DYSMORPHOPHOBIA IN DERMATOLOGICAL PRACTICE

Abstract

The incidence of dysmorphophobia in dermatological patients is much higher than in the population (0,7— 2,4%), reaching 6,7 to 14%, according to epidemiological data. The increasing number of available cosmetological procedures, mainly aimed at improvement of the skin status, has attracted special attention to dysmorphophobia problem in clinical dermatology in recent years. Examinations of dermatological patients (90 cases) enabled us to distinguish two polar dysmorphophobia types by the anxiety criterion (intensity of clinically significant anxiety in various social situations because of imagined or minimally represented physical effect): with externally oriented psychopathological disorders and internal perfectionalism. These types differ by the structure of the psychopathological syndrome, premorbid status, social adaptation level, dermatological consultation rate, presence and intensity of autodestructive actions, comorbid psychopathological disorder, and response to psychopharmacotherapy.

Keywords

dysmorphophobia / psychodermatology / psychosomatics / body image

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