Prevalence and Clinical Features of Body Dismorphic Disorder on Psychiatric Inpatients: A Cross-sectional Study in Edirne/TURKEY

Year 2017, , 124 - 129, 01.08.2017

Yasin Taşdelen Yüksel Kıvrak , Mehmet Aşoğlu Rugül Köse Çınar Ercan Abay

https://doi.org/10.5505/kjms.2016.50469

Abstract

Aim: Body dysmorphic disorder (BDD) is characterized by the
presence of an imaginary defect of oneself and an increased mental
occupation which causes either an impairment in functionality
or clinical distress. The aim of our study was to detect BDD prevalence
and its clinical features in hospitalized psychiatric patients.
Material and Method: Hospitalized patients in our clinics were
evaluated. All the patients in our study were evaluated by using
a questionnaire that was prepared in accordance with the
BDD literature by the authors, a sociodemographic data form,
Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I)
and Structured Clinical Interview for Axis II Disorders (SCID-II).
Results: BDD prevalence was found to be 7% in hospitalized psychiatric
patients. It was also observed that all patients with BDD
had self-image anxiety, had mirror checking behaviour, tended to
camuflage the perceived defect, spent more than one hour in selfimage
anxiety and had personality disorders. Howeve, none of the
BDD patients ever mentioned any symptoms related to BDD unless
they were asked and none of them had been diagnosed with
BDD by the psychiatric team who were treating them.
Conclusion: BDD is relatively common in hospitalized psychiatric
patients. Therefore most BDD patients are not diagnosed. BDD
diagnosis rate might be improved by questioning BDD as well as
inspecting self-image anxiety. 

Keywords

body dysmorphic disorder; prevalence; inpatients; body image

Yatarak Tedavi Gören Psikiyatri Hastalarında Beden Dismorfik Bozukluğu Yaygınlığı ve Özellikleri: Edirne/TÜRKİYE’de Kesitsel Bir Araştırma

Abstract

Amaç: Beden dismorfik bozukluğu (BDB), klinik olarak belirgin
sıkıntı yaratan veya işlevselliğin önemli alanlarında bozukluğa yol açan, kişinin görünüşündeki hayali bir kusur ile artmış zihinsel uğ-
raşın varlığı ile karakterizedir. Yatarak tedavi gören psikiyatri hastalarında
BDB yaygınlığını ve klinik özelliklerini belirlemeyi amaçladık.
Materyal ve Metot: Kliniğimizde çeşitli nedenlerle yatarak tedavi gö-
ren hastalar değerlendirildi. Çalışmaya katılan her hasta tarafımızdan
hazırlanan sosyodemografik veriler ve BDB ile ilgili sorulardan oluşturduğumuz
anket formu, Structured Clinical Interview for DSM-IV Axis
I Disorders DSM-IV Eksen I Bozuklukları İçin Yapılandırılmış Klinik
Görüşme (SCID-I) ve II. Eksen Kişilik Bozuklukları İçin Yapılandırılmış
Klinik Görüşme (SCID-II) kullanılarak değerlendirildi.
Bulgular: Yatarak tedavi gören psikiyatri hastalarında BDB yaygınlığını
%7 olarak tespit edildi. BDB’li hastaların tamamında görünüm
endişesi, ayna kontrolü, kusurlu bulduğu bölgeyi gizleme davranışı,
görünüm endişesi ile ilgili olarak bir saatten fazla zaman harcama
davranışı ve kişilik bozukluğu olduğu, ayrıca hiçbir BDB’lu hastanın
sorulmadıkça BDB ile ilgili belirtiyi söylemediği ve hiç birinin BDB
teşhisinin tedaviyi yürüten ekipçe koyulamadığı bulundu.
Sonuç: Yatarak tedavi gören pskiyatri kliniği hastalarında BDB nispeten
yaygın bir hastalıktır. Bu duruma rağmen teşhis edilememektedir.
Bdb ye yönelik görünüm endişesi yanında kolayca sorgulanabilecek
sorularla inceleme BDB teşhis oranını artırabilir.

Keywords

beden dismorfik bozukluğu; yaygınlık; hastane yatarak tedavi; beden imajı

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