a Department of General Psychology , University of Padua , Padua , Italy.
b School of Psychology , University of New South Wales , Sydney , Australia.
Int J Psychiatry Clin Pract. 2018 Sep;22(3):206-214. doi: 10.1080/13651501.2017.1393545. Epub 2017 Oct 25.
Body Dysmorphic Disorder (BDD) is a psychiatric condition characterized by preoccupation with perceived defects in physical appearance that are not observable or appear slight to others, along with low self-esteem, high perfectionism, and high comorbidity. Little is known about BDD prevalence and phenomenology in the Italian context, and no data are currently available on BDD prevalence using DSM-5 criteria in the Italian context. The aims of the current study were to explore the prevalence and the phenomenology of BDD and its associated psychological and psychopathological features such as self-esteem, perfectionistic traits, social anxiety, depressive, and obsessive-compulsive symptoms in a community sample.
Six hundred and fifteen community individuals completed a battery of self-report questionnaires.
10 (1.63%) individuals met DSM-5 diagnostic criteria for BDD; hair, nose and teeth were the most common areas of concern. Individuals with BDD reported also lower levels of self-esteem, more severe social anxiety symptomatology, general distress, depression and obsessive-compulsive features than people without BDD.
BDD is not a rare condition in the Italian context and it emerged to be associated with significant morbidity.
体象障碍（BDD）是一种精神疾病，其特征是过度关注他人无法观察到或认为轻微的身体外貌缺陷，同时伴有自尊心低、完美主义和高共病率。意大利语环境下体象障碍的流行情况和表现形式知之甚少，目前也没有使用 DSM-5 标准在意大利语环境下体象障碍流行情况的数据。本研究的目的是探讨 BDD 的流行情况和表现形式，以及在一个社区样本中，与自尊心、完美主义特征、社交焦虑、抑郁和强迫症状等相关的心理和精神病理学特征。
615 名社区个体完成了一系列自我报告问卷。
10 名（1.63%）个体符合 DSM-5 诊断标准的 BDD；头发、鼻子和牙齿是最常见的关注点。有 BDD 的个体报告的自尊心水平更低，社交焦虑症状更严重，一般困扰、抑郁和强迫特征比没有 BDD 的个体更严重。
BDD 在意大利语环境中并不罕见，且与显著的发病相关。
