Faculty of Psychology, University of Iceland, Saemundargata 12, 102, Reykjavik, Iceland.
Regional Center for Child and Youth Mental Health, Department of Child and Adolescent Psychiatry, Norwegian University of Science and Technology and St. Olav's University Hospital, Trondheim, Norway.
Child Psychiatry Hum Dev. 2023 Aug;54(4):939-948. doi: 10.1007/s10578-021-01298-0. Epub 2022 Jan 11.
The aims of the study were to estimate the prevalence of body dysmorphic symptoms in a sample of children and adolescents with obsessive-compulsive disorder, possible clinical correlates and whether BDD symptoms predict poorer treatment outcomes after cognitive behavioral therapy. The study included 269 children and adolescents with OCD, aged 7-17 years, from Denmark, Sweden, and Norway, who were treated with 14 weekly sessions of manualized, exposure-based CBT. Twenty-one patients (7.8%) had BDD symptoms. BDD symptoms were associated with older age (p = 0.003) and a higher prevalence of comorbid anxiety disorders (p = 0.025). In addition, patients with BDD symptoms endorsed a greater number of OCD symptoms than did those without BDD symptoms. Having symptoms of BDD did not affect the CBT outcome on OCD. The results of the study suggest that CBT for OCD is equally effective for those with and without comorbid BDD symptoms.
研究目的在于评估躯体变形障碍症状在强迫症患儿和青少年样本中的流行程度、可能的临床相关性，以及 BDD 症状是否能预测认知行为治疗后较差的治疗结果。该研究纳入了来自丹麦、瑞典和挪威的 269 名 7-17 岁的强迫症患儿和青少年，他们接受了 14 周的基于暴露的手册化认知行为治疗。21 名患者（7.8%）存在 BDD 症状。BDD 症状与年龄较大（p=0.003）和更高的共患焦虑障碍发生率（p=0.025）相关。此外，存在 BDD 症状的患者比不存在 BDD 症状的患者报告了更多的强迫症症状。存在 BDD 症状并不会影响 OCD 的 CBT 结果。该研究结果表明，对于共患 BDD 症状的 OCD 患者，CBT 同样有效。
