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探索身体变形障碍(BDD)与皮肤病学状况的交叉点:一项叙述性综述。

Exploring the Intersection of Body Dysmorphic Disorder (BDD) and Dermatological Conditions: A Narrative Review.

作者信息

Li Vivian, Frasier Kelly, Woolhiser Emily, Daly Kathleen, Christoforides Sara, Harpine Courtnee, Stech Karina, Acosta Stefany, Lephart Edwin D

机构信息

Nuvance Health/Vassar Brothers Medical Center, Poughkeepsie, NY, USA.

Kansas City University, Kansas City, MO, USA.

出版信息

Dermatol Ther (Heidelb). 2024 Oct;14(10):2693-2708. doi: 10.1007/s13555-024-01256-3. Epub 2024 Sep 12.

Abstract

This narrative literature review examined the intricate relationship between body dysmorphic disorder (BDD) and dermatological conditions, with a brief focus on those characterized by conspicuous skin irregularities such as acne vulgaris, psoriasis, and vitiligo. Highlighting the significant prevalence of BDD among individuals afflicted with dermatological issues, our analysis illuminated the profound psychological repercussions stemming from an exaggerated preoccupation with perceived skin imperfections. Through an exploration of the underlying BDD symptoms, we analyzed the complex dynamics between skin health and mental well-being, emphasizing the disorder's impact on patients' psychological and social functioning. This narrative review further investigated the consequential effects of BDD on essential aspects of dermatological treatment, including patient adherence to therapeutic regimens, overall quality of life (QOL), and the effectiveness of available treatments. In addition to presenting current therapeutic approaches, we advocate for the integration of psycho-dermatological interventions tailored to mitigate the dual burden of skin conditions and psychological distress. Future research directions proposed include longitudinal studies to assess the long-term effects of BDD on skin disease prognosis and psychosocial well-being, which aim to refine and optimize treatment modalities to contribute to a more holistic understanding of BDD within dermatological practice.

摘要

这篇叙述性文献综述探讨了身体变形障碍(BDD)与皮肤病之间的复杂关系,并简要聚焦于那些以明显皮肤异常为特征的疾病,如寻常痤疮、银屑病和白癜风。我们的分析突出了BDD在皮肤病患者中的显著患病率,阐明了因过度关注感知到的皮肤瑕疵而产生的深远心理影响。通过探究BDD的潜在症状,我们分析了皮肤健康与心理健康之间的复杂动态关系,强调了该疾病对患者心理和社会功能的影响。这篇叙述性综述进一步研究了BDD对皮肤病治疗关键方面的后续影响,包括患者对治疗方案的依从性、总体生活质量(QOL)以及现有治疗方法的有效性。除了介绍当前的治疗方法外,我们主张整合心理皮肤病学干预措施,以减轻皮肤疾病和心理困扰的双重负担。提出的未来研究方向包括纵向研究,以评估BDD对皮肤病预后和心理社会福祉的长期影响,旨在完善和优化治疗方式,以更全面地理解皮肤病实践中的BDD。

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