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2 results

  • Chapter 130 - Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS)

  • Edited by Virginia Ramseyer Winter, University of Minnesota, Tracy L. Tylka, Ohio State University, Antoinette M. Landor, University of Missouri
  • Book:
    Handbook of Body Image-Related Measures
    Print publication:
    20 November 2025, pp 385-387

  • Summary

    The 12-item Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS; Phillips et al., 1997) is a widely used, semi-structured, clinician or rater-administered measure of a person’s current severity of body dysmorphic disorder (BDD). To emphasize, the BDD-YBOCS is a severity measure and not a screening or diagnostic measure of BDD, and it should be used only in individuals who have already been diagnosed with BDD. The BDD-YBOCS has been the primary outcome measure in most treatment studies of BDD and is also used in clinical settings. It can be administered online or in-person to children, adolescents, and adults and is free to use, although a fee may be charged for more than a certain number of free uses. This chapter first discusses the development of the BDD-YBOCS and then provides evidence of its psychometrics. It has three factors: a core symptoms factor (BDD diagnostic criteria), a resistance-control factor (for thoughts/preoccupation), and a repetitive behaviors factor. Internal consistency, interrater reliability, test-retest reliability, convergent validity, and discriminant validity support the use of the BDD-YBOCS. It is sensitive to change as a result of clinical intervention. This chapter directs readers for how to obtain the full list of items. Logistics of use, such as permissions, copyright, and contact information, are provided for readers.

  • Burnout among physicians in palliative care: Impact of clinical settings

  • Soazic Dréano-Hartz, Wadih Rhondali, Mathilde Ledoux, Murielle Ruer, Julien Berthiller, Anne-Marie Schott, Léa Monsarrat, Marilène Filbet
  • Journal:
    Palliative & Supportive Care / Volume 14 / Issue 4 / August 2016
    Published online by Cambridge University Press:
    14 October 2015, pp. 402-410
  • Objective:

    Burnout syndrome is a work-related professional distress. Palliative care physicians often have to deal with complex end-of-life situations and are at risk of presenting with burnout syndrome, which has been little studied in this population. Our study aims to identify the impact of clinical settings (in a palliative care unit (PCU) or on a palliative care mobile team (PCMT)) on palliative care physicians.

    Method:

    We undertook a cross-sectional study using a questionnaire that included the Maslach Burnout Inventory (MBI), and we gathered sociodemographic and professional data. The questionnaire was sent to all 590 physicians working in palliative care in France between July of 2012 and February of 2013.

    Results:

    The response rate was 61, 8% after three reminders. Some 27 (9%) participants showed high emotional exhaustion, 12 (4%) suffered from a high degree of depersonalization, and 71 (18%) had feelings of low personal accomplishment. Physicians working on a PCMT tended (p = 0.051) to be more likely to suffer from emotional exhaustion than their colleagues. Physicians working on a PCMT worked on smaller teams (fewer physicians, p < 0.001; fewer nonphysicians, p < 0.001). They spent less time doing research (p = 0.019), had fewer resources (p = 0.004), and their expertise seemed to be underrecognized by their colleagues (p = 0.023).

    Significance of Results:

    The prevalence of burnout in palliative care physicians was low and in fact lower than that reported in other populations (e.g., oncologists). Working on a palliative care mobile team can be a more risky situation, associated with a lack of medical and paramedical staff.