Body Dysmorphic Disorder, Psychosis and Insight: A Report of Four Cases

Lucchelli, Juan Pablo; Bondolfi, Guido; Bertschy, Gilles

doi:10.1159/000091798

Cited by 6 publications

(1 citation statement)

References 31 publications

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“…Moreover, the discordance in monitoring affective/neurotic dimensions and loss of reality dimensions indicate the utility of using both assessment procedures to obtain a broader description of psychopathology and the validity of a dimensional point of view in assessing psychiatric patients [13] .…”

Section: Discussionmentioning

confidence: 99%

Relationship between Self-Reported and Observer-Reported Ratings for Psychopathology in Psychiatric Inpatients

Biancosino

Barbui²,

Marmai³

et al. 2007

Psychopathology

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Objective: Psychopathology can be measured adopting the perspective of clinicians or the perspective of patients themselves. In the present study, we investigated the degree of coherence between these two viewpoints. Methods: During an 8-month recruitment period, all consecutive patients admitted to two Italian residential facilities were screened for inclusion. The 24-item version of the Brief Psychiatric Rating Scale-Expanded Version (BPRS-E) and the Brief Symptom Inventory (BSI) were administered within the first 3 days since admission and immediately before discharge. Results: During the study period, 71 patients with psychosis (code F20–F29) and 80 patients without psychosis (code F30–F39 and code F60–F69) were included. In patients with psychosis, no correlation was observed between the BPRS-E total score and the General Severity Index (GSI) score at admission and before discharge. However, statistically significant correlations were found between the BPRS depression and anxiety subscale and the BSI subscales investigating affective and neurotic dimensions. In patients without psychosis, no correlation was observed between the BPRS-E total score and the GSI score at admission; conversely, at discharge, a statistically significant correlation was found between the BPRS-E total score and the GSI score, and between the BPRS-E depression and anxiety subscale and the BSI subscales investigating affective and neurotic dimensions. Conclusions: Self-reported and observer-reported ratings hold different meanings and cannot be considered equivalent. In terms of symptom dimensions, data showed that individuals tend to preserve the ability of measuring/assessing their own affective disturbances, even in the presence of psychotic symptoms, but not the ability of measuring/assessing loss of contact with reality.

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Section: Discussionmentioning

confidence: 99%

Relationship between Self-Reported and Observer-Reported Ratings for Psychopathology in Psychiatric Inpatients

Biancosino

Barbui²,

Marmai³

et al. 2007

Psychopathology

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Psychopathologic Aspects of Body Dysmorphic Disorder: A Literature Review

et al. 2008

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Body dysmorphic disorder (BDD) is a somatoform disorder characterized by the patient's excessive concern with an imagined or minor defect in physical appearance. Patients with BDD often have been observed in aesthetic surgery settings seeking surgical enhancement at a reported prevalence of 6% to 15%. Published studies in the general population tend to aggregate a prevalence of 0.7% to 2.3%. This review aimed to search the literature for data on the prevalence, psychopathologic aspects, and comorbidity of BDD, and to provide an update on current BDD research. Relevant literature was identified by searching the Medline, PubMed, PsycINFO, and EMBASE databases. The following search words were used alone or in combination when appropriate: "body dysmorphic disorder," "somatoform disorder," "obsessive compulsive spectrum disorder," "personality disorders," "presurgical counseling," "aesthetic surgery," "cosmetic surgery," and "plastic surgery." Further articles were sourced from the reference lists of the articles ascertained through the search. Recent findings include the relationship between BDD and the obsessive-compulsive spectrum, treatment of BDD based on pharmacologic and psychological approaches, and the hypothesis that the often distinguished delusional and nondelusional variants of BDD very likely are the expression of a single disorder with varying degrees of severity. Retrospective outcome studies suggest that patients affected by BDD typically do not benefit from surgical treatment. In contrast, serotonin reuptake inhibitors and cognitive-behavior therapy appear to be good practice in addressing the disorder. Further research is needed to identify effective interventions for patients who do not respond to these treatment methods.

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