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Am J Psychiatry. 1995 Aug;152(8):1207-9.

Body dysmorphic disorder in the DSM-IV field trial for obsessive-compulsive disorder.

Abstract

OBJECTIVE:

This study investigated the prevalence and phenomenology of body dysmorphic disorder in patients with obsessive-compulsive disorder.

METHOD:

The authors studied 442 patients who participated in the DSM-IV field trial for obsessive-compulsive disorder.

RESULTS:

Twelve percent (N = 51) of the patients had a lifetime comorbid diagnosis of body dysmorphic disorder. Patients with and without body dysmorphic disorder did not differ in demographic characteristics of obsessive-compulsive symptoms. Patients with obsessive-compulsive disorder and body dysmorphic disorder had more anxious, impulsive, and schizotypal features than patients with obsessive-compulsive disorder alone. Age at onset was similar for the two disorders, and severity correlated. However, insight was significantly more impaired for body dysmorphic disorder than for obsessive-compulsive disorder.

CONCLUSIONS:

As previously thought, these findings suggest that the two disorders are strongly related but also have differences that require further investigation.

PMID:
7625473
DOI:
10.1176/ajp.152.8.1207
[Indexed for MEDLINE]
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