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躯体变形障碍及其与性、冲动和成瘾的关系。

Body dysmorphic disorder and its relationship to sexuality, impulsivity, and addiction.

机构信息

Department of Psychiatry & Behavioral Neuroscience, University of Chicago, 5841 S. Maryland Avenue, MC 3077, Chicago, IL, USA.

Boynton Health Service, University of Minnesota, Minneapolis, MN, USA.

出版信息

Psychiatry Res. 2019 Mar;273:260-265. doi: 10.1016/j.psychres.2019.01.036. Epub 2019 Jan 11.

Abstract

This study sought to examine the prevalence of probable body dysmorphic disorder (BDD) in a university sample and its associated physical and mental health correlates. A 156-item anonymous online survey was distributed via email to a randomly chosen subset of 10,000 university students, at a large public university. The survey queried current use of alcohol and drugs, psychological and physical status, academic performance, sexual behaviors, and questionnaire-based measures of impulsivity and compulsivity. A total of 3,459 participants (59.1% female) completed the survey and were included in the analysis. The overall prevalence of BDD was 1.7% (n = 59). Compared to students without BDD, those with BDD were significantly more likely to endorse symptoms of compulsive sexual behavior, depression, PTSD, and anxiety. Questionnaire-based measures revealed higher levels of both compulsivity and impulsivity associated with BDD. BDD appears to be common in young adults, and is associated with specific mental health comorbidities, as well as both impulsive and compulsive traits. Clinicians should be aware of the presentation of BDD and screen for it in primary care and mental health settings.

摘要

本研究旨在调查大学样本中可能存在的躯体变形障碍(BDD)的流行情况及其与身心健康相关的因素。一项包含 156 个项目的匿名在线调查通过电子邮件分发给一所大型公立大学的 10000 名学生中的一个随机选择的子集。该调查询问了当前的酒精和药物使用情况、心理和身体状况、学业成绩、性行为,以及基于问卷的冲动和强迫性测量。共有 3459 名参与者(59.1%为女性)完成了调查并纳入分析。BDD 的总体患病率为 1.7%(n=59)。与没有 BDD 的学生相比,患有 BDD 的学生更有可能出现强迫性行为、抑郁、创伤后应激障碍和焦虑的症状。基于问卷的测量显示,与 BDD 相关的强迫性和冲动性水平更高。BDD 在年轻人中很常见,与特定的心理健康共病有关,以及冲动和强迫特质。临床医生应该意识到 BDD 的表现,并在初级保健和精神卫生机构中对其进行筛查。

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