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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
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Body dysmorphic disorder: some key issues for DSM-V.

Katharine A Phillips1, Sabine Wilhelm, Lorrin M Koran

  • 1Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island 02903, USA. Katharine_Phillips@Brown.edu

Depression and Anxiety
|June 10, 2010
PubMed
Summary
This summary is machine-generated.

Body dysmorphic disorder (BDD) requires careful diagnostic criteria refinement for DSM-V. Recommendations include clarifying criteria, considering compulsive behaviors, and differentiating BDD from other disorders.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health

Background:

  • Body dysmorphic disorder (BDD) is a significant mental health condition characterized by preoccupation with perceived appearance flaws.
  • Research and clinical understanding of BDD have grown substantially over recent decades.
  • The Diagnostic and Statistical Manual of Mental Disorders (DSM) provides the framework for diagnosing mental health conditions.

Purpose of the Study:

  • To review key issues concerning Body Dysmorphic Disorder (BDD) relevant to the development of the DSM-V.
  • To provide recommendations for potential revisions to the diagnostic criteria for BDD.
  • To ensure accurate and effective diagnosis and differentiation of BDD.

Main Methods:

  • Focused literature review of issues pertinent to Body Dysmorphic Disorder (BDD).
  • Analysis of existing diagnostic criteria and their suitability for DSM-V.
  • Consideration of differential diagnoses and related conditions.

Main Results:

  • Proposed refinements to Criterion A for BDD diagnosis.
  • Discussion on the potential inclusion of compulsive behaviors as a diagnostic criterion.
  • Emphasis on the necessity of a clinical significance criterion to distinguish BDD from normal appearance concerns.
  • Recommendations for differentiating BDD from eating disorders and other conditions like body integrity identity disorder and olfactory reference syndrome.
  • Consideration of muscle dysmorphia as a potential specifier.
  • Rejection of the suitability of ICD-10 hypochondriacal disorder criteria for BDD.

Conclusions:

  • The diagnostic criteria for Body Dysmorphic Disorder (BDD) require careful consideration and potential refinement for DSM-V.
  • Distinguishing BDD from normative concerns and other disorders is crucial for accurate diagnosis.
  • Further research is needed to address specific aspects, such as the classification of BDD's delusional variant.