Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-14T04:55:03.947Z Has data issue: false hasContentIssue false

Neuroanatomical Correlates and Somatosensorial Disturbances in Body Dysmorphic Disorder

Published online by Cambridge University Press:  07 November 2014

Abstract

Body dysmorphic disorder (BDD) is a condition characterized by an intense preoccupation with an imagined or slight defect in physical appearance. Although there is a general consensus that psychosocial factors play a major role in the development of BDD, there is some evidence suggesting that an organic somatosensorial disturbance may also exist in this condition. Several psychiatric and neurological disorders, including the interparietal syndrome, Gertsman's syndrome, inferoparietal syndrome, phantom limb syndrome, genital retraction syndrome, panencephalitis, cerebrovascular syndromes, and pharyngeal streptococcia affecting the basal ganglia, can present with somatosensorial disturbances similar to BDD. The cerebral pathology in all these disorders appears to be localized in the parietal-occipital region, indicating that cerebral involvement may also be associated with BDD. An interdependence exists between cerebral regions through integrated neural networks that enable efficient processing of information. Disturbances in these association pathways can lead to an imbalance in the extensive cerebral loops. Therefore, it is possible that a defect in information-processing may play a role in the pathogenesis of BDD.

Type
Feature Article
Copyright
Copyright © Cambridge University Press 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Vinck, J, Pierloot, R. Body image boundary definiteness and psychopathology. Acta Belg Med Phys. 1977;77:348359.Google ScholarPubMed
2.Fisher, S, Cleveland, SE. Body Image and Personality Revised ed. New York, NY: Dover Press; 1968.Google Scholar
3.Lacey, JH, Birtchnell, SA. Body image and its disturbances. J Psychosom Res. 1986;30:623631.CrossRefGoogle ScholarPubMed
4.American Psychiatric Association. Diagnostic Criteria from DSM-IV. Washington DC: American Psychiatric Association; 1994.Google Scholar
5.Filteau, MJ, Pourcher, E, Baruch, P, et al.La dysmorphophobie (trouble dysmorphique physique). Can J Psychiatry. 1992;37:503509.CrossRefGoogle Scholar
6.Morselli, E. Sulla Dismorfofobia e sulla Talefobia due forme non per anco descritte di Pazzia con idee fisse. Bolletinno Della Accademia di Genova. 1891;6:110119.Google Scholar
7.Dion, K, Berscheid, E, Walster, E. What is beautiful is good. J Pers Soc Psychol. 1972;24:285.CrossRefGoogle ScholarPubMed
8.Neziroglu, F, Stevens, KP, McKay, D, et al.Predictive validity of the overvalued ideas scale: outcome in obsessive-compulsive and body dysmorphic disorders. Behav Res Ther. 2001;39:745756.CrossRefGoogle ScholarPubMed
9.Bonnier, PL. L'aschematie. Rev Neurol (Paris). 1905;54:605621.Google Scholar
10.Pick, A. Storung der orientierung am eigenen korper. Psychologische Forschung. 1922;1:303315.CrossRefGoogle Scholar
11.Critchley, M. The Parietal Lobes. London, England: Arnold; 1953.Google Scholar
12.Hoff H, Poetzle. Experimentalle nachbildung von anosognosia. Zeitschrift Gesamte Neurologie Psychiatrie. 1931;137:722734.CrossRefGoogle Scholar
13.Head, H. Aphasia and Kindred Disorders of Speech. London, England: Cambridge University Press; 1926.Google Scholar
14.Angyal, A. The perceptual basis of somatic delusions in a case of schizophrenia. Arch Neurology Psychiatry. 1935;34:270279.CrossRefGoogle Scholar
15.Smith, BH. Principles of Clinical Neurology. Chicago, Ill: Year Book Medical Publishers, Inc.; 1965:23227Google Scholar
16.Heilbronner, K. Die aphasischen, apraktischen und agnostischen Storungen. Handb d Neurol. 1910;1.Google Scholar
17.Balint, R. Seelenlahmung des “Schauens”, optische ataxie, raumliche stoning der auimerksameit. Monatsschr Psychiatrie Neurologie. 1909;25:5181.CrossRefGoogle Scholar
18.Schilder, P. Das Koerperschema. Berlin, Germany: Springer, 1923.CrossRefGoogle Scholar
19.Traub, AC, Olson, R, Orbach, J, et al.Psychophysical studies of body-image. Arch Gen Psychiatry. 1967;17:664670.CrossRefGoogle ScholarPubMed
20.Chapman, LJ, Chapman, JP, Raulin, ML. Body-image aberration in schizophrenia. J Abnorm Psychol. 1978;87:399407.CrossRefGoogle ScholarPubMed
21.Priebe, S, Roehricht, F. Specific body image pathology in acute schizophrenia. Psychiatry Res. 2001;101:289301.CrossRefGoogle ScholarPubMed
22.Hamilton, M. Fish's Schizophrenia, 2nd ed. Bristol, England: John Wright & Sons LTD; 1976.Google Scholar
23.Noyes, A, Kolb, L. Modern Clinical Psychiatry. Philadelphia, Pa: WB Saunders Co; 1958.Google Scholar
24.Lasegue, C. On hysterical anorexia. Medical Times and Gazette. 1873;2:265-266, 367368.Google Scholar
25.Crisp, AH, Kalucy, RS. Aspects of the perceptual disorder in anorexia nervosa. Br J Med Psychol. 1974;47:349361.CrossRefGoogle ScholarPubMed
26.Molinari, E. Body-size estimation in anorexia nervosa. Percept Mot Skills. 1995;81:2331.CrossRefGoogle ScholarPubMed
27.Phillips, KA, McElroy, SL, Keck, PE, et al.Body dysmorphic disorder: 30 cases of imagined ugliness. Am J Psychiatry. 1993;150:302308.Google ScholarPubMed
28.Veale, D, Boocock, A, Gournaj, U, et al.Body dysmorphic disorder: a survey of 50 cases. Br J Psychiatry. 1996;169:196201.CrossRefGoogle ScholarPubMed
29.Taggart, M. Body image, looking beyond the mirror. J Pract Nurs. 1977;27:2535.Google ScholarPubMed
30.Glaser, GH. Epilepsy, neuropsychological aspects. In: Reiser, MF, ed. American Handbook of Psychiatry. 2nd ed. New York, NY: Basic Books, Inc.; 1975;314355.Google Scholar
31.Chowdhury, AN. Hundred years of koro: the history of a culture-bound syndrome. Int J Soc Psychiatry. 1998;44:181188.CrossRefGoogle Scholar
32.Gangale, JP. A review of the phantom sensation phenomenon. Virg Med Monthly. 1968;95:425429.Google ScholarPubMed
33.Cambier, J, Elghozi, D, Graveleau, P, et al.Right hemiasomatognosia and sensation of amputation caused by left subcortical lesion. Role of callosal disconnection [in French]. Rev Neurol. 1984;140:256262.Google ScholarPubMed
34.Salib, EA. Subacute sclerosing panencephalitis (SSPE) presenting at the age of 21 as a schizophrenia-like state with bizarre dysmorphophobic features. Br J Psychiatry. 1988;152:709710.CrossRefGoogle ScholarPubMed
35.Sverd, J, Kerbeshian, J, Montero, G, et al.Co-occurrence of body dysmorphic disorder and Tourette's disorder. Psychosomatics. 1997;38:578581.CrossRefGoogle ScholarPubMed
36.Mathew, SJ. PANDAS variant and body dysmorphic disorder [letter]. Am J Psychiatry. 2001;158:963.CrossRefGoogle ScholarPubMed
37.Phillips, KA, Gunderson, CG, Mallya, G, et al.A comparison study of body dysmorphic disorder and obsessive-compulsive disorder. J Clin Psychiatry. 1998;59:568575.CrossRefGoogle ScholarPubMed
38.Yaryura-Tobias, JA, Neziroglu, FA. Obsessive-Compulsive Disorder Spectrum: Pathogenesis, Diagnosis, and Treatment. Washington DC: American Psychiatric Press; 1997:255302.Google Scholar
39.Hanes, KR. Neuropsychological performance in body dysmorphic disorder. J Int Neuropsychol Soc. 1998;4:167171.CrossRefGoogle ScholarPubMed