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神经性厌食症与躯体变形障碍的关系。

The relationship between anorexia nervosa and body dysmorphic disorder.

机构信息

University of Osnabrück, Osnabrück, Germany.

出版信息

Clin Psychol Rev. 2013 Jul;33(5):675-85. doi: 10.1016/j.cpr.2013.04.002. Epub 2013 Apr 19.

Abstract

Anorexia nervosa (AN) and body dysmorphic disorder (BDD) are severe body image disorders that highly impair individuals in their daily functioning. They are discrete but overlapping nosological entities. In this review, we examine similarities between AN and BDD with regard to clinical, personality and demographic aspects, such as comorbidity, phenomenology, and treatment outcome. The review suggests that the two disorders are highly comorbid, and show similar ages of onset, illness trajectories, and comparable clinical and personality characteristics. However, important differences emerge in their responsiveness to psychosocial and psychopharmacological treatment, which are discussed. Clinical implications of these findings are summarized and directions for future research are delineated, with a focus on how current treatment components from each disorder may inform new interventions for both disorders.

摘要

神经性厌食症(AN)和躯体变形障碍(BDD)是严重的身体意象障碍,严重影响个体的日常功能。它们是不同但重叠的分类实体。在这篇综述中,我们检查了 AN 和 BDD 之间在临床、人格和人口统计学方面的相似之处,例如共病、表现和治疗结果。综述表明,这两种疾病高度共病,发病年龄、病程相似,具有相似的临床和人格特征。然而,它们对心理社会和精神药理学治疗的反应存在重要差异,对此进行了讨论。总结了这些发现的临床意义,并阐述了未来研究的方向,重点是如何从每种疾病的现有治疗成分为两种疾病提供新的干预措施。

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