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孟加拉国大学生中的身体变形障碍(BDD)症状学

Body dysmorphic disorder (BDD) symptomatology among undergraduate university students of Bangladesh.

作者信息

Alam Mohammad Morshad, Basak Nandita, Shahjalal Md, Nabi Mohammad Hayatun, Samad Nandeeta, Mishu Shah Mahmud, Mazumder Saikot, Basak Supria, Zaman Sanjana, Hawlader Mohammad Delwer Hossain

机构信息

Department of Public Health, North South University, Dhaka 1229, Bangladesh; Health, Nutrition and Population (HNP) Global Practice, The World Bank, Dhaka 1207, Bangladesh.

Department of Public Health, North South University, Dhaka 1229, Bangladesh.

出版信息

J Affect Disord. 2022 Oct 1;314:333-340. doi: 10.1016/j.jad.2022.07.019. Epub 2022 Jul 22.

Abstract

BACKGROUND

Body Dysmorphic Disorder (BDD) is an obsessive-compulsive-related disorder causing clinically significant distress or impairment in functioning. The objective of this study was to assess the BDD symptoms and factors associated with BDD symptomatology among undergraduate students.

METHODOLOGY

A cross-sectional study was conducted from November 2019 to March 2020 in six different universities (3 private and 3 public) across Bangladesh. A total of 1204 undergraduate students were selected through the multistage sampling technique. The BDD-YBOCS tool was used to assess the BDD symptomatology.

RESULTS

Mild to moderate BDD symptoms was observed among 11.0 % participants, and 1.5 % had severe BDD symptoms. Around 58 % of participants had at least one body defect. Most embarrassments occurred due to acne (12.5 %), followed by thin hair (9.5 %) and scar marks (6.4 %). Males had significantly lower odds of having BDD symptomatology (OR = 0.394; 95%CI = 0.254-0.614) and Participants aged between 20 and 24 years had higher odds (OR = 4.639; 95%CI = 1.024-21.107). Studying in private universities had 1.7 times higher odds in comparison to the public universities (OR = 1.671, 95%CI = 1.052-2.656). Smokers were more prone to have BDD symptomatology than non-smokers (OR = 2.72; 95%CI = 1.571-4.709) and students who had body defects had higher odds (OR = 2.647; CI = 1.723-4.066) of BDD symptomatology.

CONCLUSION

The study has successfully revealed status and predictors of BDD symptomatology among university students. Further nationwide studies would be conducted to know the overall situation of Bangladesh.

摘要

背景

躯体变形障碍(BDD)是一种与强迫症相关的疾病,会导致临床上显著的痛苦或功能损害。本研究的目的是评估大学生中BDD症状及与BDD症状学相关的因素。

方法

2019年11月至2020年3月在孟加拉国的六所不同大学(3所私立和3所公立)进行了一项横断面研究。通过多阶段抽样技术共选取了1204名本科生。使用BDD-YBOCS工具评估BDD症状学。

结果

11.0%的参与者存在轻度至中度BDD症状,1.5%有重度BDD症状。约58%的参与者至少有一处身体缺陷。最令人尴尬的情况是痤疮(12.5%),其次是头发稀疏(9.5%)和疤痕(6.4%)。男性出现BDD症状的几率显著较低(OR = 0.394;95%CI = 0.254 - 0.614),年龄在20至24岁之间的参与者几率较高(OR = 4.639;95%CI = 1.024 - 21.107)。在私立大学就读出现BDD症状的几率比公立大学高1.7倍(OR = 1.671,95%CI = 1.052 - 2.656)。吸烟者比非吸烟者更容易出现BDD症状(OR = 2.72;95%CI = 1.571 - 4.709),有身体缺陷的学生出现BDD症状的几率更高(OR = 2.647;CI = 1.723 - 4.066)。

结论

该研究成功揭示了大学生中BDD症状学的现状和预测因素。将开展进一步的全国性研究以了解孟加拉国的整体情况。

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