Gender-related differences in body dysmorphic disorder (dysmorphophobia)
Gender-related differences in body dysmorphic disorder (dysmorphophobia)
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DOI：
10.1097/00005053-199709000-00007
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发表时间：
1997-09-01
影响因子：
1.9
通讯作者：
Cassano, GB
中科院分区：
文献类型：
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作者：
Perugi, G;Akiskal, HS;Cassano, GB
躯体变形障碍(BDD)是近十年来才被系统研究的一种疾病，它是由身体不同部位的缺陷构成的病理性关注。我们假设性别会不同地影响职业的定位，以及与其他精神障碍共病的程度和类型。使用专门设计的半结构访谈，我们评估了连续58名患有DSM-III-R BDD的门诊患者(女性=41.4%，男性=58.6%)。女性明显更关注胸部和腿部、照镜子和伪装，以及与恐慌、广泛性焦虑和暴食症的终生共病。男性对生殖器、身高、体毛过多以及与双相情感障碍的终生共病的关注程度明显更高。虽然BDD几乎没有发现没有共病，但它确实似乎是一种自主综合征，性别倾向于影响这种共病的性质和程度。
Body Dysmorphic Disorder (BDD), which consists of pathological preoccupations with defects in different body parts, has been systematically studied only in the last decade. We hypothesized that gender would differentially influence the localization of the preoccupations as well as the extent and type of comorbidity with other psychiatric disorders. With the use of a specially constructed semistructured interview, we evaluated 58 consecutive outpatients with DSM-III-R BDD (women = 41.4%, men = 58.6%). Women had significantly more preoccupations with breast and legs, checking in the mirror and camouflaging, as well as lifetime comorbidity with panic, generalized anxiety, and bulimia. Men had significantly higher preoccupations with genitals, height, excessive body hair, as well as higher lifetime comorbidity with bipolar disorder. Although BDD is almost never found without comorbidity, it does appear to be an autonomous syndrome, and gender tends to influence the nature and extent of this comorbidity.