Veale David, Miles Sarah, Read Julie, Troglia Andrea, Carmona Lina, Fiorito Chiara, Wells Hannah, Wylie Kevan, Muir Gordon
Institute of Psychiatry, Kings College London and South London and Maudsley NHS Foundation Trust, 16 De Crespigny Park, Denmark Hill, London SE5 8AF, UK.
Institute of Psychiatry, Kings College London and South London and Maudsley NHS Foundation Trust, 16 De Crespigny Park, Denmark Hill, London SE5 8AF, UK.
Body Image. 2015 Mar;13:53-61. doi: 10.1016/j.bodyim.2014.09.008. Epub 2015 Feb 10.
Men with body dysmorphic disorder (BDD) may be preoccupied with the size or shape of the penis, which may be causing significant shame or impairment. Little is known about the characteristics and phenomenology of such men and whether they can be differentiated from men with small penis anxiety (SPA) (who do not have BDD), and men with no penile concerns. Twenty-six men with BDD, 31 men with SPA, and 33 men without penile concerns were compared on psychopathology, experiences of recurrent imagery, avoidance and safety-seeking behaviours. Men with BDD had significantly higher scores than both the SPA group and no penile concern group for measures of imagery, avoidance, safety seeking and general psychopathology. The groups differed on the phenomenology of BDD specific to penile size preoccupation clearly from the worries of SPA, which in turn were different to those of the men without concerns. The common avoidance and safety seeking behaviours were identified in such men that may be used clinically.
患有躯体变形障碍（BDD）的男性可能会过度关注阴茎的大小或形状，这可能会导致严重的羞耻感或功能障碍。对于这类男性的特征和现象学，以及他们是否能与患有小阴茎焦虑症（SPA）（无BDD）的男性和对阴茎无担忧的男性区分开来，我们知之甚少。对26名患有BDD的男性、31名患有SPA的男性和33名对阴茎无担忧的男性在心理病理学、反复出现意象的体验、回避和寻求安全行为方面进行了比较。在意象、回避、寻求安全和一般心理病理学测量方面，患有BDD的男性得分显著高于SPA组和对阴茎无担忧组。这些组在特定于阴茎大小先占观念的BDD现象学上明显不同于SPA的担忧，而SPA的担忧又不同于无担忧男性的担忧。在这类男性中识别出了常见的回避和寻求安全行为，这些行为可用于临床。
