Vulink N C C, Sigurdsson V, Kon M, Bruijnzeel-Koomen C A F M, Westenberg H G M, Denys D
Universitair Medisch Centrum Utrecht, B.01.206, Postbus 85.500, 3508 GA Utrecht.
Ned Tijdschr Geneeskd. 2006 Jan 14;150(2):97-100.
To determine the 6-month prevalence of body dysmorphic disorder (BDD) in outpatient clinics of dermatology and plastic surgery in a university medical centre.
Questionnaire study.
In the period January 2004-June 2004, the self-reported Body dysmorphic disorder questionnaire was completed by 530 and 475 new patients in the outpatient clinics of dermatology and plastic surgery, respectively. The dermatologist or plastic surgeon assessed the severity of the defect. To meet the DSM-IV criteria for BDD, the patient must have been preoccupied with treatment of all or part of their appearance, experienced obvious suffering or restriction of function with minimal or no defect present (defect score 1 or 2).
In the outpatient clinics ofdermatology and plastic surgery 8.5% (95% CI: 6.1-10.9) and 3.2% (95% CI: 1.7-4.7) of patients screened positive for BDD, respectively.
A high prevalence of BDD was found in the outpatient clinics ofdermatology and plastic surgery. Because dermatologists and plastic surgeons do not often recognise BDD, a simple screening tool is needed.
确定某大学医学中心皮肤科和整形外科门诊中躯体变形障碍（BDD）的6个月患病率。
问卷调查研究。
在2004年1月至2004年6月期间，皮肤科和整形外科门诊的530名和475名新患者分别完成了自我报告的躯体变形障碍问卷。皮肤科医生或整形外科医生评估了缺陷的严重程度。要符合BDD的DSM-IV标准，患者必须一直专注于治疗其全部或部分外貌，在几乎没有或不存在缺陷（缺陷评分为1或2）的情况下经历明显痛苦或功能受限。
皮肤科和整形外科门诊分别有8.5%（95%可信区间：6.1 - 10.9）和3.2%（95%可信区间：1.7 - 4.7）的患者BDD筛查呈阳性。
在皮肤科和整形外科门诊中发现BDD的患病率很高。由于皮肤科医生和整形外科医生并不经常识别BDD，因此需要一种简单的筛查工具。
