Brief Description
The Body Dysmorphic Symptoms Scale (BDSS), updated and validated by Ramos and colleagues (2016), is a self-report tool consisting of 10 items. It evaluates key features of body dysmorphic disorder through questions such as “Are you seriously concerned that part of your body is not esthetically pleasing?” and “Do you try to hide the part of your body that concerns you by using makeup, clothing or other resources?” Each question is answered “Yes” (1) or “No” (0), with higher scores indicating greater prevalence of concerns related to body image and body dysmorphia. Notably, this measure has been used as a screening tool in populations seeking cosmetic surgery.
Assessment Administration Type
Self-report
Number of questions
10
Age Range for Administration
18+
Recommended Frequency of Administration
It is typically used as a screening tool.
Summary of Scoring and Interpretations
Each item is answered with a "yes" or "no," and the total score is calculated by summing all positive responses. Higher scores suggest the presence of psychopathological factors linked to body image dissatisfaction and symptoms of body dysmorphic disorder.
Based on the findings of Ramos and colleagues (2016), a cut-off score of 6 and above is recommended. Scores of 6 are associated with dissatisfaction with body image and symptoms of body dysmorphic disorder.
Blueprint Adjustments
N/A
Clinical Considerations
It is a screening tool rather than a diagnostic instrument, so clinical judgment is essential to confirm a diagnosis.
It is ideal for quick evaluations where time or resources are limited, allowing for efficient identification of individuals who may require further assessment.
Clinicians should contextualize the scores within the patient’s broader mental health, life circumstances, and cultural influences on body image.
Certain items on the scale, such as those related to suicidal ideation (item 10) or aggressive behaviors (item 9), highlight potential safety concerns. Use clinical judgment and conduct further assessment if a respondent indicates suicidality or aggression.
Citation
Relevant Articles + Further Resources
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