Phillips K A
Butler Hospital, Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island 02906, USA.
J Nerv Ment Dis. 2000 Mar;188(3):170-5. doi: 10.1097/00005053-200003000-00007.
Body dysmorphic disorder (BDD) is a relatively common, distressing, and impairing disorder. Quality of life in BDD, however, has not been investigated. In this study, 62 consecutive outpatients with BDD were evaluated with the self-report Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and other scales. SF-36 scores were descriptively compared to published norms for several populations. Physical health-related quality of life scores were generally worse than general U.S. population norms and better than norms for outpatients with a medical illness or depression. However, in all mental health domains, BDD subjects' scores were notably worse than norms for the general U.S. population and for patients with depression, diabetes, or a recent myocardial infarction. More severe BDD symptoms and greater delusionality were associated with poorer mental health-related quality of life. These results indicate that patients with BDD have notably poor mental health status and mental health-related quality of life.
躯体变形障碍（BDD）是一种相对常见、令人痛苦且会造成损害的疾病。然而，BDD患者的生活质量尚未得到研究。在本研究中，连续纳入62例BDD门诊患者，采用自评的医学结局研究36项简短健康调查量表（SF - 36）及其他量表进行评估。将SF - 36得分与已发表的多个群体的常模进行描述性比较。与身体健康相关的生活质量得分总体上比美国普通人群常模差，但比患有内科疾病或抑郁症的门诊患者常模好。然而，在所有心理健康领域，BDD患者的得分明显低于美国普通人群以及抑郁症、糖尿病或近期心肌梗死患者的常模。更严重的BDD症状和更强的妄想性与较差的心理健康相关生活质量相关。这些结果表明，BDD患者的心理健康状况及心理健康相关生活质量明显较差。
