Body dysmorphic disorder in patients with anorexia nervosa: Prevalence, clinical features, and delusionality of body image
Body dysmorphic disorder in patients with anorexia nervosa: Prevalence, clinical features, and delusionality of body image
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DOI：
10.1002/eat.10091
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发表时间：
2002-11-01
影响因子：
5.5
通讯作者：
Eckert, ED
中科院分区：
文献类型：
--
作者：
Grant, JE;Kim, SW;Eckert, ED
目的：神经性厌食症患者躯体畸形恐惧症的患病率尚不清楚。我们假设，在神经性厌食症患者中，身体畸形恐惧症的诊断不足，而与身体畸形恐惧症共病将导致更大的整体功能障碍。方法：41例神经性厌食症患者完成了躯体畸形障碍问卷调查，这是一种自我报告的躯体畸形障碍筛查。使用一个可靠的临床医生管理的半结构化诊断工具DSM-IV身体畸形障碍进行随访。使用一个有效的半结构化面试的外观进行了评估。通过详细的诊断访谈获得共病DSM-IV诊断、住院和自杀企图的数量。结果：41例神经性厌食症患者中有16例（39%）被诊断为与体重问题无关的共病身体畸形障碍。伴有躯体畸形恐惧障碍的神经性厌食症患者的总体功能显著低于不伴有躯体畸形恐惧障碍的神经性厌食症患者，妄想水平显著高于不伴有躯体畸形恐惧障碍的神经性厌食症患者。讨论：这些初步结果表明，身体畸形障碍可能是相对常见的神经性厌食症患者。存在共病的身体变形障碍可能表明一种更严重的疾病。(C)出版社：Wiley Periodicals，Inc.
Objective: The prevalence of body dysmorphic disorder in patients with anorexia nervosa is unknown. We hypothesized that body dysmorphic disorder would be underdiagnosed in patients with anorexia nervosa and that comorbidity with body dysmorphic disorder would result in greater overall dysfunction. Method: Forty-one patients with DSM-IV anorexia nervosa completed the Body Dysmorphic Disorder Questionnaire, a self-report screen for body dysmorphic disorder. A follow-up interview was conducted using a reliable clinician-administered semistructured diagnostic instrument for DSM-IV body dysmorphic disorder. Delusionality about appearance was assessed using a validated semistructured interview. Comorbid DSM-IV diagnoses, number of hospitalizations and suicide attempts were obtained by means of a detailed diagnostic interview. Results: Sixteen (39%) of the 41 patients with anorexia nervosa were diagnosed with comorbid body dysmorphic disorder unrelated to weight concerns. The anorexia nervosa patients with body dysmorphic disorder had significantly lower overall functioning and higher levels of delusionality than the anorexic patients without body dysmorphic disorder. Discussion: These preliminary results suggest that body dysmorphic disorder may be relatively common among patients with anorexia nervosa. The presence of comorbid body dysmorphic disorder may indicate a more severe form of illness. (C) 2002 by Wiley Periodicals, Inc.