身体形障碍患者自我伤害的风险:基于人口的队列研究
Wai Kwong Tang1, Kelvin K F Tsoi2,3, Terry Cheuk Fung Yip4
1Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Frontiers in psychiatry
|December 22, 2025
概括
身体形障碍 (BDD) 患者不会面临更高的自我伤害行为风险. 这项研究发现,BDD患者与普通人群之间的自我伤害发生率没有显著差异.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 身体形障碍 (BDD) 是一种精神健康状况,其特点是对外观的缺陷有着强迫性关注.
- 自伤是精神病患者群体的一个重大问题,了解风险因素至关重要.
研究的目的:
- 调查身体形障碍 (BDD) 与参与自我伤害行为的风险之间的关联.
- 为了比较被诊断患有BDD的个体与没有这种疾病的个体的自我伤害率.
主要方法:
- 一个匹配的队列研究,利用香港公共医院的电子健康记录 (1993-2022).
- 71名BDD患者的队列与71名没有BDD的患者进行了匹配.
- 考克斯的比例危险回归模型被用来分析自伤风险.
主要成果:
- 在BDD组 (2.8%) 和对照组 (4.2%) 之间没有观察到自我伤害行为的统计学上显著差异.
- 在BDD患者中,自我伤害的发生率为每1万人年22.5,在对照组中为每1万人年34.6.
- 在BDD组中,自我伤害的调整后危险比为0.63 (95% CI,0.08-4.56).
结论:
- 身体形障碍 (BDD) 与自我伤害的风险不高有关.
- 建议进行进一步的研究以验证这些发现,并探索BDD患者自我伤害的其他潜在风险因素.
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