“Mirror, mirror, on the wall, without you, I will fall”: investigation into body dysmorphic disorder from an attachment perspective - Summary - MDSpire

“Mirror, mirror, on the wall, without you, I will fall”: investigation into body dysmorphic disorder from an attachment perspective

  • By

  • Liang Zhang

  • Xinze Liu

  • Yichao Lv

  • Xinyuan Zou

  • Yanqiang Tao

  • Xiangping Liu

  • Shujian Wang

  • July 3, 2026

  • 0 min

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Objective:

To investigate the relationship between attachment styles and body dysmorphic disorder (BDD) symptoms, with appearance-based rejection sensitivity (ARS) as a mediating factor and gender as a moderator.

Approach:
  • Participants: 815 young adults completed questionnaires including the Revised Adult Attachment Scale (RAAS), Appearance-Based Rejection Sensitivity Scale (ARSS), and Scale of Body Image (SBI).
Key Findings:
  • A positive association was found between attachment anxiety and BDD symptoms.
  • Appearance-based rejection sensitivity (ARS) mediated the relationship between attachment anxiety and BDD symptoms.
  • Gender differences moderated the relationship between ARS and BDD symptoms.
Interpretation:

Conclusion:

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