Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.abd.2020.06.003 http://hdl.handle.net/11449/210669 |
Resumo: | Background: Body dysmorphic disorder consists of excessive concern with minimal appearance defects, which causes functional impairment. Its prevalence is estimated to range from 5% to 35% of dermatological patients, especially adult women with esthetic complaints. Objectives: To investigate the prevalence and factors associated with dysmorphic disorder in female dermatological patients, in a public institution in Brazil. Methods: This was a cross-sectional study involving adult women attended at a public dermatological service in Brazil. Participants underwent a demographic survey, in addition to a screening form for body dysmorphic disorder (Body Dysmorphic Disorder Examination [BDDE]). The presence of dysmorphic disorder (BDDE > 66 points) was assessed among the participants according to demographic covariates and psychological problems, through logistic regression. Results: A total of 223 women were evaluated. The BDDE showed high internal consistency (Cronbach's alpha =0.90). it is noteworthy the high prevalence of psychological problems and the fact that over one-third (38%) of the sample presented a high degree of dissatisfaction with their image. The prevalence of dysmorphic disorder was 48% among women with esthetic complaints and 30% among the others (p < 0.01). Lower family income (OR = 2.97), history of domestic violence (OR =3.23), search for dermatological care due to an esthetic complaint (OR = 2.05), and suicidal ideation (OR = 4.22) were independently associated with the occurrence of body dysmorphic disorder. Study limitations: This was a single-center study of a non-randomized sample from public service. Conclusions: Body dysmorphic disorder is prevalent among female dermatological patients; it is associated with traumatic psychological experiences, tower income, affective disorders, and demand for esthetic care. It is essential to recognize the diagnosis in order to treat such patients and refer them for appropriate psychiatric treatment instead of trying to satisfy their esthetic demands. (C) 2021 Sociedade Brasileira de Dermatologia. Published by Elsevier Espana, S.L.U. |
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Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institutionAlcoholismBody imageChild abuse, sexualDepressionHealth surveysBackground: Body dysmorphic disorder consists of excessive concern with minimal appearance defects, which causes functional impairment. Its prevalence is estimated to range from 5% to 35% of dermatological patients, especially adult women with esthetic complaints. Objectives: To investigate the prevalence and factors associated with dysmorphic disorder in female dermatological patients, in a public institution in Brazil. Methods: This was a cross-sectional study involving adult women attended at a public dermatological service in Brazil. Participants underwent a demographic survey, in addition to a screening form for body dysmorphic disorder (Body Dysmorphic Disorder Examination [BDDE]). The presence of dysmorphic disorder (BDDE > 66 points) was assessed among the participants according to demographic covariates and psychological problems, through logistic regression. Results: A total of 223 women were evaluated. The BDDE showed high internal consistency (Cronbach's alpha =0.90). it is noteworthy the high prevalence of psychological problems and the fact that over one-third (38%) of the sample presented a high degree of dissatisfaction with their image. The prevalence of dysmorphic disorder was 48% among women with esthetic complaints and 30% among the others (p < 0.01). Lower family income (OR = 2.97), history of domestic violence (OR =3.23), search for dermatological care due to an esthetic complaint (OR = 2.05), and suicidal ideation (OR = 4.22) were independently associated with the occurrence of body dysmorphic disorder. Study limitations: This was a single-center study of a non-randomized sample from public service. Conclusions: Body dysmorphic disorder is prevalent among female dermatological patients; it is associated with traumatic psychological experiences, tower income, affective disorders, and demand for esthetic care. It is essential to recognize the diagnosis in order to treat such patients and refer them for appropriate psychiatric treatment instead of trying to satisfy their esthetic demands. (C) 2021 Sociedade Brasileira de Dermatologia. Published by Elsevier Espana, S.L.U.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Univ Estadual Paulista, Fac Med, Botucatu, SP, BrazilUniv Estadual Paulista, Fac Med, Botucatu, SP, BrazilFAPESP: 2015/04592-5Elsevier B.V.Universidade Estadual Paulista (Unesp)Morita, Mariana Mathias [UNESP]Merlotto, Maira Renata [UNESP]Dantas, Cassia Lopes [UNESP]Olivetti, Fernando Henrique [UNESP]Miot, Helio Amante [UNESP]2021-06-26T01:58:46Z2021-06-26T01:58:46Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article40-46application/pdfhttp://dx.doi.org/10.1016/j.abd.2020.06.003Anais Brasileiros De Dermatologia. New York: Elsevier Science Inc, v. 96, n. 1, p. 40-46, 2021.0365-0596http://hdl.handle.net/11449/21066910.1016/j.abd.2020.06.003S0365-05962021000100040WOS:000613197400005S0365-05962021000100040.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengAnais Brasileiros De Dermatologiainfo:eu-repo/semantics/openAccess2024-08-14T18:45:19Zoai:repositorio.unesp.br:11449/210669Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T18:45:19Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution |
title |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution |
spellingShingle |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution Morita, Mariana Mathias [UNESP] Alcoholism Body image Child abuse, sexual Depression Health surveys |
title_short |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution |
title_full |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution |
title_fullStr |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution |
title_full_unstemmed |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution |
title_sort |
Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution |
author |
Morita, Mariana Mathias [UNESP] |
author_facet |
Morita, Mariana Mathias [UNESP] Merlotto, Maira Renata [UNESP] Dantas, Cassia Lopes [UNESP] Olivetti, Fernando Henrique [UNESP] Miot, Helio Amante [UNESP] |
author_role |
author |
author2 |
Merlotto, Maira Renata [UNESP] Dantas, Cassia Lopes [UNESP] Olivetti, Fernando Henrique [UNESP] Miot, Helio Amante [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Morita, Mariana Mathias [UNESP] Merlotto, Maira Renata [UNESP] Dantas, Cassia Lopes [UNESP] Olivetti, Fernando Henrique [UNESP] Miot, Helio Amante [UNESP] |
dc.subject.por.fl_str_mv |
Alcoholism Body image Child abuse, sexual Depression Health surveys |
topic |
Alcoholism Body image Child abuse, sexual Depression Health surveys |
description |
Background: Body dysmorphic disorder consists of excessive concern with minimal appearance defects, which causes functional impairment. Its prevalence is estimated to range from 5% to 35% of dermatological patients, especially adult women with esthetic complaints. Objectives: To investigate the prevalence and factors associated with dysmorphic disorder in female dermatological patients, in a public institution in Brazil. Methods: This was a cross-sectional study involving adult women attended at a public dermatological service in Brazil. Participants underwent a demographic survey, in addition to a screening form for body dysmorphic disorder (Body Dysmorphic Disorder Examination [BDDE]). The presence of dysmorphic disorder (BDDE > 66 points) was assessed among the participants according to demographic covariates and psychological problems, through logistic regression. Results: A total of 223 women were evaluated. The BDDE showed high internal consistency (Cronbach's alpha =0.90). it is noteworthy the high prevalence of psychological problems and the fact that over one-third (38%) of the sample presented a high degree of dissatisfaction with their image. The prevalence of dysmorphic disorder was 48% among women with esthetic complaints and 30% among the others (p < 0.01). Lower family income (OR = 2.97), history of domestic violence (OR =3.23), search for dermatological care due to an esthetic complaint (OR = 2.05), and suicidal ideation (OR = 4.22) were independently associated with the occurrence of body dysmorphic disorder. Study limitations: This was a single-center study of a non-randomized sample from public service. Conclusions: Body dysmorphic disorder is prevalent among female dermatological patients; it is associated with traumatic psychological experiences, tower income, affective disorders, and demand for esthetic care. It is essential to recognize the diagnosis in order to treat such patients and refer them for appropriate psychiatric treatment instead of trying to satisfy their esthetic demands. (C) 2021 Sociedade Brasileira de Dermatologia. Published by Elsevier Espana, S.L.U. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-26T01:58:46Z 2021-06-26T01:58:46Z 2021-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.abd.2020.06.003 Anais Brasileiros De Dermatologia. New York: Elsevier Science Inc, v. 96, n. 1, p. 40-46, 2021. 0365-0596 http://hdl.handle.net/11449/210669 10.1016/j.abd.2020.06.003 S0365-05962021000100040 WOS:000613197400005 S0365-05962021000100040.pdf |
url |
http://dx.doi.org/10.1016/j.abd.2020.06.003 http://hdl.handle.net/11449/210669 |
identifier_str_mv |
Anais Brasileiros De Dermatologia. New York: Elsevier Science Inc, v. 96, n. 1, p. 40-46, 2021. 0365-0596 10.1016/j.abd.2020.06.003 S0365-05962021000100040 WOS:000613197400005 S0365-05962021000100040.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Anais Brasileiros De Dermatologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
40-46 application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
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1808128112552050688 |