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Psychosomatics 46:317-325, August 2005
© 2005 The Academy of Psychosomatic Medicine

Demographic Characteristics, Phenomenology, Comorbidity, and Family History in 200 Individuals With Body Dysmorphic Disorder

Katharine A. Phillips, M.D., William Menard, B.A., Christina Fay, B.A., and Risa Weisberg, Ph.D.

Received May 21, 2004; revision received July 9, 2004; accepted July 29, 2004. From the Body Image Program, Butler Hospital; and the Department of Psychiatry and Human Behavior, Brown University, Providence, R.I. Address correspondence and reprint requests to Dr. Phillips, Body Image Program, Butler Hospital, 345 Blackstone Blvd., Providence, RI 02906; katharine_phillips{at}brown.edu (e-mail).

The authors examined characteristics of body dysmorphic disorder in the largest sample for which a wide range of clinical features has been reported. The authors also compared psychiatrically treated and untreated subjects. Body dysmorphic disorder usually began during adolescence, involved numerous body areas and behaviors, and was characterized by poor insight, high comorbidity rates, and high rates of functional impairment, suicidal ideation, and suicide attempts. There were far more similarities than differences between the currently treated and untreated subjects, although the treated subjects displayed better insight and had more comorbidity.




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