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Pathological skin picking in individuals with body dysmorphic disorder
Jon E Grant1, William Menard, Katharine A Phillips
1Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN 55454, USA. grant045@umn.edu
General Hospital Psychiatry
|November 8, 2006
Summary
Pathological skin picking (PSP) affects nearly half of individuals with body dysmorphic disorder (BDD). Those with PSP often present with specific comorbidities and seek dermatological treatments for skin concerns.
Area of Science:
- Psychiatry
- Dermatology
- Behavioral Science
Background:
- Body dysmorphic disorder (BDD) is a mental health condition characterized by obsessive focus on perceived flaws in appearance.
- Pathological skin picking (PSP) is a repetitive, compulsive behavior involving skin picking, often to alleviate distress.
Purpose of the Study:
- To determine the prevalence of pathological skin picking (PSP) in individuals diagnosed with body dysmorphic disorder (BDD).
- To identify clinical characteristics and correlates associated with PSP in a BDD population.
Main Methods:
- A cohort of 176 individuals with BDD underwent assessment for comorbidities, BDD severity, insight, quality of life, and social functioning.
- Statistical comparisons were made between BDD subjects with and without a history of PSP.
Main Results:
- Lifetime PSP was reported by 44.9% of BDD subjects, with 36.9% experiencing current PSP related to BDD.
- Individuals with PSP were more likely to be female, have comorbid trichotillomania or personality disorders, and seek dermatological treatments.
Conclusions:
- Pathological skin picking (PSP) is highly prevalent in individuals with body dysmorphic disorder (BDD).
- Clinicians should recognize the specific clinical profile of BDD patients with PSP to improve diagnosis and treatment.
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