期刊论文详细信息
PSYCHIATRY RESEARCH 卷:230
Prevalence of body dysmorphic disorder on a psychiatric inpatient ward and the value of a screening question
Article
Veale, David1,2  Akyuez, Elvan U.2  Hodsoll, John1 
[1] Kings Coll London, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England
[2] Priory Hosp North London, London, England
关键词: Body dysmorphic disorder;    Prevalence;    Inpatient ward;    Screening;   
DOI  :  10.1016/j.psychres.2015.09.023
来源: Elsevier
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【 摘 要 】

The aim of this study was to estimate the prevalence of body dysmorphic disorder (BDD) on an inpatient ward in the UK with a larger sample than previously studied and to investigate the value of a simple screening question during an assessment interview. Four hundred and thirty two consecutive admissions were screened for BDD on an adult psychiatric ward over a period of 13 months. Those who screened positive had a structured diagnostic interview for BDD. The prevalence of BDD was estimated to be 5.8% (C.I. 3.6-8.1%). Our screening question had a slightly low specificity (76.6%) for detecting BDD. The strength of this study was a larger sample size and narrower confidence interval than previous studies. The study adds to previous observations that BDD is poorly identified in psychiatric inpatients. BDD was identified predominantly in those presenting with depression, substance misuse or an anxiety disorder. The screening question could be improved by excluding those with weight or shape concerns. Missing the diagnosis is likely to lead to inappropriate treatment. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

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