Naevus dysmorphia is a form of appearance concern/body image dissatisfaction, which describes a preoccupation withthe appearance of a clinically small melanocytic naevus. The naevus is perceived by the patient to be d...Naevus dysmorphia is a form of appearance concern/body image dissatisfaction, which describes a preoccupation withthe appearance of a clinically small melanocytic naevus. The naevus is perceived by the patient to be disfiguring. Such perception leads to maladaptive behaviours and is often associated with low mood, as well as high levels of anxiety and social avoidance. Affected individuals form a diverse group. However, what they have in common is that the distress experienced is disproportionate to the objective visual appearance of the mole. There is a range of severity of the impact on the individual's well being. Naevus dysmorphia may or may not be a cutaneous manifestation of body dysmorphic disorder(BDD). It is essential that patients with naevus dysmorphia are identified and distinguished from patients requesting removal of a mole for other uncomplicated cosmetic reason. Patients with naevus dysmorphia can be challenging to treat and communicate with. Surgical excision of the naevus will not address the underlying psychopathology and so it may not result in long-term positive outcome. Ideally, a detailed psychological assessment and formulation can be made potential y followed by psychological therapy tailored to the needs of the individual. A therapeutic trial of appropriate psychopharmacological course may be indicated in certain cases, e.g., when symptoms of a depressive disorder, anxiety disorder or BDD are present. A case series of 10 patients with naevus dysmorphia is presented, in order to highlight the above issues.展开更多
Introduction: Body Dysmorphia Disorder (BDD) is a mental disorder characterized by an obsessive focus on a perceived defect in appearance. This disorder can be dangerous or life-threatening. Hence, there is the need f...Introduction: Body Dysmorphia Disorder (BDD) is a mental disorder characterized by an obsessive focus on a perceived defect in appearance. This disorder can be dangerous or life-threatening. Hence, there is the need for special attention. Objective: The aim of this study was to determine the prevalence of Body Dysmorphia Disorder (BDD) and to identify the factors associated with it. Methods: This was a descriptive and analytical cross-sectional study that took place from December 2020 to October 2021, with a census of all medical students enrolled at the University of Parakou for the 2020-2021 academic year and who volunteered to participate. DSM 5 diagnostic criteria were used to assess BDD, and the Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) was used to assess its severity. Results: A total of 669 people were included in the study. The prevalence of probable cases of BDD was 10.31%. Gender (female) (OR = 2.49;IC 95%: [1.45 - 4.26];p < 0.001), trauma with cosmetic sequelae (OR = 2.95;IC 95%: [1.27 - 6.91];p = 0.012), depressive disorders (OR = 2.4;IC 95%: [1.12 - 5.15];p = 0.025), mockery/teasing or negative comments about physique (OR = 3.54;IC 95%: [2.06 - 6.12];p < 0.001), a succession of sentimental disappointments (OR = 2.89;IC 95%: [1.33 - 6.30];p = 0.008), and the importance attached to physical appearance (OR = 0.5;IC 95%: [0.31 - 0.82];p = 0.005) are associated with BDD. Its consequences are serious, with an altered quality of life that can lead to dropping out of school and suicidal ideation or behavior. Conclusion: Although little studied and little diagnosed, Body Dysmorphia Disorder (BDD) is a reality in the student environment of northern Benin. Further studies are needed to more define BDD in the Beninese socio-cultural context.展开更多
文摘Naevus dysmorphia is a form of appearance concern/body image dissatisfaction, which describes a preoccupation withthe appearance of a clinically small melanocytic naevus. The naevus is perceived by the patient to be disfiguring. Such perception leads to maladaptive behaviours and is often associated with low mood, as well as high levels of anxiety and social avoidance. Affected individuals form a diverse group. However, what they have in common is that the distress experienced is disproportionate to the objective visual appearance of the mole. There is a range of severity of the impact on the individual's well being. Naevus dysmorphia may or may not be a cutaneous manifestation of body dysmorphic disorder(BDD). It is essential that patients with naevus dysmorphia are identified and distinguished from patients requesting removal of a mole for other uncomplicated cosmetic reason. Patients with naevus dysmorphia can be challenging to treat and communicate with. Surgical excision of the naevus will not address the underlying psychopathology and so it may not result in long-term positive outcome. Ideally, a detailed psychological assessment and formulation can be made potential y followed by psychological therapy tailored to the needs of the individual. A therapeutic trial of appropriate psychopharmacological course may be indicated in certain cases, e.g., when symptoms of a depressive disorder, anxiety disorder or BDD are present. A case series of 10 patients with naevus dysmorphia is presented, in order to highlight the above issues.
文摘Introduction: Body Dysmorphia Disorder (BDD) is a mental disorder characterized by an obsessive focus on a perceived defect in appearance. This disorder can be dangerous or life-threatening. Hence, there is the need for special attention. Objective: The aim of this study was to determine the prevalence of Body Dysmorphia Disorder (BDD) and to identify the factors associated with it. Methods: This was a descriptive and analytical cross-sectional study that took place from December 2020 to October 2021, with a census of all medical students enrolled at the University of Parakou for the 2020-2021 academic year and who volunteered to participate. DSM 5 diagnostic criteria were used to assess BDD, and the Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) was used to assess its severity. Results: A total of 669 people were included in the study. The prevalence of probable cases of BDD was 10.31%. Gender (female) (OR = 2.49;IC 95%: [1.45 - 4.26];p < 0.001), trauma with cosmetic sequelae (OR = 2.95;IC 95%: [1.27 - 6.91];p = 0.012), depressive disorders (OR = 2.4;IC 95%: [1.12 - 5.15];p = 0.025), mockery/teasing or negative comments about physique (OR = 3.54;IC 95%: [2.06 - 6.12];p < 0.001), a succession of sentimental disappointments (OR = 2.89;IC 95%: [1.33 - 6.30];p = 0.008), and the importance attached to physical appearance (OR = 0.5;IC 95%: [0.31 - 0.82];p = 0.005) are associated with BDD. Its consequences are serious, with an altered quality of life that can lead to dropping out of school and suicidal ideation or behavior. Conclusion: Although little studied and little diagnosed, Body Dysmorphia Disorder (BDD) is a reality in the student environment of northern Benin. Further studies are needed to more define BDD in the Beninese socio-cultural context.
