Grünherz Lisanne, Wang Anna, Lindenblatt Nicole
Klinik für Plastische Chirurgie und Handchirurgie, Universitätsspital Zürich.
Praxis (Bern 1994). 2020;109(7):499-503. doi: 10.1024/1661-8157/a003463.
Body Dysmorphic Disorder - Balance between Beauty Mania and Illness The body dysmorphic disorder (BDD) belongs to the somatoform disorders and is characterized by an excessive concern about a slight or not apparent defect in appearance. Typical areas of concern include the face, for example the skin texture or form and symmetry of a particular feature. Besides behavioral pecularities such as excessive checking of the defect in a mirror, the preoccupation causes clinically significant distress and impairment in social functioning. Given a prevalence of up to 20 % among patients seeking plastic surgery, it is perhaps the most relevant psychiatric condition for plastic surgeons. Moreover, aesthetic treatments might even lead to a worsening of symptoms. Thus, we recommend close observation of all patients seeking aesthetic operations cautiously with regard to typical symptoms and behavior. Particular questions from well-known screening questionnaires might further help to identify patients with BDD.
躯体变形障碍——在美容狂热与疾病之间寻求平衡 躯体变形障碍（BDD）属于躯体形式障碍，其特征是过度关注外表上轻微或不明显的缺陷。典型的关注部位包括面部，例如皮肤质地、特定特征的形状和对称性。除了诸如过度照镜子检查缺陷等行为特点外，这种过度关注还会导致临床上显著的痛苦和社交功能受损。在寻求整形手术的患者中，患病率高达20%，这可能是整形外科医生最需要关注的精神疾病。此外，美容治疗甚至可能导致症状恶化。因此，我们建议对所有寻求美容手术的患者，仔细观察其典型症状和行为。来自知名筛查问卷的特定问题可能有助于进一步识别患有躯体变形障碍的患者。
