title: Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder.
abstract: It appears that many individuals with body dysmorphic disorder (BDD) receive nonpsychiatric medical treatment and surgery; however, this topic has had little systematic investigation. This study assessed the nonpsychiatric treatment sought and received by 289 individuals (250 adults and 39 children/adolescents) with DSM-IV BDD. Such treatment was sought by 76.4% and received by 66.0% of adults. Dermatologic treatment was most often received (by 45.2% of adults), followed by surgery (by 23.2%). These treatments rarely improved BDD symptoms. Results were similar in children/adolescents. These findings indicate that a majority of patients with BDD receive nonpsychiatric treatment but tend to respond poorly.
authors.affiliation: Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, RI, USA. Kathharine_Phillips@brown.edu
authors.forename: K A
authors.initials: KA
authors.lastname: Phillips
authors.forename: J
authors.initials: J
authors.lastname: Grant
authors.forename: J
authors.initials: J
authors.lastname: Siniscalchi
authors.forename: R S
authors.initials: RS
authors.lastname: Albertini
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D010698:Phobic Disorders / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D012237:Rhode Island / Q000453:epidemiology; D012720:Severity of Illness Index; D017678:Sex Distribution; D013001:Somatoform Disorders / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires