Buhlmann Ulrike
Department of Clinical Psychology, Humboldt Universität zu Berlin, Berlin, Germany.
J Nerv Ment Dis. 2011 Apr;199(4):268-71. doi: 10.1097/NMD.0b013e31821245ce.
Body dysmorphic disorder (BDD) is characterized by perceived defects in one's appearance, accompanied by severe distress and interference in the person's life. To date, mental health care for BDD is still in the early phases of development, and although recent research on psychotropic medication and cognitive-behavioral therapy has been promising (review mentioned in , Behav Res Ther. 44:99-11), it is unclear yet how many BDD sufferers seek treatment, and if not, for which reasons. To shed some light on these questions, 172 individuals with self-reported BDD participated in an internet survey. Only 23.3% (n = 40) had been diagnosed with BDD by a mental health professional. In all, 19.8% (n = 34) were currently receiving psychosocial treatment, and 18.6% (n = 32) were taking psychotropic medication for their appearance concerns. The reasons for not receiving treatment are discussed in the light of the need to find new strategies to get individuals with BDD into appropriate mental health care.
躯体变形障碍（BDD）的特征是个体察觉到自身外表存在缺陷，并伴有严重的痛苦以及对其生活的干扰。迄今为止，针对BDD的心理健康护理仍处于发展初期，尽管近期关于精神药物治疗和认知行为疗法的研究颇具前景（如《行为研究与治疗》44:99 - 11中提及的综述），但目前尚不清楚有多少BDD患者寻求治疗，若未寻求治疗，原因又是什么。为了阐明这些问题，172名自我报告患有BDD的个体参与了一项网络调查。只有23.3%（n = 40）的人被心理健康专业人员诊断为BDD。总体而言，19.8%（n = 34）的人目前正在接受心理社会治疗，18.6%（n = 32）的人因对外表的担忧而正在服用精神药物。鉴于需要找到新的策略以使BDD患者获得适当的心理健康护理，文中讨论了未接受治疗的原因。
