Insight in obsessive compulsive disorder and body dysmorphic disorder
Insight in obsessive compulsive disorder and body dysmorphic disorder
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DOI：
10.1016/j.comppsych.2003.09.010
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发表时间：
2004-01-01
影响因子：
7.3
通讯作者：
Rasmussen, SA
中科院分区：
文献类型：
--
作者：
Eisen, JL;Phillips, KA;Rasmussen, SA
强迫症（OCD）和躯体畸形恐惧症（BDD）在临床表现、合并症发生率、治疗反应特征和其他特征方面有相似之处。这是第一个比较强迫症和BDD的洞察力的研究，测量全球洞察力和洞察力的许多组成部分。我们使用一种可靠有效的测量方法（布朗信念评估量表[BABS]）比较了64名患有DSM-IV强迫症的成人门诊患者和85名患有DSM-IV BDD的成人门诊患者的自知力。BDD患者的整体洞察力显著低于OCD患者。BDD患者在以下洞察力组成部分上的洞察力也显着较差：信念是准确的信念，对他人观点的看法，对不同观点的解释，认为信念是错误的意愿，以及认识到信念具有精神/心理原因。只有在BDD组中，患者的自知力与更严重的障碍症状显着正相关。(C)2004年爱思唯尔公司All rights reserved.
Similarities between obsessive-compulsive disorder (OCD) and body dysmorphic disorder (BDD) have been described in terms of clinical presentation, comorbidity rates, treatment response profiles, and other features. This is the first study to compare insight in OCD and BDD measuring global insight and numerous components of insight. We compared insight in 64 adult outpatients with DSM-IV OCD and 85 adult outpatients with DSM-IV BDD using a reliable and valid measure (the Brown Assessment of Beliefs Scale [BABS]). BDD patients had significantly poorer global insight than OCD patients. BDD patients also had significantly poorer insight on the following components of insight: conviction that the belief is accurate, perception of other's views of the belief, explanation for differing views, willingness to consider that the belief is wrong, and recognition that the belief has a psychiatric/psychological cause. Poorer insight was significantly positively correlated with more severe symptoms of the disorder only in the BDD group. (C) 2004 Elsevier Inc. All rights reserved.