The prevalence of body dysmorphic disorder in the United States adult population
The prevalence of body dysmorphic disorder in the United States adult population
复制标题
DOI：
10.1017/s1092852900016436
复制
发表时间：
2008-04-01
期刊：
影响因子：
3.3
通讯作者：
Serpe, Richard T.
中科院分区：
文献类型：
--
作者：
Koran, Lorrin M.;Abuiaoude, Elias;Serpe, Richard T.
目的：在临床样本中，躯体变形障碍(BDD)与大量的痛苦和生活质量下降有关。有限的调查报告说，患病率估计值差异很大。为了更好地确定BDD的患病率，我们进行了一项美国全国范围的BDD患病率调查。方法：我们在2004年春夏进行了一次随机抽样的全国家庭电话调查，访问了2513名成年人，其中2048人符合BDD模块管理的条件。由训练有素的非专业访谈者进行的计算机辅助结构化访谈涉及《精神疾病诊断和统计手册》第四版BDD标准，以及关于几种冲动控制障碍的信息以及受访者的财务和人口数据。结果：回应率为56.3%，与联邦国家健康调查的回复率相比，具有良好的优势。合作率为97.6%。与美国成年人口相比，受访者中55岁以上的女性比例更高，而拉美裔美国人的比例更低。DSM-IV BDD在受访者中的估计患病率为2.4%(49/2,048)(按性别划分：女性2.5%，男性2.2%)，超过精神分裂症和双相情感障碍1型的患病率，与广泛性焦虑症的患病率相当。BDD患病率在44岁后下降，BDD受访者中从未结婚的比例更大。在符合DSM-IV诊断BDD标准的患者中，90%(45/49)符合DSM-IV苦恼标准，51%(25/49)符合干扰功能标准。结论：需要使用临床有效访谈来评估这些结果。这类研究可以通过记录从不同来源寻求治疗的比率、自杀未遂比率和合并疾病的流行率来为治疗提供信息。
Objective: In clinical samples, body dysmorphic disorder (BDD) is associated with substantial suffering and reduced quality of life. Limited surveys report widely varying prevalence estimates. To better establish the prevalence of BDD, we conducted a United States nationwide prevalence survey.Method: We conducted a random sample national household telephone survey in the spring and summer of 2004 and interviewed 2,513 adults, of whom 2,048 qualified for the BDD-module administration. The computer-assisted, structured interviews, conducted by trained lay interviewers, addressed Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for BDD, along with information regarding several impulse-control disorders and the respondents' financial and demographic data.Results: The rate of response was 56.3%, which compared favorably with rates in federal national health surveys. The cooperation rate was 97.6%. Respondents included a higher percentage of women and people 55 years of age than in the US adult population, and a lower percentage of Hispanics. The estimated point prevalence of DSM-IV BDD among respondents was 2.4% (49/2,048) (by gender: 2.5% for women, 2.2% for men), exceeding the prevalence of schizophrenia and bipolar disorder type 1 and about that of generalized anxiety disorder. BDD prevalence decreased after 44 years of age, and a larger proportion of BDD respondents were never married. Of those meeting DSM-IV criteria for BDD, 90% (45/49) met the DSM-IV distress criterion, and 51% (25/49) met the interference-with-functioning criterion.Conclusion: A study using clinically valid interviews is needed to evaluate these results. Such studies could inform treatment by documenting rates of seeking treatment from various sources, suicide attempt rates, and the prevalence of comorbid conditions.