Body dysmorphic disorder: beyond skin deep

作者：Husain Z; Janniger E J; Krysicka J A; Micali G; Schwartz R A^*

来源：Giornale Italiano di Dermatologia e Venereologia, 2014, 149(4): 447-452.

• Body dysmorphic disorders
• Acne
• Adolescence
• Cosmetics
• Suicide

Body dysmorphic disorder (BDD) is a psychiatric illness that primarily affects adolescents and young adults of both sexes. Patients have a distorted self-image, which manifests as a preoccupation with slight or imagined defects in the face, nose, skin, hair or any part of the body that ultimately interferes with daily functioning. It is a relatively common yet long unrecognized problem. Patients often seek multiple physician assessments for their perceived defects and request cosmetic procedures. Early intervention can prevent a cycle of multiple surgeries, as the outcome is usually poor and may lead to exacerbation of symptoms, anger and litigation. BDD is a disabling, and even life-threatening, condition; it can lead to major depression and suicidal ideation. Selective serotonin reuptake inhibitors and cognitive behavioral therapy are the mainstay of treatment and are beneficial in most patients. A multidisciplinary approach is strongly recommended.

• 出版日期2014-8