An Under-Researched Phenomenon: Self-Perception of Being Underweight/Thin with Experiencing Distress and Stigma

Abstract

Objective: This study investigates the under-researched phenomenon of individuals who seek psychiatric help because they perceive themselves as underweight and experience distress related to this perception. This contrasts with well-known body image disorders and may be influenced by distinct sociocultural factors.

Methods: A retrospective chart review was conducted on

Objective: This study investigates the under-researched phenomenon of individuals who seek psychiatric help because they perceive themselves as underweight and experience distress related to this perception. This contrasts with well-known body image disorders and may be influenced by distinct sociocultural factors. Methods: A retrospective chart review was conducted on 37 patients, presenting with complaints of being underweight/thin, and requesting appetite stimulants at a Turkish outpatient psychiatric clinic. Data were collected on sociodemographic factors and clinical features. Results: The sample consisted primarily of women (94.6%) from rural backgrounds with low income and education levels. The mean BMI was 21.93±3.25, falling within the normal weight range. A significant proportion reported feeling unhealthy and unattractive due to their perceived thinness, and many experienced negative social feedbacks. BMI was positively correlated with age, negatively correlated with negative body image evaluation and self-esteem. Conclusion: This study highlights the existence of a distinct group of individuals, predominantly women from rural, low-income, and low-education backgrounds in Turkey, who experience distress related to perceived thinness, despite having BMIs within the normal range. The findings underscore the importance of considering sociocultural factors when assessing and treating body image concerns, as these factors may shape perceptions of ideal body weight and contribute to distress.