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September 13, 2019Journal of the European Academy of Dermatology and Venereology

Body dysmorphic disorder in patients with acne: a multicentre study

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Authors

SMS.E. MarrónASAlberto Miranda SiveloLTL. Tomás-Aragonés

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Overview

Multicentre study reveals a 10.6% prevalence of body dysmorphic disorder in acne, highlighting the need for psychiatric screening in dermatology.

Key Points

  • To screen for body dysmorphic disorder (BDD) in patients with acne, establish prevalence using DSM-IV and DSM-5 criteria, and evaluate associated dermatological and demographic features.
  • Conducted a multicentre study across 11 dermatology centres in Spain enrolling N=245 patients diagnosed with acne.
  • Administered the Body Dysmorphic Disorder Questionnaire (BDDQ) as the primary screening instrument.
  • The prevalence of possible BDD was 10.6% (95% CI: 7.6–13.6%) across both DSM-IV and DSM-5 diagnostic criteria.
  • Positive screening was significantly associated with female sex (P = 0.021) and the presence of non-inflammatory lesions (56% vs. 30%, P = 0.002).
  • Patients with suspected BDD averaged over two hours daily worrying about appearance—predominantly the face (95%)—with high rates of mirror checking (90.7%), camouflaging (79.1%), and applying makeup (72.1%).

Cite This Study

Marrón et al. (2019) studied this question.

synapsesocial.com/papers/6a9f95eebd77ca17364ac6cchttps://doi.org/10.1111/jdv.15954
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