compared to non-SM women, SM women were younger ( = 25.50 vs 31.96 years, < .001), had better BDD-related insight ( = 14.51 vs 16.26, = .01), endorsed a greater number of disliked body parts, and were more likely to express preoccupation with body build (OR = 4.6, 95% CI [2.0, 10.9]), chin/jaw (OR = 4.7, 95% CI [2.1, 10.3]), and shoulders (OR = 10.1, 95% CI [2.7, 37.9]), possibly reflecting nuanced beauty ideals within the SM community. There were no significant group differences in other body parts of concern, BDD severity, or depression. Future studies are needed in larger, more inclusive samples to explore the relationship between diverse identities on BDD and its associated features.

中文翻译：

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性少数和异性恋女性身体畸形障碍的临床特征

身体变形障碍（BDD）是一种常见疾病，与严重的合并症、损伤和生活质量差相关。对 BDD 亚文化变异的研究有限，但可能会影响对该疾病的评估和治疗。当前的研究检查了被诊断为 BDD 的性少数 (SM; = 43) 和异性恋 (n = 155) 女性样本的临床特征。参与者完成了自我报告和临床医生管理的人口和临床特征测量。结果表明，各组之间的临床特征基本相似，但有一些例外：与非 SM 女性相比，SM 女性更年轻（= 25.50 vs 31.96 岁，< .001），具有更好的 BDD 相关洞察力（= 14.51 vs 16.26，= .01） ），赞同更多不喜欢的身体部位，并且更有可能表达对体型的担忧（OR = 4.6，95% CI [2.0，10.9]）、下巴/下巴（OR = 4.7，95% CI [2.1， 10.3]）和肩膀（OR = 10.1，95% CI [2.7, 37.9]），可能反映了 SM 群体中微妙的美丽理想。在其他身体部位、BDD 严重程度或抑郁方面没有显着的组间差异。未来的研究需要更大、更具包容性的样本来探索 BDD 的不同身份及其相关特征之间的关系。