Journal of Cutaneous and Aesthetic Surgery
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Year : 2016  |  Volume : 9  |  Issue : 3  |  Page : 188-191

Screening for body dysmorphic disorder in a dermatology outpatient setting at a tertiary care centre

1 Department of Dermatology, Starcare Hospital Kozhikode, Kozhikode, Kerala, India
2 Department of Dermatology and STD, VM Medical College and Safdarjang Hospital, New Delhi, India

Correspondence Address:
Dr. Fibin Thanveer
5/783 A, Near CPM Party Office, Rarichan Road, Eranhipalam P. O., Kozhikode - 673 006, Kerala,
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2077.191649

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Context: A distressing pre-occupation with an imagined or slight defect in appearance with a marked negative effect on the patient's life is the core symptom of body dysmorphic disorder (BDD). Aim: To screen the patients attending a dermatology clinic at a tertiary care centre for BDD using the BDD-dermatology version (DV) questionnaire. Settings and Design: This cross-sectional study enrolled 245 consecutive patients from the dermatology outpatients clinic. Methods: The demographic details were collected and the DV of BDD screening questionnaire was administered. A 5-point Likert scale was used for objective scoring of the stated concern and patients who scored ≥3 were excluded from the study. Statistical Analysis Used: The results were statistically analysed. Differences between the groups were investigated by Chi-square analysis for categorical variables, and Fisher exact test wherever required. Results: A total of 177 patients completed the study, and of these, eight patients screened positive for BDD. The rate of BDD in patients presenting with cosmetic complaints was 7.5% and in those with general dermatology, complaints were 2.1%, with no significant difference between the two groups (P = 0.156). Facial flaws (62.5%) were the most common concern followed by body asymmetry (25%). Conclusion: The rates of BDD found in this study are comparable but at a lower rate than that reported in literature data.

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