Recognizing and treating body dysmorphic disorder.
Recognizing and treating body dysmorphic disorder.
复制标题
识别和治疗身体变形障碍。
DOI：
10.1080/10401230500295313
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Phillips,KatharineA
中科院分区：
文献类型：
--
作者：
Grant,JonE;Phillips,KatharineA
BackgroundBody dysmorphic disorder (BDD) is a relatively common and often-disabling obsessive compulsive spectrum disorder that often goes unrecognized in clinical practice.MethodsThe present review examines the clinical features of BDD, its relationship to other disorders, and what is known about effective treatment.ResultsBDD consists of a distressing and impairing preoccupation with imagined or slight defects in appearance that can focus on any body area. Insight is usually poor or absent; nearly half of patients are delusional. Typical associated behaviors include skin picking, mirror checking, excessive grooming, and camouflaging. It appears that higher doses of serotonin reuptake inhibitors and longer treatment trials than those used for many other psychiatric disorders, including depression, are often needed to effectively treat BDD. Cognitive-behavioral therapy also appears efficacious and is currently considered the psychotherapy of choice for BDD. Core techniques are cognitive restructuring, behavioral experiments, response (ritual) prevention, and exposure.ConclusionsFurther research is needed to minimize the underrecognition of BDD and to improve proper treatment. Because of the high rates of comorbidity in patients with BDD, treatment studies need to include subjects with co-occurring disorders and thereby attempt to understand how these other disorders affect treatment response. Finally, more research needs to address the pathophysiology of BDD (for example, by incorporating imaging and genetics).
