|Alternative Title||The Study of Body Dysmorphic Disorder in Cosmetic Surgery|
|Place of Conferral||中国科学院心理研究所|
|Keyword||躯体变形障碍 临床特征 心身症状 手术满意度 心理干预|
1.在134名整形外科求术者中，躯体变形障碍的发生率为15. 7%，他们关注的 部位有皮肤、鼻部、眼部、乳房、头发等，每天关注的时间平均为61. 4士24. 7分钟，都存在重复性行为(如照镜子)以及掩饰行为(如过度化妆、用帽子 衣物掩盖等)，有2个患者试图用硬币和刀片刮掉脸上的斑点。
2.躯体变形障碍患者的SCL-90各因子分与对照组有显著性差异，总体心理健康 状况很差，在抑郁、焦虑、人际关系、精神病因子上更为明显。和正常的整 形求术者相比，他们都有自身外表缺陷的观念，但躯体变形障碍患者存在错 误的认知，过度的关注，看重别人的评价，情绪和社会交往更容易受影响， 更倾向于不断寻求改变体貌的方法(如整形手术或自我矫正)。而且他们的 躯体变形障碍症状的严重程度与心身症状严重程度成正相关。
Cosmetic concerns are increasingly pervading in China. heople's appearance were improved by cosmetic surgery. In many cosmetic surgery or dermatologic treatment we can found some individuals have Body Dysmorphic Disorder (BDD), who are preoccupied with an imagined or slight defect in appearance; the appearance concerns are excessive and the preoccupation cause clinically significant distress or functional impairment. Body dysmorphic disorder (BDD) is relatively common in cosmetic practice, yet it remains under-recognized. Since the 1980s, western scholars have been carrying out systematic research on this disorder. In China, the related research is still very few.
In order to explore the clinical characteristicsq mental state and treatment of body dysmorphic disorder in cosmetic surgery, three experiments were conducted. Experiment 1:SCL-90 and SIZSBI were used to evaluate 21 patients with BDD and control group。To investigate clinical features, body image problems and mental health of patients with BDD in cosmetic surgery. Experiment 2e 21 patients with BDD and the normal controls were examined by using a interview questionnaire(David Veale) to explore the satisfaction of cosmetic surgery that the patients with body dysmorphic disorder(BDD)received. Experiment 3:64 patients with BDD were randomly divided into intervention group and control group. The intervention group received cognitive-behavioral-social intervention for 3 months, in order to study the effect of psychological intervention on emotion and the quality of lift in patients with body dysmorphic disorder.
Main results as follows:
found the prevalence rates of body dysmorphic disorder among cosmetic surgery patients is 15.7%. 1'reoccupations usually involve the skin, nose, eye, breast and hair etc. They think about their perceived flaws by average one hours per day. They perform repetitive, timerconsuming behaviors and camouflaging. Two patients had skin picking.
2. The patients with BDD had bad mental health. They showed significantly higherpsychiatric symptoms of depression, anxiety, intcrpcrsonal relationship,psychoticism than controls. They have poor insight, and their concerns about appearance are excessive.They think a lot of other people's opinion. Their emotion and social functioning are easily impaired. They prefer to seek surgical treatment to improve perceived defects. Their mental health were positively related to the severity of their BDD symptoms.
3.There have no any change in appearance, social function, the time they took and distress they experienced after the operation. The result showed that the patients with BDD dissatisfied with the outcome of cosmetic surgery, and the more procedures had the lower satisfaction.
4. Affter cognitive-behavioral-social intervention, the SDS，SAS value，the quality of life in the BDD group were significantly differ from the before-intervention group and the control group. The result showed that psychological intervention can decrease anxiety，depression and improve the quality of life in patients with ADD.
|杨冠华. 躯体变形障碍在整形外科手术中的研究[D]. 中国科学院心理研究所. 中国科学院大学,2008.|
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