Body dysmorphic disorder in patients with acne: treatment challenges

Body dysmorphic disorder (BDD) is defined as a constant preoccupation with one or more non-existent or slight defects or flaws in the physical appearance, often resulting in repetitive behaviours like mirror checking and camouflaging. The prevalence is around 2% in the general population with up to...

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Main Authors: Aleksandra Kobusiewicz, Lucia Tomas-Aragones, Servando Marron, Anna Zalewska-Janowska
Format: Article
Language:English
Published: Termedia Publishing House 2022-02-01
Series:Advances in Dermatology and Allergology
Online Access:https://www.termedia.pl/Body-dysmorphic-disorder-in-patients-with-acne-r-ntreatment-challenges,7,46430,1,1.html
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author Aleksandra Kobusiewicz
Lucia Tomas-Aragones
Servando Marron
Anna Zalewska-Janowska
author_facet Aleksandra Kobusiewicz
Lucia Tomas-Aragones
Servando Marron
Anna Zalewska-Janowska
author_sort Aleksandra Kobusiewicz
collection DOAJ
description Body dysmorphic disorder (BDD) is defined as a constant preoccupation with one or more non-existent or slight defects or flaws in the physical appearance, often resulting in repetitive behaviours like mirror checking and camouflaging. The prevalence is around 2% in the general population with up to 10% in dermatology patients [1, 2]. The prevalence of BDD in patients with acne ranges between 9% and 15% [3]. BDD is associated with considerable psychosocial deterioration, poor quality of life, and development of comorbid mental health disorders, including obsessive compulsive disorder, depression, social anxiety and alcohol or illicit drug use [4]. Such patients suffer tremendously and are at high risk of suicide. The rate of suicidal ideation reaches 79.5%. Of this number, nearly 27.6% make failed suicidal attempts each year and 0.3% of these attempts are successful [5]. We present a case of body dysmorphic disorder in a patient with acne as they are usually underdiagnosed and left without adequate treatment and referral. We stress the importance of screening for this condition by dermatologists and engaging a mental health professional so as to manage these challenging patients in the view of high prevalence, functional impairment and risk of suicide.
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spelling doaj.art-049baeed533e469f8efad6aecc8700f32022-12-22T04:31:18ZengTermedia Publishing HouseAdvances in Dermatology and Allergology1642-395X2299-00462022-02-0139122122210.5114/ada.2022.11361646430Body dysmorphic disorder in patients with acne: treatment challengesAleksandra KobusiewiczLucia Tomas-AragonesServando MarronAnna Zalewska-JanowskaBody dysmorphic disorder (BDD) is defined as a constant preoccupation with one or more non-existent or slight defects or flaws in the physical appearance, often resulting in repetitive behaviours like mirror checking and camouflaging. The prevalence is around 2% in the general population with up to 10% in dermatology patients [1, 2]. The prevalence of BDD in patients with acne ranges between 9% and 15% [3]. BDD is associated with considerable psychosocial deterioration, poor quality of life, and development of comorbid mental health disorders, including obsessive compulsive disorder, depression, social anxiety and alcohol or illicit drug use [4]. Such patients suffer tremendously and are at high risk of suicide. The rate of suicidal ideation reaches 79.5%. Of this number, nearly 27.6% make failed suicidal attempts each year and 0.3% of these attempts are successful [5]. We present a case of body dysmorphic disorder in a patient with acne as they are usually underdiagnosed and left without adequate treatment and referral. We stress the importance of screening for this condition by dermatologists and engaging a mental health professional so as to manage these challenging patients in the view of high prevalence, functional impairment and risk of suicide.https://www.termedia.pl/Body-dysmorphic-disorder-in-patients-with-acne-r-ntreatment-challenges,7,46430,1,1.html
spellingShingle Aleksandra Kobusiewicz
Lucia Tomas-Aragones
Servando Marron
Anna Zalewska-Janowska
Body dysmorphic disorder in patients with acne: treatment challenges
Advances in Dermatology and Allergology
title Body dysmorphic disorder in patients with acne: treatment challenges
title_full Body dysmorphic disorder in patients with acne: treatment challenges
title_fullStr Body dysmorphic disorder in patients with acne: treatment challenges
title_full_unstemmed Body dysmorphic disorder in patients with acne: treatment challenges
title_short Body dysmorphic disorder in patients with acne: treatment challenges
title_sort body dysmorphic disorder in patients with acne treatment challenges
url https://www.termedia.pl/Body-dysmorphic-disorder-in-patients-with-acne-r-ntreatment-challenges,7,46430,1,1.html
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AT annazalewskajanowska bodydysmorphicdisorderinpatientswithacnetreatmentchallenges