شیوع اختلال بدریخت انگاری در زنان سوئدی: مطالعه مبتنی بر جمعیت
|کد مقاله||سال انتشار||مقاله انگلیسی||ترجمه فارسی||تعداد کلمات|
|35612||2015||8 صفحه PDF||سفارش دهید||5102 کلمه|
Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)
Journal : Comprehensive Psychiatry, Volume 58, April 2015, Pages 108–115
Background Body dysmorphic disorder (BDD) is characterized by a highly distressing and impairing preoccupation with nonexistent or slight defects in appearance. Patients with BDD present to both psychiatric and non-psychiatric physicians. A few studies have assessed BDD prevalence in representative samples of the general population and have demonstrated that this disorder is relatively common. Our primary objective was to assess the prevalence of BDD in the Swedish population because no data are currently available. Methods In the current cross-sectional study, 2891 randomly selected Swedish women aged 18–60 years participated. The occurrence of BDD was assessed using the Body Dysmorphic Disorder Questionnaire (BDDQ), which is a validated self-report measure derived from the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria for BDD. In addition, symptoms of depression and anxiety were measured using the Hospital Anxiety and Depression Scale (HADS). Results The prevalence of BDD among Swedish women was 2.1%. The women with BDD had significantly more symptoms of depression and anxiety than the women without BDD. Depression (HADS depression score ≥8) and anxiety (HADS anxiety score ≥8) were reported by 42% and 72% of the women with BDD, respectively. Conclusions
Body dysmorphic disorder (BDD) is a psychiatric disorder that is defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV as a distressing and impairing preoccupation with a perceived defect in appearance that is not observable to others; if a minor physical anomaly is present, the individual's concern is markedly excessive . In the new version of the DSM (DSM-5), one additional criterion is included, which describes repetitive behaviors (e.g., mirror checking, excessive grooming, skin picking) or mental acts (e.g., comparing his or her appearance with that of others) in response to the appearance concerns . The most frequent areas of concern are the face and head, and the main worries are related to problems such as acne, wrinkles, scars, the size and shape of the nose or ears, asymmetric or disproportional face, or excessive facial hair. However, there may be a concern regarding any part of the body or even more than one part of the body  and . BDD is characterized by a pattern of obsessive thoughts, feelings, and compulsive behaviors. The preoccupations are very time-consuming and occur, on average, 3–8 hours per day; they are typically difficult to resist or control . Thus, the condition often leads to impaired functioning in relationships, socialization, and intimacy and a decreased ability to function in work, school, or other daily activities . BDD is associated with significant distress, disability, unnecessary cosmetic surgery, and suicidality , ,  and . According to a review by Phillips, 80% of individuals with BDD have experienced suicidal ideation during their lifetime, and 24–28% of individuals have attempted suicide .