Abstract
The psychopathology of 20 subjects who presented to psychiatrists with facial dysmorphophobia was examined. Seven had body dysmorphic disorder and 13 had dysmorphophobic symptoms secondary to an underlying psychiatric disorder (usually depression). The body dysmorphic group had a younger age of onset and overvalued ideas about their appearance. In both groups there was a high proportion of associated personality disorder, usually of the anxious (avoidant) type.
Highlights
In dysmorphophobia or body dysmorphic dis order, the patient has a subjective feeling of ugliness or physical defect which he or she believes is noticeable to others appearance is within normal limits (Hay, 1970a)
A letter requesting referral of any patients who had dysmorphophobia or perceived facial disfigurement was sent to 221 consultant psychiatrists in the North Western Region of England three times over three and a half years (1986/89)
The premorbid personality of the dysmorphophobic subjects was ascertained by interviewing a relative or another informant using the Standardised Assessment of Personality (Mann et al 1981)
Summary
DAYSON.D. (1994) Long stay Patients Discharged to the Community -followed up at 1 year. 2 years and 5 years. J. (1994) One Year in the Community - report on the outcomes of a whole hospital long-stay population. (1993) Readmissions of long-stay psychiatric patients to the acute services from hostels In the community. The body dysmorphic group had a younger age of onset and overvalued ideas about their appearance In both groups there was a high proportion of associated personality disorder, usually of the anxious (avoidant) type. 10 definition, the dissatisfaction with appear ance must be present for longer than six months, cause persistent distress or social disability and not be of delusional intensity This investigation aimed to identify any asso ciated psychiatric disorder; classify the nature of the benef; and determine the premorbid person ality of patients with dysmorphophobia
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