Level of insight and clinical features of obsessive-compulsive disorder with and without body dysmorphic disorder.
CNS Spectr
; 12(4): 295-303, 2007 Apr.
Article
en En
| MEDLINE
| ID: mdl-17426667
ABSTRACT
INTRODUCTION:
Body dysmorphic disorder (BDD) and obsessive-compulsive disorder (OCD) have several similarities and are included among the obsessive-compulsive spectrum of disorders. However, the content of preoccupations and level of insight of BDD patients differ from OCD patients.OBJECTIVE:
To compare the level of insight regarding obsessive-compulsive symptoms (OCS) and other clinical features in OCD patients with and without comorbid BDD.METHODS:
We evaluated 103 OCD patients (n=25, comorbid BDD), according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria using the Structured Clinical Interview for DSM-IV, the Yale-Brown Obsessive-Compulsive Scale, the University of Sao Paulo Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, and the Brown Assessment of Beliefs Scale.RESULTS:
The study groups differed significantly on several clinical features, including level of insight. A worse level of insight regarding OCS was independently associated with the presence of comorbid BDD. Lower educational level, more psychiatric comorbidities, presence of somatic and hoarding obsessions, and presence of intrusive images were associated with BDD comorbidity, even after adjusting for possible confounders.CONCLUSION:
The presence of BDD in OCD patients is associated with poorer insight into obsessional beliefs and higher morbidity, reflected by lower educational levels and higher number of psychiatric comorbid disorders in general.
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Banco de datos:
MEDLINE
Asunto principal:
Trastornos Somatomorfos
/
Concienciación
/
Trastorno Obsesivo Compulsivo
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País como asunto:
America do sul
/
Brasil
Idioma:
En
Año:
2007
Tipo del documento:
Article