Tükel Rait, Tihan Aysu K, Oztürk Nalan
Istanbul University, Istanbul Faculty of Medicine, Department of Psychiatry, Istanbul, Turkey.
Ann Clin Psychiatry. 2013 Aug;25(3):210-6.
The aim of this study is to compare 3 groups of patients with body dysmorphic disorder (BDD), obsessive-compulsive disorder (OCD), and comorbid BDD and OCD with respect to clinical characteristics and to study their similarities and differences.
Twenty-nine patients diagnosed with BDD, 20 diagnosed with comorbid BDD/OCD and 49 diagnosed with OCD were included in the study. Patients with BDD, comorbid BDD/OCD, and OCD were compared in terms of demographic and clinical variables and scores obtained from various scales.
Patients in the comorbid BDD/OCD and OCD groups tended to have higher anxiety scores than in BDD group. Any depressive disorder was more common in the comorbid BDD/OCD and OCD groups than in the BDD group. A significantly higher proportion of patients with BDD/OCD had any anxiety disorder than those with BDD. Subjects with BDD were significantly more likely than subjects with OCD to have narcissistic and avoidant personality disorders and any Axis II personality disorder. Finally, the rate of any cluster B personality disorder was higher in the BDD and BDD/OCD groups than in the OCD group.
Despite the similarities between BDD and OCD, these disorders appear to have different aspects especially on psychiatric comorbidity.
本研究旨在比较三组患有躯体变形障碍（BDD）、强迫症（OCD）以及共病BDD和OCD的患者的临床特征，并研究它们的异同。
本研究纳入了29例诊断为BDD的患者、20例诊断为共病BDD/OCD的患者以及49例诊断为OCD的患者。对BDD患者、共病BDD/OCD患者和OCD患者在人口统计学和临床变量以及从各种量表获得的分数方面进行了比较。
共病BDD/OCD组和OCD组患者的焦虑评分往往高于BDD组。任何抑郁症在共病BDD/OCD组和OCD组中比在BDD组中更常见。BDD/OCD患者中患有任何焦虑症的比例显著高于BDD患者。与OCD患者相比，BDD患者患自恋型和回避型人格障碍以及任何轴II人格障碍的可能性显著更高。最后，BDD组和BDD/OCD组中任何B类人格障碍的发生率高于OCD组。
尽管BDD和OCD之间存在相似之处，但这些疾病似乎有不同的方面，尤其是在精神共病方面。
