Occupational functioning and impairment in adults with body dysmorphic disorder
Occupational functioning and impairment in adults with body dysmorphic disorder
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DOI：
10.1016/j.comppsych.2008.04.003
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发表时间：
2008-11-01
影响因子：
7.3
通讯作者：
Phillips, Katharine A.
中科院分区：
文献类型：
--
作者：
Didie, Elizabeth R.;Menard, William;Phillips, Katharine A.
目的：躯体变形障碍(BDD)相对常见，似乎与明显的心理社会功能障碍有关。然而，以前的报告没有详细调查职业功能，没有在没有寻求治疗的样本中使用标准化测量来评估特定的职业功能损害，也没有检查职业损害的相关性。方法：对141名患有BDD的成年人进行职业功能和其他临床变量的评估。测量包括Toot功能受损范围和其他可靠有效的自我报告和面试官管理的测量。结果：不到一半的受试者全职工作，22.7%的受试者领取伤残津贴。39%的样本报告说，在过去的一个月里，他们因为精神病态而没有工作。在过去一个月工作的受试者中，79.7%的受试者报告由于精神病理导致工作功能受损。患有BDD的成年人因精神病理而不工作，在大多数人口统计学变量、BDD信念的妄想性和BDD的持续时间方面与工作的受试者相似。然而，与过去一个月工作的受试者相比，那些目前没有工作的人，因为精神病理学，有更严重的BDD和更多的慢性BDD。他们也更有可能是男性，受教育程度较低，有更严重的抑郁症状，某些共病障碍的发生率更高，当前社会功能和生活质量更差，终生自杀率更高，更有可能曾住过精神病院。结论：BDD患者中有很高比例的人因精神病理而无法工作；大多数工作过的人报告职业功能受损。某些临床变量，包括更严重和慢性的BDD，与不起作用有关。(C)2008 Elsevier Inc.保留所有权利。
Objective: Body dysmorphic disorder (BDD) is relatively common and appears to be associated with marked impairment in psychosocial functioning. Previous reports, however, did not investigate Occupational functioning in detail, assess impairment specifically in occupational functioning using standardized measures in a nontreatment seeking sample, or examine correlates of occupational impairment.Methods: Occupational functioning and other clinical variables were assessed in 141 adults With BDD. Measures included the Range of Impaired Functioning Toot and other reliable and valid self-report and interviewer-administered measures.Results: Fewer than half of subjects were working full-time, and 22.7% were receiving disability pay. Thirty-nine percent of the sample reported not working in the past month because of psychopathology. Of those subjects who worked in the past month, 79.7% reported impairment in work functioning because of psychopathology. Adults with BDD who were not working because of psychopathology were comparable to subjects who were working in most demographic variables, delusionality of BDD beliefs, and duration of BDD. However, compared to subjects who worked in the past month, those not currently working, because of psychopathology had more severe BDD and more chronic BDD. They also were more likely to be male, had less education, and had more severe depressive symptoms, a higher rate of certain comorbid disorders, poorer Current social functioning and quality of life, a higher rate of lifetime Suicidality, and were niore likely to have been psychiatrically hospitalized.Conclusions: A high proportion of individuals with BDD were unable to work because of psychopathology; most who worked reported impairment in occupational functioning. Certain clinical variables, including more severe and chronic BDD, were associated with not working. (C) 2008 Elsevier Inc. All rights reserved.