Grau Katharina, Fegert Jörg Michael, Allroggen Marc
Klinik für Kinder- und Jugendpsychiatrie/-psychotherapie, Universitätsklinikum Ulm.
Z Kinder Jugendpsychiatr Psychother. 2015 Jan;43(1):29-35; quiz 36-7. doi: 10.1024/1422-4917/a000330.
Body dysmorphic disorder (BDD) is a relatively common disorder with a point prevalence of 0.7-2.4 %. BDD is characterized by the patient's excessive concern with an imagined or slight defect in physical appearance. BDD usually begins in adolescence. Comorbidity rates and also suicidality rates are high. The course of BDD tends to be chronic. According to the present state of knowledge, cognitive-behavioral therapy and pharmacotherapy with selective serotonin reuptake inhibitors are valuable options in the therapy of BDD. The case report describes a recent case of BDD with typical clinical and therapy-related characteristics. The aim of this work is to strengthen the awareness of BDD in clinical practice of child and adolescent psychiatry, facilitating an adequate diagnosis and treatment of the affected individuals.
躯体变形障碍（BDD）是一种相对常见的疾病，时点患病率为0.7%-2.4%。BDD的特征是患者过度关注想象中的或轻微的外貌缺陷。BDD通常始于青春期。其共病率和自杀率都很高。BDD的病程往往呈慢性。根据目前的知识水平，认知行为疗法和使用选择性5-羟色胺再摄取抑制剂的药物疗法是治疗BDD的重要选择。该病例报告描述了一例近期具有典型临床和治疗相关特征的BDD病例。本文的目的是提高儿童和青少年精神病学临床实践中对BDD的认识，促进对受影响个体的充分诊断和治疗。
