Department of Psychology, University of Zurich, Zurich, Switzerland.
Arch Gynecol Obstet. 2022 Feb;305(2):379-387. doi: 10.1007/s00404-021-06270-w. Epub 2021 Sep 30.
This work focuses on the experiences and practices of obstetrician-gynecologists (ob-gyns) with patients suffering from body dysmorphic disorder (BDD) and issues with their aesthetics, specifically focusing on female genitalia. Ob-gyns are likely to play an important role in the recognition and treatment of women facing such issues.
This study took a qualitative, explorative approach. Semi-structured interviews were conducted with 11 ob-gyns about their experiences with patients who presented symptoms of BDD of female genitalia, their treatments, and interest in further education and supportive material. Interviews were analyzed through qualitative content analysis.
A categorization system was created. The results showed that the participating ob-gyns are often confronted with genital dissatisfaction of patients. The study sample demonstrated a lack of mental health literacy concerning BDD. The treatments that the ob-gyns of this sample suggested for BDD of female genitalia were not in line with what evidence suggests. Finally, interest in further education and supportive material for consultation was evidenced in this sample.
The findings encourage further studies to identify the recognition of BDD concerning genitalia or etiological factors. Furthermore, practical implications (e.g., need of supportive material) can be derived from the results.
本研究重点关注妇产科医生（ob-gyns）在处理患有身体畸形障碍（BDD）和美学问题（特别是女性生殖器）的患者时的经验和实践。ob-gyns 可能在识别和治疗面临此类问题的女性方面发挥重要作用。
本研究采用定性、探索性方法。对 11 名 ob-gyns 进行了半结构化访谈，内容涉及他们在处理表现出女性生殖器 BDD 症状的患者、治疗方法以及对进一步教育和支持材料的兴趣方面的经验。通过定性内容分析对访谈进行了分析。
创建了一个分类系统。结果表明，参与研究的 ob-gyns 经常面对患者的生殖器不满。研究样本表明，他们对 BDD 的心理健康知识有限。该样本中 ob-gyns 建议的女性生殖器 BDD 治疗方法与证据不符。最后，该样本表现出对进一步教育和咨询支持材料的兴趣。
这些发现鼓励进一步研究以确定对生殖器 BDD 的识别或病因因素。此外，还可以从研究结果中得出实际意义（例如，需要支持材料）。
