Citation

Luna M. I. Trastor. ánimo 2009; 5(1): 7-18.

Copyright

(Copyright © 2009)

DOI

unavailable

PMID

unavailable

Abstract

Body dysmorphic disorder (BDD) is an increasingly recognized somatoform disorder, clinically distinct from obsessive-compulsive disorder, eating disorders and depression. Patients with BDD are preoccupied with an imagined defi cit in appearance of one or more body parts, causing clinically significant stress, impairment, and dysfunction. The preoccupation is not explained by any other psychiatric or neurological disorder. The body building or the surgical “correction” of perceived physical deficits is rarely an effective treatment for this patient. BDD is associated with high rates of occupational and social impairment, hospitalization and suicide behaviour. BDD is unlikely to be simply a symptom of depression, although it often coexists with depression and may be related to depression. It is very important to recognize BDD in depressed patients, because missing the diagnosis can result in refractory BDD and depressive symptoms. Available data indicate that BDD may not respond to all treatments for depression and may instead respond preferentially to serotonin-reuptake inhibitors. In addition, lengthier treatment trials than those required for depression may be needed to successfully treat BDD and comorbid depression. It can be difficult and challenging to diagnose BDD in depressed patients because the symptoms are often concealed due to discomfiture and shame. Pharmacologic treatment with selective serotonin reuptake inhibitors and nonpharmacologic treatment with cognitive behaviour therapy are effective.BDD is not uncommon, but is often misdiagnosed. Recognition and treatment are important because this disorder can lead to disability, depression, and suicide.

Language: es

Keywords

Depression; Suicide; Suicidio; Depresión; Body Dysmorphic Disorder; Trastorno Dismórfico Corporal