Centre for Mental Health, Faculty of Health, Arts & Design, Swinburne University of Technology, Hawthorn, VIC, Australia.
Centre for Mental Health, Faculty of Health, Arts & Design, Swinburne University of Technology, Hawthorn, VIC, Australia.
Psychiatry Res. 2021 Jan;295:113619. doi: 10.1016/j.psychres.2020.113619. Epub 2020 Nov 28.
There has not been a comprehensive comparison of differences between men and women with body dysmorphic disorder (BDD) for approximately two decades. Major social and technological changes over this time may have changed patterns of bodily concerns and symptom profile among men and women with BDD, thus warranting an updated assessment of gender differences. BDD symptomatology, insight, and associated clinical and sociodemographic characteristics were compared between 49 women and 27 men with BDD. Skin was the most common concern for both men and women. Women showed more concerns than men about the appearance of their legs. Men were more concerned about muscularity/body build. Women demonstrated significantly more severe distress associated with BDD behaviours, and poorer illness insight than men. Age at BDD onset, illness duration, as well as mean severity of depression, anxiety, stress, and social anxiety were similar across the genders. These data suggest that the most common body areas of concern in people with BDD have not dramatically changed over the past two decades. However, the finding of worse insight among women is novel, and suggests a need for further investigation.
大约二十年来，人们一直没有对患有躯体变形障碍（BDD）的男性和女性之间的差异进行全面比较。在此期间，重大的社会和技术变革可能改变了男性和女性 BDD 患者的身体关注模式和症状特征，因此有必要对性别差异进行更新评估。对 49 名女性和 27 名男性 BDD 患者的 BDD 症状、洞察力以及相关的临床和社会人口统计学特征进行了比较。皮肤是男性和女性最常见的关注点。女性比男性更关心腿部的外观。男性更关心肌肉发达/体型。女性的 BDD 行为相关的困扰和疾病洞察力明显比男性更严重。BDD 发病年龄、病程以及抑郁、焦虑、压力和社交焦虑的平均严重程度在两性之间相似。这些数据表明，在过去二十年中，患有 BDD 的人最常见的身体关注点并没有发生巨大变化。然而，女性洞察力较差的发现是新颖的，表明需要进一步研究。
