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Body dysmorphic disorder. Diagnostic issues and related disorders
E Hollander1, D Neville, M Frenkel
1Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, NY 10032.
Psychosomatics
|January 1, 1992
Summary
This review examines body dysmorphic disorder (BDD) and its diagnostic challenges, comparing it with obsessive-compulsive disorder and other related conditions. Understanding these distinctions is crucial for accurate diagnosis and effective treatment strategies.
Area of Science:
- Psychiatry
- Clinical Psychology
- Mental Health
Background:
- Body dysmorphic disorder (BDD) presents significant diagnostic challenges.
- Overlap exists between BDD and other psychiatric conditions, complicating accurate diagnosis.
- Understanding these overlaps is essential for refining diagnostic criteria.
Purpose of the Study:
- To review diagnostic issues related to body dysmorphic disorder.
- To explore the relationship between BDD and other disorders, particularly obsessive-compulsive disorder.
- To compare BDD with conditions like anorexia nervosa and social phobia.
Main Methods:
- Literature review of diagnostic issues in body dysmorphic disorder.
- Comparative analysis of symptomatic overlap, associated features, and course of illness.
- Discussion of findings in the context of DSM-IV diagnostic criteria development.
Main Results:
- Significant diagnostic and symptomatic overlap exists between BDD and obsessive-compulsive disorder.
- Similarities and differences in features, etiology, and treatment outcomes were identified.
- Other conditions like anorexia nervosa and social phobia share features with BDD.
Conclusions:
- Refined understanding of BDD's diagnostic landscape is presented.
- The review informs the development and application of diagnostic criteria for BDD.
- Distinguishing BDD from similar disorders is critical for appropriate clinical management.