A cross-sectional study on gender differences in body dysmorphic concerns in patients with skin conditions in relation to sociodemographic, clinical and psychological variables

被引：2

作者：

Sampogna, F. ^{[1
]}

Samela, T. ^{[1
]}

Abeni, D. ^{[1
]}

Schut, C. ^{[2
]}

Kupfer, J. ^{[2
]}

Bewley, A. P. ^{[3
,4
]}

Finlay, A. Y. ^{[5
]}

Gieler, U. ^{[6
,7
]}

Thompson, A. R. ^{[8
,9
,10
]}

Gracia-Cazana, T. ^{[11
]}

Balieva, F. ^{[12
,13
]}

Ferreira, B. R. ^{[14
]}

Jemec, G. B. ^{[15
,16
]}

Lien, L. ^{[17
,18
]}

Misery, L. ^{[19
]}

Marron, S. E. ^{[20
]}

Stander, S. ^{[17
]}

Zeidler, C. ^{[21
]}

Szabo, C. ^{[22
]}

Szepietowski, J. C. ^{[23
]}

Reich, A. ^{[24
]}

Svensson, A. ^{[25
]}

Altunay, I. K. ^{[26
]}

Legat, F. J. ^{[27
]}

Grivcheva-Panovska, V. ^{[28
]}

Romanov, D. V. ^{[29
,30
]}

Lvov, A. N. ^{[31
,32
]}

Titeca, G. ^{[33
]}

Vulink, N. C. ^{[34
]}

Tomas-Aragones, L. ^{[35
]}

van Beugen, S. ^{[36
]}

Evers, A. W. M. ^{[36
]}

Dalgard, F. J. ^{[25
,37
]}

机构：

[1] IDI IRCCS, Clin Epidemiol Unit, Rome, Italy

[2] Justus Liebig Univ Giessen, Inst Med Psychol, Giessen, Germany

[3] Barts Hlth NHS Trust, London, England

[4] Queen Mary Univ, London, England

[5] Cardiff Univ, Inst Infect & Immun, Sch Med, Cardiff, Wales

[6] Justus Liebig Univ Giessen, Dept Dermatol, Giessen, Germany

[7] Vitos Klin, Giessen, Germany

[8] South Wales Clin Psychol Programme, Cardiff, Wales

[9] Vale Univ Hlth Board, Cardiff, Wales

[10] Cardiff Univ, Sch Psychol, Cardiff, Wales

[11] Univ Zaragoza, Miguel Servet Univ Hosp, IIS Aragon, Zaragoza, Spain

[12] Stavanger Univ Hosp, Dept Dermatol, Stavanger, Norway

[13] Univ Stavanger, Fac Hlth Sci, Dept Publ Hlth, Stavanger, Norway

[14] Coimbra Univ Hosp, Dept Dermatol, Coimbra, Portugal

[15] Zealand Univ Hosp, Dept Dermatol, Roskilde, Denmark

[16] Univ Copenhagen, Fac Hlth & Med Sci, Copenhagen, Denmark

[17] Innlandet Hosp Trust, Norwegian Natl Advisory Unit Concurrent Subst Abus, Brumunddal, Norway

[18] Inland Norway Univ Appl Sci, Fac Social & Hlth Sci, Elverum, Norway

[19] Univ Hosp Brest, Dept Dermatol, Brest, France

[20] Univ Hosp Miguel Servet, Dept Dermatol, Aragon Psychodermatol Res Grp GAI PD, Zaragoza, Spain

[21] Univ Clin Munster, Dept Dermatol, Munster, Germany

[22] Univ Szeged, Inst Psychol, Szeged, Hungary

[23] Wroclaw Med Univ, Dept Dermatol Venereol & Allergol, Wroclaw, Poland

[24] Rzeszow Univ, Inst Med Sci, Dept Dermatol, Med Coll, Rzeszow, Poland

[25] Skane Univ Hosp, Dept Dermatol & Venereol, Malmo, Sweden

[26] Univ Hlth Sci, Sisli Hamidiiye Etfal Res & Training Hosp, Dept Dermatol & Venereol, Istanbul, Turkiye

[27] Med Univ Graz, Dept Dermatol, Graz, Austria

[28] Univ St Cyril & Methodius, PHI Univ Clin Dermatol Skopje, Sch Med, Skopje, North Macedonia

[29] IM Sechenov First Moscow State Med Univ, Sechenov Univ, Dept Psychiat & Psychosomat, Moscow, Russia

[30] Mental Hlth Res Ctr, Dept Boundary Mental Condit & Psychosomat Disorder, Moscow, Russia

[31] Cent State Med Acad, Dept Dermatovenereol & Cosmetol, Dept Presidential Affairs, Moscow, Russia

[32] Lomonosov Moscow State Univ, Med Res & Educ Ctr, Moscow, Russia

[33] Clin Notre Dame Grace, Dept Dermatol, Gosselies, Belgium

[34] Univ Amsterdam, Locat Acad Med Ctr, Amsterdam UMC, Dept Psychiat, Amsterdam, Netherlands

[35] Univ Zaragoza, Dept Psychol, Zaragoza, Spain

[36] Leiden Univ, Inst Psychol, Hlth Med & Neuropsychol Unit, Leiden, Netherlands

[37] Vestfold Hosp Trust, Div Mental Hlth & Addict, Tonsborg, Norway

来源：

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY | 2025年 / 39卷 / 04期

关键词：

DISORDER; DISSATISFACTION; PREVALENCE; DEPRESSION; WOMEN; ANXIETY; IMAGE; MEN;

D O I：

10.1111/jdv.20247

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

BackgroundDysmorphic concern is an overconcern with an imagined or slight defect in physical appearance that can be a symptom of body dysmorphic disorder (BDD). Appearance-related concerns are frequently reported by people with dermatological conditions. However, relatively little remains known about the relationship between dysmorphic concern and other variables within persons with different skin conditions.ObjectivesThe aim of this multicentre, cross-sectional study was to investigate gender differences regarding dysmorphic concern and the prevalence of BDD in a large sample of patients with skin conditions, in relation to sociodemographic, clinical and psychological variables.MethodsParticipants aged >= 18 years with skin conditions were consecutively enrolled in dermatological clinics of 22 European centres. Dysmorphic concern and the possible presence of BDD were measured using the Dysmorphic Concern Questionnaire (DCQ) and compared between men and women in relation to sociodemographic, clinical and psychological variables, and separately for each skin condition.ResultsThe DCQ questionnaire was completed by 5290 dermatological patients. In all categories, mean scores were significantly higher in women than in men. Mean DCQ scores were also higher in women for most skin conditions, with the highest effect size in vitiligo. The percentage of patients who screened positive for BDD on the DCQ was 10.5%, 7.7% of men and 12.7% of women. The prevalence of BDD positive was 6.9% in patients with mild clinical severity, 11.1% for moderate and 19.1% for severe condition. In the multivariate model in patients with mild skin condition, the presence of BDD was positively associated with stress and stigma both in men and in women.ConclusionsDysmorphic concern and BDD were more frequent in women than in men with skin conditions. Both received and actual stigmatization might have an impact on body-related concerns, in particular in women, who may be more at risk for sociocultural reasons. image

引用

页码：823 / 832

页数：10

共 44 条

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