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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >The relationship between body dysmorphic disorder and obsessive-compulsive disorder: A systematic review of direct comparative studies
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The relationship between body dysmorphic disorder and obsessive-compulsive disorder: A systematic review of direct comparative studies

机译：身体缺血性障碍与强迫性疾病的关系：对直接比较研究的系统综述

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Objective: Current nosology conceptualises body dysmorphic disorder as being related to obsessive-compulsive disorder, but the direct evidence to support this conceptualisation is mixed. In this systematic review, we aimed to provide an integrated overview of research that has directly compared body dysmorphic disorder and obsessive-compulsive disorder. Method: The PubMed database was searched for empirical studies which had directly compared body dysmorphic disorder and obsessive-compulsive disorder groups across any subject matter. Of 379 records, 31 met inclusion criteria and were reviewed. Results: Evidence of similarities between body dysmorphic disorder and obsessive-compulsive disorder was identified for broad illness features, including age of onset, illness course, symptom severity and level of functional impairment, as well as high perfectionism and high fear of negative evaluation. However, insight was clearly worse in body dysmorphic disorder than obsessive-compulsive disorder, and preliminary data also suggested unique visual processing features, impaired facial affect recognition, increased social anxiety severity and overall greater social-affective dysregulation in body dysmorphic disorder relative to obsessive-compulsive disorder. Conclusion: Limitations included a restricted number of studies overall, an absence of studies comparing biological parameters (e.g. neuroimaging), and the frequent inclusion of participants with comorbid body dysmorphic disorder and obsessive-compulsive disorder. Risks of interpreting common features as indications of shared underlying mechanisms are explored, and evidence of differences between the disorders are placed in the context of broader research findings. Overall, this review suggests that the current nosological status of body dysmorphic disorder is somewhat tenuous and requires further investigation, with particular focus on dimensional, biological and aetiological elements.
机译：目的：当前危害概念概念性疑似紊乱与强迫症有关，但支持这种概念化的直接证据是混合。在这一系统审查中，我们旨在提供直接比较身体疑难生障碍和强迫性疾病的研究综合概述。方法：搜查了PubMed数据库的实证研究，这些数据在任何主题中直接比较了身体疑似紊乱和强迫症疾病群体。 379条记录，31次符合纳入标准，并审查。结果：鉴定了身体多甲症与强迫症之间的相似性的证据是针对广泛的疾病特征，包括发病年龄，疾病课程，症状严重程度和功能障碍水平，以及高度完美主义和对消减负面评估的恐惧。然而，在身体疑似紊乱的洞察力比强迫性紊乱中显然更差，初步数据也提出了独特的视觉加工特征，面部影响受损的识别，社会焦虑严重程度提高，相对于痴迷的身体疑似紊乱的社会情感障碍的全面更大的社会情感失调。强迫症。结论：限制包括整体学习的限制数量，没有研究生物学参数（例如神经影像动物）的研究，以及参与者与共聚物体外紊乱和强迫性疾病的频繁列入。探讨了解释共同潜在机制的迹象的共同特征的风险，并在更广泛的研究结果的背景下放置了障碍之间差异的证据。总体而言，本综述表明，目前的身体疑难症病症的姿态状况有些脆弱，需要进一步调查，特别关注尺寸，生物和疾病。

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