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Body Dysmorphic Disorder in Dermatology: a Systematic Review
Isabella Herbst1,2, Gregor B E Jemec3,4
1Department of Dermatology, Zealand University Hospital, Sygehusvej 10, 4000, Roskilde, Denmark. isherbst@gmail.com.
The Psychiatric Quarterly
|May 31, 2020
Summary
Body Dysmorphic Disorder (BDD) is more prevalent in dermatology patients, often diagnosed late in adolescence. Integrated dermatologic and psychiatric treatment is crucial for managing this condition and improving patient quality of life.
Area of Science:
- Psychiatry
- Dermatology
Background:
- Body Dysmorphic Disorder (BDD) is a psychiatric condition characterized by preoccupation with perceived appearance defects.
- BDD is associated with higher rates of comorbidities like OCD, depression, and anxiety, significantly impacting quality of life.
- Previous research indicates a higher prevalence of BDD among dermatology patients compared to the general population.
Purpose of the Study:
- To provide an overview of existing literature on Body Dysmorphic Disorder within dermatology.
- To synthesize current knowledge regarding BDD prevalence, patient characteristics, and treatment considerations in dermatological settings.
Main Methods:
- A systematic review was conducted by two independent reviewers.
- Literature searches were performed on PubMed using a predefined search string in August 2018 and January 2020.
- Initial search yielded 45 articles, with 5 ultimately included after exclusion criteria were applied.
Main Results:
- Dermatology patients exhibit a higher incidence of BDD than the general population.
- BDD patients are typically younger, with onset often in adolescence, but diagnosis is delayed due to seeking non-mental health specialists.
- BDD in dermatology patients is linked to lower quality of life and higher rates of unemployment or sick leave, irrespective of cosmetic or general dermatology setting.
Conclusions:
- Body Dysmorphic Disorder is significantly more common in dermatology patients.
- Delayed diagnosis and the need for integrated psychiatric and dermatologic treatment highlight challenges in managing BDD.
- Addressing BDD in dermatological care is essential for improving patient outcomes and quality of life.
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