Rhode Island Hospital, Providence, RI 02903, USA.
J Pers Disord. 2012 Jun;26(3):345-56. doi: 10.1521/pedi.2012.26.3.345.
Body dysmorphic disorder (BDD) is a relatively common and often severe disorder. Although individuals with BDD have markedly poor psychosocial functioning, the nature of interpersonal problems has been only minimally investigated. This study examined the severity, domains, and correlates of interpersonal problems in 51 individuals with BDD using the Inventory of Interpersonal Problems-64 (IIP-64) and other reliable and valid measures. Compared to norms for a U.S. community sample, individuals with DSM-IV BDD reported greater severity of interpersonal problems across most IIP-64 domains. BDD subjects' scores were most elevated on the Socially Inhibited and Nonassertive subscales. More severe BDD symptoms were significantly correlated with higher scores on the Socially Inhibited, Nonassertive, and Vindictive/Self-Centered subscales and with IIP-64 total score. In a logistic regression analysis, BDD severity and a personality disorder were independently associated with severity of interpersonal problems. These findings suggest that individuals with BDD have significant problems with interpersonal relationships, particularly in the areas of social inhibition and nonassertiveness.
躯体变形障碍（BDD）是一种相对常见且通常较为严重的障碍。尽管 BDD 患者的社会心理功能明显较差，但人际关系问题的性质仅得到了最小程度的研究。本研究使用人际关系问题清单-64 项（IIP-64）和其他可靠有效的措施，调查了 51 名 BDD 患者的人际关系问题的严重程度、领域和相关性。与美国社区样本的标准相比，DSM-IV BDD 患者在大多数 IIP-64 领域报告了更严重的人际关系问题。BDD 患者的分数在社会抑制和非果断性子量表上得分最高。更严重的 BDD 症状与社会抑制、非果断性和报复/以自我为中心子量表以及 IIP-64 总分的得分显著相关。在逻辑回归分析中，BDD 严重程度和人格障碍与人际关系问题的严重程度独立相关。这些发现表明，BDD 患者在人际关系方面存在严重问题，特别是在社会抑制和非果断性方面。
