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感知丑陋:躯体变形障碍相关治疗方面的最新进展。

Perceived ugliness: an update on treatment-relevant aspects of body dysmorphic disorder.

机构信息

Department of Clinical Psychology, Humboldt-Universität zu Berlin, Rudower Chaussee 18, 12489, Berlin, Germany.

出版信息

Curr Psychiatry Rep. 2011 Aug;13(4):283-8. doi: 10.1007/s11920-011-0203-5.

DOI:10.1007/s11920-011-0203-5
PMID:21538032
Abstract

Despite increased awareness of body dysmorphic disorder (BDD) during the past two decades, it is still a relatively unknown and understudied disorder. Its hallmark is a preoccupation with perceived defects or flaws in one's own appearance, often tied to the face (eg, nose, skin). BDD sufferers often think about their appearance "flaws" for up to several hours daily and frequently engage in ritualistic behaviors such as mirror checking, hair combing, comparing, asking for reassurance, makeup application, or skin picking. Furthermore, avoidance behaviors such as mirror avoidance or the avoidance of social activities are also common. In this paper, we provide an overview of BDD's unique symptomatology, its prevalence, and the comorbidities associated with it. A further aim is to provide an overview of effective treatments and possible obstacles and barriers to seeking or adhering to appropriate mental health care.

摘要

尽管在过去的二十年中,人们对躯体变形障碍(BDD)的认识有所提高,但它仍然是一种相对未知和研究不足的疾病。其特征是对自己外表感知到的缺陷或瑕疵过分关注,通常与面部(例如,鼻子、皮肤)有关。BDD 患者每天经常会花几个小时思考自己的“缺陷”,并且经常会进行一些仪式性行为,例如照镜子、梳头、比较、寻求安慰、化妆或挑皮肤。此外,避免行为,如避免照镜子或避免社交活动,也很常见。在本文中,我们概述了 BDD 的独特症状、其流行程度以及与之相关的共病。另一个目的是概述有效的治疗方法以及寻求或坚持适当的心理健康护理可能遇到的障碍和困难。

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本文引用的文献

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Treatment utilization and barriers to treatment engagement among people with body dysmorphic symptoms.体变形障碍患者的治疗利用和治疗参与障碍。
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The role of aesthetic sensitivity in body dysmorphic disorder.审美敏感性在体象障碍中的作用。
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Barriers to mental health treatment: results from the National Comorbidity Survey Replication.精神健康治疗障碍:来自全国共病调查再测的结果。
凝视面部特征会增加非临床女性的分离感并降低吸引力评分——这可能是躯体变形障碍中常见仪式的一种解释。
PLoS One. 2019 Jul 25;14(7):e0219791. doi: 10.1371/journal.pone.0219791. eCollection 2019.
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Facial asymmetry detection in patients with body dysmorphic disorder.躯体变形障碍患者的面部不对称检测。
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Depress Anxiety. 2010 Jun;27(6):592-9. doi: 10.1002/da.20688.
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Should an obsessive-compulsive spectrum grouping of disorders be included in DSM-V?是否应在 DSM-V 中纳入强迫谱系障碍的分组?
Depress Anxiety. 2010 Jun;27(6):528-55. doi: 10.1002/da.20705.
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Updates on the prevalence of body dysmorphic disorder: a population-based survey.躯体变形障碍流行率的最新研究:一项基于人群的调查。
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Discrimination of facial appearance stimuli in body dysmorphic disorder.躯体变形障碍中对面部外观刺激的辨别
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