Body dysmorphic disorder symptoms among patients with acne vulgaris - 19/08/11

Doi : 10.1016/j.jaad.2007.03.030

Whitney P. Bowe, BS ^a, James J. Leyden, MD ^a, Canice E. Crerand, PhD ^b, David B. Sarwer, PhD ^c, David J. Margolis, MD, PhD ^a,^d,^⁎
^a From the Department of Dermatology
^c Departments of Psychiatry and Surgery and the Edwin and Fannie Gray Hall Center for Human Appearance
^d Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine
^b Department of Psychology and the Division of Plastic and Reconstructive Surgery, The Children’s Hospital of Philadelphia

Reprint requests: David J. Margolis, MD, PhD, University of Pennsylvania School of Medicine, 815 Blockley Hall, 423 Guardian Dr, Philadelphia PA 19104.

Philadelphia, Pennsylvania

Abstract

Background

Acne is one of the most common concerns of patients with body dysmorphic disorder (BDD), a psychiatric condition defined as a preoccupation with a slight or imagined defect in appearance that causes significant disruption in daily functioning.

Objective

We sought to screen for BDD symptoms among patients with acne across a spectrum of acne severity.

Methods

We used a validated self-report questionnaire and an objective assessment of acne severity by a single observer.

Results

Rates of BDD ranged from 14.1% using more stringent criteria to assess acne severity to 21.1% using less stringent criteria. Two-fold increased odds of having BDD was seen in patients requiring systemic isotretinoin therapy.

Limitations

Cross-sectional study design is a limitation.

Conclusion

A significant proportion of patients, regardless of their acne severity at the time of examination, have substantial distress and preoccupation related to their facial appearance.

Le texte complet de cet article est disponible en PDF.

Abbreviations used : BDD, BDDQ, CI, DSM-IV, DV, OR