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dc.contributor.authorConrado, Luciana Archetti
dc.contributor.authorHounie, Ana Gabriela
dc.contributor.authorDiniz, Juliana Belo
dc.contributor.authorFossaluza, Victor
dc.contributor.authorTorres, Albina Rodrigues [UNESP]
dc.contributor.authorMiguel, Euripedes Constantino
dc.contributor.authorRivitti, Evandro Ararigboia
dc.identifier.citationJournal of The American Academy of Dermatology. New York: Mosby-elsevier, v. 63, n. 2, p. 235-243, 2010.
dc.description.abstractBackground: An impairing preoccupation with a nonexistent or slight defect in appearance is the core symptom of body dysmorphic disorder (ODD), a psychiatric condition common in dermatology settings.Objective: We sought to determine the prevalence of ODD in dermatologic patients, comparing general and cosmetic settings, and describing some demographic and clinical characteristics.Methods: In all, 300 patients were consecutively assessed. Screening and diagnoses were performed with validated instruments plus a best estimate diagnosis procedure. The final sample comprised 150 patients in the cosmetic group, 150 patients in the general dermatology group, and 50 control subjects. Standard statistical analyses were performed (chi(2), nonparametric tests, logistic regression).Results: The current prevalence was higher in the cosmetic group (14.0%) compared with general (6.7%) and control (2.0%) groups. No patient had a previous diagnosis. Frequently the reason for seeking dermatologic treatment was not the main ODD preoccupation. Patients with ODD from the cosmetic group were in general unsatisfied with the results of dermatologic treatments.Limitations: Cross-sectional study conducted in a university hospital is a limitation. It is uncertain if the findings can be generalized. Retrospective data regarding previous treatments are not free from bias.Conclusions: BUD is relatively common in a dermatologic setting, especially among patients seeking cosmetic treatments. These patients have some different features compared with general dermatology patients. Dermatologists should be aware of the clinical characteristics of ODD to identify and refer these patients to mental health professionals. (J Am Acad Dermatol 2010;63:235-43.)en
dc.relation.ispartofJournal of The American Academy of Dermatology
dc.sourceWeb of Science
dc.subjectbody dysmorphic disorderen
dc.subjectbody imageen
dc.subjectbody image dissatisfactionen
dc.subjectcosmetic proceduresen
dc.subjectcosmetic treatments: dermatologic symptomsen
dc.titleBody dysmorphic disorder among dermatologic patients: Prevalence and clinical featuresen
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.description.affiliationUniv São Paulo, Sch Med, Dept Dermatol, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Sch Med, Dept Psychiat, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Inst Math & Stat, São Paulo, Brazil
dc.description.affiliationUniv Estadual Paulista Julio Mesquita Filho UNESP, Dept Neurol Psychol & Psychiat, Botucatu Med Sch São Paulo State, São Paulo, Brazil
dc.description.affiliationUnespUniv Estadual Paulista Julio Mesquita Filho UNESP, Dept Neurol Psychol & Psychiat, Botucatu Med Sch São Paulo State, São Paulo, Brazil
dc.rights.accessRightsAcesso restrito
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatupt
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