Phillips Katharine A, Pagano Maria E, Menard William, Fay Christina, Stout Robert L
Brown Medical School, Providence, Rhode Island, USA.
J Nerv Ment Dis. 2005 Aug;193(8):564-7. doi: 10.1097/01.nmd.0000172681.51661.54.
In the first naturalistic, prospective study of the course of body dysmorphic disorder (BDD), we examined predictors of remission in 161 subjects over 1 year of follow-up. Data were obtained on clinical characteristics at the intake interview and weekly BDD symptom severity over 1 year using the Longitudinal Interval Follow-Up Evaluation. More severe BDD at intake, longer BDD duration, and the presence of a comorbid personality disorder predicted a lower likelihood of partial or full remission from BDD. BDD remission was not predicted by gender; race/ethnicity; socioeconomic status; being an adult versus an adolescent; age of BDD onset; delusionality of BDD symptoms; or the presence at intake of major depression, a substance use disorder, social phobia, obsessive compulsive disorder, or an eating disorder. Receipt of mental health treatment or nonmental health treatment (e.g., surgery, dermatologic treatment) during the follow-up year also did not predict remission from BDD.
在第一项关于身体变形障碍（BDD）病程的自然主义前瞻性研究中，我们对161名受试者进行了为期1年的随访，以检查缓解的预测因素。通过初次访谈获取临床特征数据，并使用纵向间隔随访评估法记录1年内每周的BDD症状严重程度。初次评估时BDD症状更严重、BDD病程更长以及存在共病性人格障碍，预示着BDD部分或完全缓解的可能性较低。BDD缓解情况不受以下因素预测：性别、种族/民族、社会经济地位、成人或青少年、BDD起病年龄、BDD症状的妄想性，或初次评估时是否存在重度抑郁症、物质使用障碍、社交恐惧症、强迫症或进食障碍。随访年度内接受心理健康治疗或非心理健康治疗（如手术、皮肤科治疗）也不能预测BDD的缓解情况。
