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Body-Based Rejection Fears Can Diminish Quality of Life

Body-Based Rejection Fears Can Diminish Quality of Life

A recent study discovered the fear of being rejected because of one’s appearance, and anxiety or worries on being rejected in interpersonal situations, can lead to diminished quality of life and poorer mental and overall health.

These fears, referred to as personal rejection sensitivity and appearance-based rejection sensitivity, were associated with body dysmorphic disorder (BDD), a mental illness in which the affected person is exceptionally concerned with body image, manifested as excessive concern about and preoccupation with a perceived defect of their physical appearance.

BDD is a common, often severe, and under-recognized disorder that affects an estimated 1.7 to 2.4 percent of the population.

“People with BDD obsess about physical features or attributes that they believe are ugly or hideous, often spending hours looking in the mirror and taking extraordinary measures to try to correct imperfections that only they can see,” said Katharine Phillips, M.D., senior author of the study.

“So they are particularly sensitive to what they believe is rejection from others based on these or other perceived flaws.”

She continued, “This study suggests that those with BDD experience an increased expectation of personal rejection, often to the detriment of their overall health and quality of life.”

The study found that personal rejection sensitivity was associated with more severe BDD and depressive symptoms, poorer mental health, general health, and physical and social functioning, while appearance-based rejection sensitivity was associated with more severe BDD and depressive symptoms, and poorer general health.

Personal rejection sensitivity is defined as the tendency by an individual to worry that others will negatively evaluate and reject them. Clinical observations additionally suggest that personal rejection sensitivity is common in persons with BDD.

A more specific type of rejection sensitivity, appearance-based rejection sensitivity, also may be a key characteristic of BDD. Appearance-based rejection sensitivity is defined as anxiety-provoking expectations of social rejection based on physical appearance.

“Generally speaking, no one enjoys being rejected or feeling embarrassed,” Phillips said. “But for people with BDD, feelings of being rejected by others are exacerbated, sometimes to the point where individuals are debilitated by these concerns, even if the rejection was simply perceived, not real.”

BDD typically starts during early adolescence. The disorder consists of intrusive, time-consuming preoccupations about perceived defects in one’s physical appearance (for example, acne, hair loss, or nose size) whereas the perceived flaws are actually minimal or even nonexistent in the eyes of others.

Individuals with BDD may engage in obsessive grooming, skin picking, or plastic surgery (which appears to usually be ineffective).

BDD also often leads to social impairments, missed work or school, and difficulty forming and maintaining meaningful relationships. It is associated with high lifetime rates of psychiatric hospitalization and suicide.

“More research is needed to help patients and their families better understand BDD and associated rejection sensitivity.

“Studies are also needed to help clinicians determine the best treatment to help patients who are suffering with BDD lead lives that are as productive and satisfying as possible,” Phillips said.

The study is published in the current issue of the journal Body Image.

Source: Lifespan

 
Woman questioning what she looks like in a mirror photo by shutterstock.

Body-Based Rejection Fears Can Diminish Quality of Life

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Body-Based Rejection Fears Can Diminish Quality of Life. Psych Central. Retrieved on October 21, 2018, from https://psychcentral.com/news/2014/07/16/body-based-rejection-fears-can-diminish-quality-of-life/72550.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.