Panayi Andreana
Lucy Cavendish College Cambridge, Clinical School University of Cambridge, Cambridge, UK,
Psychiatr Danub. 2015 Sep;27 Suppl 1:S438-44.
Body dysmorphic disorder (BDD) is a somatoform disorder characterised by a distressing obsession with an imagined or slight appearance defect, which can significantly impair normal day-to-day functioning. Patients with BDD often first present, and are hence diagnosed, in cosmetic surgery settings. Several studies have investigated the prevalence rate of BDD in the general population or have done so for patients referring to cosmetic medical centers. To date, however, no review has been undertaken to compare the prevalence in the general community versus in a cosmetic surgery setting. Despite the lack of such a review it is a commonly held belief that BDD is more common in patients seeking cosmetic surgery. The current study aims to review the available literature in order to investigate whether BDD is indeed more prevalent in patients requesting cosmetic surgery, and if that is the case, to provide possible reasons for the difference in prevalence. In addition this review provides evidence on the effectiveness of cosmetic surgery as a treatment of BDD.
躯体变形障碍（BDD）是一种躯体形式障碍，其特征是对想象中的或轻微的外表缺陷存在令人苦恼的强迫观念，这会严重损害正常的日常功能。BDD患者通常首先在整容手术环境中就诊并因此被诊断出来。几项研究调查了普通人群中BDD的患病率，或者对转诊至美容医疗中心的患者进行了此类调查。然而，迄今为止，尚未进行过综述来比较普通社区与整容手术环境中的患病率。尽管缺乏这样的综述，但人们普遍认为BDD在寻求整容手术的患者中更为常见。当前的研究旨在回顾现有文献，以调查BDD在请求整容手术的患者中是否确实更为普遍，如果是这种情况，则提供患病率差异的可能原因。此外，本综述还提供了关于整容手术作为BDD治疗方法有效性的证据。
