| H01447 | |
| H番号 | H01447 |
| 名称 | 身体醜形障害 |
| 概要 | Body dysmorphic disorder (BDD) is a psychiatric disorder in which individuals are preoccupied with imagined defects in their appearance, which are not noticeable or appear slight to others. It is characterized by time-consuming behaviors such as mirror gazing, comparing one's appearance with the appearance of others, excessive camouflaging to hide the defect, and seeking reassurance. Patients experience significant distress, disability, and functional impairment, often accompanied by depression and suicidality. There is some clinical and pathologic overlap between obsessive-compulsive disorder (OCD) and BDD such as obsessive thoughts and the performance of ritual behavior. Patients with BDD respond to treatment with serotonergic agents such as clomipramine or selective serotonin reuptake inhibitors (SSRIs), which suggests a dysfunction of central serotonergic neurotransmission as a possible etiological factor. A recent study suggests that cognitive-behavior therapy (CBT) was more effective than treatment with medications. |
| カテゴリ | 精神及び行動の障害 |
| ネットワーク | - |
| 病因遺伝子 | - |
| 病原体 | - |
| 環境要因 | - |
| 発癌物質 | - |
| 治療薬 | - |
| コメント | In the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5), body dysmorphic disorder (BDD) has been subsumed into the obsessive-compulsive disorders and related disorders (OCDRD) category. |
| リンク | ICD-11: 6B21 ICD-10: F45.2 MeSH: D057215 |
| 文献 | PMID:26345330 著者 Frias A, Palma C, Farriols N, Gonzalez L タイトル Comorbidity between obsessive-compulsive disorder and body dysmorphic disorder: prevalence, explanatory theories, and clinical characterization. 雑誌 Neuropsychiatr Dis Treat 11:2233-44 (2015) DOI:10.2147/NDT.S67636 PMID:18224271 著者 Pavan C, Simonato P, Marini M, Mazzoleni F, Pavan L, Vindigni V タイトル Psychopathologic aspects of body dysmorphic disorder: a literature review. 雑誌 Aesthetic Plast Surg 32:473-84 (2008) DOI:10.1007/s00266-008-9113-2 PMID:25419211 著者 Li W, Arienzo D, Feusner JD タイトル Body Dysmorphic Disorder: Neurobiological Features and an Updated Model. 雑誌 Z Klin Psychol Psychother (Gott) 42:184-191 (2013) DOI:10.1026/1616-3443/a000213 PMID:11926939 (Drug) 著者 Phillips KA, Albertini RS, Rasmussen SA タイトル A randomized placebo-controlled trial of fluoxetine in body dysmorphic disorder. 雑誌 Arch Gen Psychiatry 59:381-8 (2002) DOI:10.1001/archpsyc.59.4.381 PMID:23459093 著者 Hofmann SG, Asnaani A, Vonk IJ, Sawyer AT, Fang A タイトル The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. 雑誌 Cognit Ther Res 36:427-440 (2012) DOI:10.1007/s10608-012-9476-1 |