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Dysmorphophohia: clinical features and outcome with behavior therapy

Published online by Cambridge University Press:  16 April 2020

JC Gomez-Perez ,
IM Marks  and
JL Gutierrez-Fisac
JC Gomez-Perez
Affiliation:
Hospital Universitario San Carlos, General Peron 32, Madrid
IM Marks
Affiliation:
Institute of Psychiatry and Maudsley-Bethlem Royal Hospital, De Crespigny Park, London SES 8AF, UK
JL Gutierrez-Fisac
Affiliation:
Ferraz 96, 28008Madrid, Spain
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Summary

This case note sludy examined the clinical features and outcome of 30 patients with dysmorphophohia (perhaps (he largest series so far) who had behavioural (exposure) therapy. Method: The clinical Features and treatment outcome on standard contemporary measures were reviewed. Results: All palienls had social avoidance and dysmorphophohia, with abnormal beliefs, often of delusional intensity. For up lo 1-12 months follow-up after exposure, most patients improved in avoidance, work and social adjustment, and in beliefs even if these had initially been delusional. Gains were less than after exposure therapy for non-dysmorphophobic problems such as agoraphobia, specific phobia, social phobia and obsessive-compulsive disorder (OCT)). Conclusions: The importance of separating delusional from delusional dysmorphophohia can be questioned. Exposure therapy appeared useful for dysmorphophohia, but this must be confirmed in a controlled trial and in patients who attend dermatology, plastic surgery and general psychiatric clinics.

Keywords

dysmorphophohiabehaviour therapyoutcome
Type
Original article
Information
European Psychiatry , Volume 9 , Issue 5 , 1994 , pp. 229 - 235
Copyright
Copyright © Elsevier, Paris 1994

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