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Body Dysmorphic Disorder in Adolescents: Family History, Parental Distress, Rearing, and Accommodation.

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Title: Body Dysmorphic Disorder in Adolescents: Family History, Parental Distress, Rearing, and Accommodation.
Authors: Lavell, Cassie H. (AUTHOR), Oar, Ella L. (AUTHOR), Rapee, Ronald M. (AUTHOR)
Source: Journal of Clinical Child & Adolescent Psychology. May/Jun2026, Vol. 55 Issue 3, p487-501. 15p.
Subjects: Body dysmorphic disorder, Parenting, Body image, Teenagers, Family history (Medicine), Psychological adaptation, Psychological stress, Home environment
Abstract: Objective: The family environment of adolescents with body dysmorphic disorder (BDD) is under researched. The current study aimed to investigate family psychiatric history, as well as parental distress, rearing practices, accommodation of appearance concerns, and appearance messages in a clinical sample of adolescents with BDD. Method: Twenty-six adolescents (12–17 years) with BDD were compared to 27 adolescents with anxiety disorders and 25 adolescents without mental disorders. Adolescents and their primary caregivers completed self-report measures and participated in a discussion task that was independently coded for parental rearing styles. Results: Parents of adolescents with BDD reported experiencing significantly more emotional distress than parents in the non-clinical group (p =.003, d = 1.02). The majority (92%) of parents in the BDD group reported accommodating their child's appearance concerns and reported performing significantly more frequent appearance accommodations than parents of anxious adolescents (p <.001, d = 1.40) and the non-clinical group (p <.001, d = 1.83). An independent observer rated parents of adolescents with BDD (p =.002, d = 1.19) and anxiety disorders (p =.008, d = 0.87) as more critical than parents in the non-clinical group during a body-image related discussion, but parents of adolescents with BDD were not rated as more critical in other discussion scenarios. There were no significant differences in parental warmth, overprotection, or appearance messages between parents in the BDD group and comparison groups. Conclusions: Results of the study can inform cognitive–behavioral models of adolescent BDD as well as family-based treatment approaches. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
  Group: Ti
  Data: Body Dysmorphic Disorder in Adolescents: Family History, Parental Distress, Rearing, and Accommodation.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lavell%2C+Cassie+H%2E%22&quot;&gt;Lavell, Cassie H.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Oar%2C+Ella+L%2E%22&quot;&gt;Oar, Ella L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rapee%2C+Ronald+M%2E%22&quot;&gt;Rapee, Ronald M.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22&quot;&gt;Journal of Clinical Child &amp; Adolescent Psychology&lt;/searchLink&gt;. May/Jun2026, Vol. 55 Issue 3, p487-501. 15p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Body+dysmorphic+disorder%22&quot;&gt;Body dysmorphic disorder&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Parenting%22&quot;&gt;Parenting&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Body+image%22&quot;&gt;Body image&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Teenagers%22&quot;&gt;Teenagers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Family+history+%28Medicine%29%22&quot;&gt;Family history (Medicine)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+adaptation%22&quot;&gt;Psychological adaptation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+stress%22&quot;&gt;Psychological stress&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Home+environment%22&quot;&gt;Home environment&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: The family environment of adolescents with body dysmorphic disorder (BDD) is under researched. The current study aimed to investigate family psychiatric history, as well as parental distress, rearing practices, accommodation of appearance concerns, and appearance messages in a clinical sample of adolescents with BDD. Method: Twenty-six adolescents (12–17 years) with BDD were compared to 27 adolescents with anxiety disorders and 25 adolescents without mental disorders. Adolescents and their primary caregivers completed self-report measures and participated in a discussion task that was independently coded for parental rearing styles. Results: Parents of adolescents with BDD reported experiencing significantly more emotional distress than parents in the non-clinical group (p =.003, d = 1.02). The majority (92%) of parents in the BDD group reported accommodating their child&#39;s appearance concerns and reported performing significantly more frequent appearance accommodations than parents of anxious adolescents (p &lt;.001, d = 1.40) and the non-clinical group (p &lt;.001, d = 1.83). An independent observer rated parents of adolescents with BDD (p =.002, d = 1.19) and anxiety disorders (p =.008, d = 0.87) as more critical than parents in the non-clinical group during a body-image related discussion, but parents of adolescents with BDD were not rated as more critical in other discussion scenarios. There were no significant differences in parental warmth, overprotection, or appearance messages between parents in the BDD group and comparison groups. Conclusions: Results of the study can inform cognitive–behavioral models of adolescent BDD as well as family-based treatment approaches. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Journal of Clinical Child &amp; Adolescent Psychology is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193690003
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/15374416.2025.2476189
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 487
    Subjects:
      – SubjectFull: Body dysmorphic disorder
        Type: general
      – SubjectFull: Parenting
        Type: general
      – SubjectFull: Body image
        Type: general
      – SubjectFull: Teenagers
        Type: general
      – SubjectFull: Family history (Medicine)
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Home environment
        Type: general
    Titles:
      – TitleFull: Body Dysmorphic Disorder in Adolescents: Family History, Parental Distress, Rearing, and Accommodation.
        Type: main
  BibRelationships:
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      – PersonEntity:
          Name:
            NameFull: Lavell, Cassie H.
      – PersonEntity:
          Name:
            NameFull: Oar, Ella L.
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          Name:
            NameFull: Rapee, Ronald M.
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            – D: 01
              M: 05
              Text: May/Jun2026
              Type: published
              Y: 2026
          Identifiers:
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              Value: 15374416
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              Value: 55
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              Value: 3
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            – TitleFull: Journal of Clinical Child & Adolescent Psychology
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