title: [Body dysmorphic disorder : Anxiety about deformity].
abstract: Between 0.8 and 1.8 % of the German population suffers from a body dysmorphic disorder. In specific settings like dermatological offices up to 11.9 % of patients suffer from this disease. The highest prevalence could be found in the field of cosmetic dermatology with a prevalence of 13.1 %. Until now, the diagnosis has been made too rarely. The body dysmorphic disorder is a chronic psychic disease, in which the patients feel disfigured and experience shame and disgust at the same time. Comorbidities like social phobia, depression, suicidality, and eating disorders are frequent. The diagnosis is made using questionnaires (e.g., dysmorphic concern questionnaire) or by use of the DSM-5 manual. An early diagnosis seems to be important to avoid chronification and suicidal ideas. Therapeutic approaches should include cognitive behavioral therapies as well as the use of SSRIs.
authors.affiliation: Institut für Psychoanalyse und Psychotherapie Gießen e.V., Ludwigstraße 73, 35392, Gießen, Deutschland. tanja.gieler@web.de.|Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Leipzig, Deutschland. tanja.gieler@web.de.
authors.forename: T
authors.initials: T
authors.lastname: Gieler
authors.affiliation: Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Leipzig, Deutschland.|Klinik für Psychosomatik und Psychotherapie, Universität Mainz, Mainz, Rheinland-Pfalz, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Brähler
mesh_terms: D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use; D001007:Anxiety / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D057215:Body Dysmorphic Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D001828:Body Image; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003131:Combined Modality Therapy / Q000379:methods; D019317:Evidence-Based Medicine; D005858:Germany; D006801:Humans; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D012871:Skin Diseases / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D018687:Antidepressive Agents, Second-Generation; D017367:Selective Serotonin Reuptake Inhibitors
keywords: Body image; Body scheme; Cognitive behavior therapy; Dermatology; Psychodynamic psychotherapy