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Motives for Illicit Drug Use Among Individuals With Body Dysmorphic Disorder

HOUCHINS, JOSEPH R. MA; KELLY, MEGAN M. PhD; PHILLIPS, KATHARINE A. MD

Journal of Psychiatric Practice: November 2019 - Volume 25 - Issue 6 - p 427–436
doi: 10.1097/PRA.0000000000000428
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Drug use disorders (DUDs) are highly prevalent in body dysmorphic disorder (BDD), but motives for illicit drug use in BDD have not yet been explored. This study examined motives for drug use and clinical correlates of drug use motives in a sample of individuals with BDD and lifetime drug use, using the Drug Use Motives Questionnaire and 3 additional body image–specific drug use motives. As predicted, the Drug Use Motives Questionnaire coping motive was positively associated with attempted suicide and a lifetime DUD. All 3 body image–specific motives for drug use were also significantly associated with a lifetime DUD. In addition, they were the only variables that were significantly associated with greater severity of BDD. These results build on previous evidence suggesting that coping motives are related to problematic substance use and suicide attempts in BDD.

HOUCHINS: Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA

KELLY: Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA; Alpert Medical School of Brown University, Providence, RI; and University of Massachusetts Medical School, Worcester, MA

PHILLIPS: Alpert Medical School of Brown University, Providence, RI; and Weill Cornell Medicine of Cornell University, New York, NY

Supported by grants R01-MH60241 and K24-MH063975 from the National Institute of Mental Health to K.A.P.

K.A.P. discloses that she receives funding from Oxford University Press/International Creative Management Inc. (book royalties), UpToDate/Wolters Kluwer (writing royalties), Guilford Press (book royalties), Merck Manual (writing honorarium), and the New York Times (writing honorarium). The remaining authors declare no conflicts of interest.

Please send correspondence to: Megan M. Kelly, PhD, Edith Nourse Rogers Memorial Veterans Hospital, 200 Springs Road, Bedford, MA 01730 (e-mail: megan.kelly1@va.gov).

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.