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[Dysmorphophobia (body dysmorphic disorder)].

M J Filteau1, E Pourcher, P Baruch

  • 1Département de psychiatrie, Hôpital de l'Enfant Jésus, Québec.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|September 1, 1992
PubMed
Summary
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This review explores body dysmorphic disorder (BDD), differentiating it from delusional disorder. It suggests BDD classification with obsessive-compulsive disorder and discusses effective serotonin uptake inhibitor treatments.

Area of Science:

  • Psychiatry
  • Psychology

Context:

  • Historical and terminological origins of dysmorphophobia.
  • Distinguishing body dysmorphic disorder (BDD) from delusional disorder, somatic type (monosymptomatic hypochondriacal psychoses).

Purpose:

  • To review epidemiological data, clinical characteristics, and outcomes of BDD.
  • To present theories on body image, including neurobiological, developmental, and analytical aspects.
  • To analyze BDD's association with other disorders and discuss treatment options.

Summary:

  • The article reviews the history and classification of BDD, contrasting it with delusional disorder.
  • It covers epidemiology, clinical features, outcomes, and theoretical aspects of body image.
  • Treatment strategies, including pharmacotherapy with serotonin uptake inhibitors or neuroleptics, are discussed.

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Impact:

  • Proposes reclassifying body dysmorphic disorder with obsessive-compulsive disorder.
  • Recommends specific pharmacotherapies, such as serotonin uptake inhibitors or pimozide, for BDD treatment.
  • Enhances understanding of BDD's complex nature and treatment landscape.