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PSYCH up2date 2016; 10(01): 31-42
DOI: 10.1055/s-0041-105934
Angststörungen, Zwangsstörungen und stressassoziierte Störungen

Die körperdysmorphe Störung: aktuelle Entwicklungen zu Diagnostik, Störungswissen und Therapie

Katharina Schieber
,
Alexandra Martin
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Kernaussagen

Die körperdysmorphe Störung ist eine psychische Erkrankung, die häufig unentdeckt bleibt. Gründe dafür können ein hohes Schamgefühl vonseiten der Betroffenen sein, eine in den Vordergrund tretende komorbide Erkrankung oder ein fehlendes Screening vonseiten des Behandlers. Die Symptomatik der KDS führt zu einer enormen Beeinträchtigung und Belastung im Leben der Betroffenen, die durch kognitive Verzerrungen von Aufmerksamkeit, Wahrnehmung und Interpretation aufrechterhalten werden. Betroffene erleben einen enormen Leidensdruck, der einer Behandlung bedarf. Während von plastisch-chirurgischen Eingriffen abzuraten ist, wurden kognitiv verhaltenstherapeutische Methoden als wirksam nachgewiesen. Dabei stellt die Exposition vor dem Spiegel ein wichtiges Behandlungselement dar.



Publication History

Publication Date:
14 January 2016 (online)

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th. ed. Washington, DC: American Psychiatric Association; 2013
    Google Scholar
  • 2 Buhlmann U, Glaesmer H, Mewes R. et al. Updates on the prevalence of body dysmorphic disorder: a population-based survey. Psychiatry Res 2010; 178: 171-175
    Google Scholar
  • 3 Phillips KA, Menard W. Suicidality in body dysmorphic disorder: a prospective study. Am J Psychiatry 2006; 163: 1280-1282
    CrossrefPubMedGoogle Scholar
  • 4 Rief W, Buhlmann U, Wilhelm S. et al. The prevalence of body dysmorphic disorder: a population-based survey. Psychol Med 2006; 36: 877-885
    CrossrefPubMedGoogle Scholar
  • 5 Schieber K, Kollei I, de Zwaan M. et al. Classification of body dysmorphic disorder – what is the advantage of the new DSM-5 criteria?. J Psychosom Res 2015; 78: 223-227
    Google Scholar
  • 6 Phillips KA. Suicidality in body dysmorphic disorder. Primary Psychiatry 2007; 14: 58-66
    PubMedGoogle Scholar
  • 7 Kollei I, Rauh E, de Zwaan M. et al. Körperbildstörungen bei körperdysmorpher Störung und Essstörungen. Wo bestehen Unterschiede und wo bestehen Gemeinsamkeiten?. Z Klin Psychol Psychother 2013; 42: 172-183
    CrossrefGoogle Scholar
  • 8 Veale D, Matsunaga H. Body dysmorphic disorder and olfactory reference disorder: proposals for ICD-11. Revista brasileira de psiquiatria (Sao Paulo, Brazil: 1999) 2014; 36 (Suppl. 01) 14-20
    CrossrefPubMedGoogle Scholar
  • 9 Buhlmann U, Martin A, Tuschen-Caffier B. et al. Die körperdysmorphe Störung: Symptomatik und evidenzbasierte Behandlung. Z Klin Psychol Psychother 2013; 42: 153-162
    CrossrefGoogle Scholar
  • 10 Kollei I, Martin A, Rein K. et al. Prevalence of body dysmorphic disorder in a German psychiatric inpatient sample. Psychiatry Res 2011; 189: 153-155
    CrossrefPubMedGoogle Scholar
  • 11 Oosthuizen P, Lambert T, Castle DJ. Dysmorphic concern: Prevalence and associations with clinical variables. Aust N Z J Psychiatry 1998; 32: 129-132
    CrossrefPubMedGoogle Scholar
  • 12 Phillips KA. The broken mirror: understanding and treating body dysmorphic disorder. Oxford: Oxford University Press; 2005
    Google Scholar
  • 13 Brunhoeber S, Maes J. Diagnostik der Körperdysmorphen Störung: Entwicklung und Validierung eines Screeningfragebogens. Diagnostica 2007; 53: 17-32
    CrossrefGoogle Scholar
  • 14 Buhlmann U, Wilhelm S, Glaesmer H. et al. Fragebogen körperdysmorpher Symptome (FKS): Ein Screening-Instrument. Verhaltenstherapie 2009; 19: 237-242
    CrossrefGoogle Scholar
  • 15 Phillips KA, Hollander E, Rasmussen SA. et al. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacol Bull 1997; 33: 17-22
    PubMedGoogle Scholar
  • 16 Grocholewski A, Tuschen-Caffier B, Margraf J. et al. Überzeugungen über das Erscheinungsbild. Eine Fragebogenvalidierung. Z Klin Psychol Psychother 2011; 40: 85-93
    CrossrefGoogle Scholar
  • 17 Clement U, Löwe B. FKB-20: Fragebogen zum Körperbild. Göttingen: Hogrefe; 1996
    Google Scholar
  • 18 Brunhoeber S. Kognitive Verhaltenstherapie bei Körperdysmorpher Störung. Ein Therapiemanual. Göttingen: Hogrefe; 2009
    Google Scholar
  • 19 Buhlmann U. The German version of the Brown Assessment of Beliefs Scale (BABS): Development and evaluation of its psychometric properties. Compr Psychiatry 2014; 55: 1968-1971
    CrossrefPubMedGoogle Scholar
  • 20 Veale D, Bewley A. Body dysmorphic disorder. Br Med J 2015; 350: h2278
    CrossrefPubMedGoogle Scholar
  • 21 Chosak A, Marques L, Greenberg JL. Body dysmorphic disorder and obsessive-compulsive disorder. Expert Rev Neurother 2008; 8: 1209-1218
    CrossrefPubMedGoogle Scholar
  • 22 Kollei I, Schieber K, de Zwaan M. et al. Body dysmorphic disorder and nonweight-related body image concerns in individuals with eating disorders. Int J Eat Disord 2013; 46: 52-59
    CrossrefPubMedGoogle Scholar
  • 23 Kollei I, Brunhoeber S, Rauh E. et al. Body image, emotions and thought control strategies in body dysmorphic disorder compared to eating disorders and healthy controls. J Psychosom Res 2012; 72: 321-327
    CrossrefPubMedGoogle Scholar
  • 24 Gunstad J, Phillips KA. Axis I comorbidity in body dysmorphic disorder. Compr Psychiatry 2003; 44: 270-276
    CrossrefPubMedGoogle Scholar
  • 25 Alavi M, Kalafi Y, Dehbozorgi GR. et al. Body dysmorphic disorder and other psychiatric morbidity in aesthetic rhinoplasty candidates. J Plast Reconstr Aesthet Surg 2011; 64: 738-741
    Google Scholar
  • 26 Collins B, Gonzalez D, Gaudilliere DK. et al. Body dysmorphic disorder and psychological distress in orthognathic surgery patients. J Oral Maxillofac Surg 2014; 72: 1553-1558
    CrossrefPubMedGoogle Scholar
  • 27 Bjornsson AS, Didie ER, Grant JE. et al. Age at onset and clinical correlates in body dysmorphic disorder. Compr Psychiatry 2013; 54: 893-903
    Google Scholar
  • 28 Phillips KA, Menard W, Fay C. Gender similarities and differences in 200 individuals with body dysmorphic disorder. Compr Psychiatry 2006; 47: 77-87
    Google Scholar
  • 29 Veale D. Advances in a cognitive behavioural model of body dysmorphic disorder. Body Image 2004; 1: 113-125
    CrossrefPubMedGoogle Scholar
  • 30 Feusner JD, Neziroglu F, Wilhelm S. et al. What causes BDD: Research findings and a proposed model. Psychiatric Annals 2010; 40: 349-355
    CrossrefPubMedGoogle Scholar
  • 31 Kerwin L, Hovav S, Hellemann G. et al. Impairment in local and global processing and set-shifting in body dysmorphic disorder. J Psychiatr Res 2014; 57: 41-50
    CrossrefPubMedGoogle Scholar
  • 32 Feusner JD, Townsend J, Bystritsky A. et al. Visual information processing of faces in body dysmorphic disorder. Arch Gen Psychiatry 2007; 64: 1417-1425
    CrossrefPubMedGoogle Scholar
  • 33 Greenberg JL, Reuman L, Hartmann AS. et al. Visual hot spots: an eye tracking study of attention bias in body dysmorphic disorder. J Psychiatr Res 2014; 57: 125-132
    CrossrefPubMedGoogle Scholar
  • 34 Buhlmann U, Etcoff NL, Wilhelm S. Facial attractiveness ratings and perfectionism in body dysmorphic disorder and obsessive-compulsive disorder. J Anxiety Disord 2008; 22: 540-547
    CrossrefPubMedGoogle Scholar
  • 35 Buhlmann U, Wilhelm S, McNally RJ. et al. Interpretive biases for ambiguous information in body dysmorphic disorder. CNS Spectr 2002; 7: 435-436, 41 – 43
    CrossrefPubMedGoogle Scholar
  • 36 Kollei I, Martin A. Body-related cognitions, affect and post-event processing in body dysmorphic disorder. J Behav Ther Exp Psychiatry 2014; 45: 144-151
    CrossrefPubMedGoogle Scholar
  • 37 Wilhelm S, Phillips KA, Didie E. et al. Modular cognitive-behavioral therapy for body dysmorphic disorder: a randomized controlled trial. Behav Ther 2014; 45: 314-327
    CrossrefPubMedGoogle Scholar
  • 38 Williams J, Hadjistavropoulos T, Sharpe D. A meta-analysis of psychological and pharmacological treatments for Body Dysmorphic Disorder. Behav Res Ther 2006; 44: 99-111
    CrossrefPubMedGoogle Scholar
  • 39 Veale D, Neziroglu F. Body Dysmorphic Disorder: A Treatment Manual. Oxford: John Wiley & Sons; 2010
    CrossrefGoogle Scholar
  • 40 Wilhelm S, Phillips KA, Steketee G. Cognitive-Behavioral Therapy for Body Dysmorphic Disorder. A Treatment Manual. Guilford Press: New York; 2013
    Google Scholar
  • 41 Veale D, Riley S. Mirror, mirror on the wall, who is the ugliest of them all?. Behav Res Therapy 2001; 39: 1381-1393
    CrossrefPubMedGoogle Scholar
  • 42 Crerand CE, Menard W, Phillips KA. Surgical and minimally invasive cosmetic procedures among persons with body dysmorphic disorder. Ann Plast Surg 2010; 65: 11-16
    Google Scholar
  • 43 Woolley AJ, Perry JD. Body dysmorphic disorder: Prevalence and outcomes in an oculofacial plastic surgery practice. Am J Ophthalmol 2015; 159: 1048-1064
    CrossrefPubMedGoogle Scholar
  • 44 Phillips KA, Hollander E. Treating body dysmorphic disorder with medication: evidence, misconceptions, and a suggested approach. Body Image 2008; 5: 13-27
    CrossrefPubMedGoogle Scholar