BACKGROUND: Acne is one of the most common concerns of patients with body dysmorphic disorder (BDD), a psychiatric condition defined as a preoccupation with a slight or imagined defect in appearance that causes significant disruption in daily functioning. OBJECTIVE: We sought to screen for BDD symptoms among patients with acne across a spectrum of acne severity. METHODS: We used a validated self-report questionnaire and an objective assessment of acne severity by a single observer. RESULTS: Rates of BDD ranged from 14.1% using more stringent criteria to assess acne severity to 21.1% using less stringent criteria. Two-fold increased odds of having BDD was seen in patients requiring systemic isotretinoin therapy. LIMITATIONS: Cross-sectional study design is a limitation. CONCLUSION: A significant proportion of patients, regardless of their acne severity at the time of examination, have substantial distress and preoccupation related to their facial appearance.
BACKGROUND: Acne is one of the most common concerns of patients with body dysmorphic disorder (BDD), a psychiatric condition defined as a preoccupation with a slight or imagined defect in appearance that causes significant disruption in daily functioning. OBJECTIVE: We sought to screen for BDD symptoms among patients with acne across a spectrum of acne severity. METHODS: We used a validated self-report questionnaire and an objective assessment of acne severity by a single observer. RESULTS: Rates of BDD ranged from 14.1% using more stringent criteria to assess acne severity to 21.1% using less stringent criteria. Two-fold increased odds of having BDD was seen in patients requiring systemic isotretinoin therapy. LIMITATIONS: Cross-sectional study design is a limitation. CONCLUSION: A significant proportion of patients, regardless of their acne severity at the time of examination, have substantial distress and preoccupation related to their facial appearance.
Authors: Joshua D Auerbach; Baron S Lonner; Canice E Crerand; Suken A Shah; John M Flynn; Tracey Bastrom; Phedra Penn; Jennifer Ahn; Courtney Toombs; Neil Bharucha; Whitney P Bowe; Peter O Newton Journal: J Bone Joint Surg Am Date: 2014-04-16 Impact factor: 5.284
Authors: Viviane Christina Siena Isaacsson; Hiram Larangeira de Almeida; Rodrigo Pereira Duquia; Juliano de Avelar Breunig; Paulo Ricardo Martins de Souza Journal: An Bras Dermatol Date: 2014 Jul-Aug Impact factor: 1.896