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Related Experiment Video

Updated: Jan 19, 2026

Author Spotlight: Development and Evaluation of a Compound Acne Rodent Model Using C. acnes and Oleic Acid
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Body dysmorphic disorder in patients with acne: a multicentre study.

S E Marron1,2,3, A Miranda-Sivelo3,4, L Tomas-Aragones2,3,5

  • 1Department of Dermatology, University Hospital Miguel Servet, Zaragoza, Spain.

Journal of the European Academy of Dermatology and Venereology : JEADV
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Body dysmorphic disorder (BDD) affects 10.6% of acne patients, predominantly women. Early screening by dermatologists is crucial for timely mental health referral and treatment to prevent further distress.

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Area of Science:

  • Psychodermatology
  • Mental Health
  • Dermatology

Background:

  • Body dysmorphic disorder (BDD) is a challenging mental health condition.
  • BDD is more common in dermatology patients than the general population.
  • Acne patients exhibit a higher prevalence of BDD.

Purpose of the Study:

  • Screen acne patients for potential Body Dysmorphic Disorder (BDD).
  • Determine BDD prevalence using DSM-IV and DSM-5 criteria.
  • Analyze dermatological and sociodemographic factors associated with BDD in acne patients.

Main Methods:

  • A study included 245 acne patients across 11 Spanish dermatology centers.
  • The Body Dysmorphic Disorder Questionnaire (BDDQ) was used for screening.
  • Data were collected by the Aragon Psychodermatology Research Group and Spanish Research Group of Psychiatric Dermatology.

Main Results:

  • A 10.6% prevalence of possible BDD was found in acne patients (DSM-IV/DSM-5).
  • BDD was more prevalent in women and associated with non-inflammatory acne lesions.
  • Key BDD symptoms included excessive appearance concerns (avg. >2 hrs/day), focus on the face, and compulsive behaviors like mirror checking.

Conclusions:

  • The high prevalence of BDD in acne patients necessitates dermatologist screening.
  • Referral to mental health services is vital for diagnosis and treatment.
  • Early intervention can mitigate psychosocial deterioration and comorbid conditions.