Physical Self-Perception, Body Dysmorphic Disorder, and Smoking Behavior

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Objective: To examine the relationship of physical self-perceptions, body dysmorphic disorder (BDD), and smoking status among college-age women.

Methods: A cross-sectional study design was selected to study women (n= 364) who completed a 79-item questionnaire that measured physical self-perceptions and BDD.

Results: BDD items, including fear of weight gain, social avoidance and comparison, along with perceptions of physical health and medical use, predicted smoking behavior.

Conclusions: Negative perceptions of physical health and 3 diagnostic components associated with BDD may moderate smoking cessation attempts and maintain smoking behavior among collegeage women.