Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
J Psychosom Res. 2011 Mar;70(3):286-93. doi: 10.1016/j.jpsychores.2010.10.002. Epub 2010 Dec 16.
Body dysmorphic disorder (BDD) is characterized by an excessive preoccupation with an imagined or minor appearance flaw. Many aspects of BDD remain unknown, such as rates of treatment utilization, types of treatment sought, and barriers to treatment. The present study sought to examine rates and patterns of treatment utilization as well as barriers to treatment among individuals with body dysmorphic symptoms.
The present study consists of 401 individuals with symptoms consistent with a diagnosis of BDD who completed self-reported measures of treatment utilization and barriers to treatment in an internet survey.
Consistent with past research, results showed that individuals with probable BDD reported seeking non-mental health treatments for BDD (e.g., plastic surgery). Additionally, an examination of treatment barriers demonstrated significant barriers for the sample for the three domains examined: logistic and financial; stigma, shame, and discrimination; and treatment skepticism. Secondary analyses revealed a differential endorsement of treatment barriers across ethnic groups for all three barrier domains.
These data suggest that BDD is still an underrecognized disorder with marked barriers to treatment. Increased education and dissemination efforts are warranted.
体象障碍（BDD）的特征是过度关注想象中的或轻微的外貌缺陷。BDD 的许多方面仍不清楚，例如治疗利用率、寻求的治疗类型以及治疗障碍。本研究旨在检查有体象障碍症状的个体的治疗利用率和治疗障碍的比率和模式。
本研究包括 401 名符合 BDD 诊断标准的个体，他们在互联网调查中完成了自我报告的治疗利用率和治疗障碍的测量。
与以往的研究一致，结果表明，患有可能的 BDD 的个体报告为 BDD 寻求非心理健康治疗（例如，整形手术）。此外，对治疗障碍的检查表明，对于所检查的三个领域，样本存在显著的治疗障碍：后勤和财务；耻辱、羞耻和歧视；以及对治疗的怀疑。二次分析显示，所有三个障碍领域的治疗障碍在不同种族群体中的认可度存在差异。
这些数据表明，BDD 仍然是一种未被充分认识的疾病，治疗障碍明显。需要加强教育和宣传工作。
