身体畸形障碍(BDD)是中东国家未充分开发的精神疾病,特别是在有皮肤病学问题的患者中,外观改变可能会增加BDD的风险。我们从2022年7月至9月在约旦大学医院的普通皮肤科和美容诊所对患者进行了研究,并将其与健康对照进行了比较。根据国际疾病分类(ICD-10)标准,由训练有素的皮肤科医生评估患有皮肤病的患者。所有参与者都完成了病态关注问卷(DCQ),感知压力量表,患者健康问卷-2,一般焦虑症评估工具-2。我们使用四个DCQ截止值:9、11、14和17来评估BDD患病率,并将效应大小报告为比值比(OR)。我们的研究涉及1500名参与者,平均年龄为29.3(±14.8)岁,男女比例为3.15:1。在9、11、14和17DCQ截止时间,BDD患病率为78.2%,54.2%,26.5%,和11.7%,分别。在11截止时,有皮肤病学问题的患者比对照组更有可能出现临床BDD症状(OR:1.26;95%CI1.01-1.58;p<0.05)。相反,在截止时间9(OR:2.26;95%CI1.28-3.97;p<0.05)和11(OR:1.50;95%CI1.03-2.20;p<0.05)时,有美容问题的患者比对照组更容易发生临床BDD.我们的逻辑回归显示,较高的DCQ评分与焦虑升高之间存在一致的关联,抑郁症,感知到与皮肤病相关的污名,并降低生活质量(p<0.05)。总之,有皮肤病问题的患者和寻求整容手术的患者有发生BDD的重大风险,由于相关的心理困扰和无效的咨询,需要皮肤科医生进行主动筛查和转诊以进行专门护理。为医疗保健专业人员提供专门的培训,以建立综合护理方法来满足BDD患者的需求,应该是未来研究项目的重点。
Body Dysmorphic Disorder (BDD) is an underexplored psychiatric condition in Middle Eastern countries, particularly in patients with dermatologic concerns, where alterations in appearance may elevate the risk of BDD. We studied patients at Jordan University Hospital\'s general dermatology and cosmetic clinics from July to September 2022, comparing them to healthy controls. Patients with dermatologic conditions were evaluated per the International Classification of Diseases (ICD-10) criteria by trained dermatologists. All participants completed the Dysmorphic Concerns Questionnaire (DCQ), Perceived Stress Scale, Patient Health Questionnaire-2, General Anxiety Disorder Assessment tool-2. We assessed BDD prevalence using four DCQ cutoffs: 9, 11, 14, and 17, reporting effect sizes as odds ratios (OR). Our study involved 1500 participants, with an average age of 29.3 (± 14.8) years and a female-to-male ratio of 3.15-to-1. At the 9, 11, 14, and 17 DCQ cutoffs, BDD prevalence was 78.2%, 54.2%, 26.5%, and 11.7%, respectively. Patients with dermatologic concerns were more likely to exhibit clinical BDD symptoms than controls at the 11-cutoff (OR: 1.26; 95% CI 1.01-1.58; p < 0.05). Conversely, those with cosmetic concerns were more prone to clinical BDD than controls at cutoffs 9 (OR: 2.26; 95% CI 1.28-3.97; p < 0.05) and 11 (OR: 1.50; 95% CI 1.03-2.20; p < 0.05). Our logistic regression revealed consistent associations between higher DCQ scores and elevated anxiety, depression, perceived skin disease-related stigma, and reduced quality of life (p < 0.05). In conclusion, patients with dermatologic issues and those seeking cosmetic procedures are at significant risk of developing BDD, necessitating proactive screening and referrals for specialized care by dermatologists due to the associated psychological distress and unproductive consultations. Providing specialized training for healthcare professionals to establish an integrated care approach to address the needs of patients with BDD should be the focus of future research projects.