Pathological skin picking in individuals with body dysmorphic disorder

The objective of this study was to examine the prevalence and clinical correlates of pathological skin picking (PSP) in a large sample of individuals with body dysmorphic disorder (BDD). One hundred seventy-six individuals with BDD (71.0% women; mean age, 32.5±12.3 years) were assessed with respect...

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Bibliographic Details
Published in:General hospital psychiatry 2006-11, Vol.28 (6), p.487-493
Main Authors: Grant, Jon E., Menard, William, Phillips, Katharine A.
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Body dysmorphic disorder
Delusions - diagnosis
Delusions - epidemiology
Demography
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
Male
Medical sciences
Miscellaneous
Neurotic excoriation
Prevalence
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self-Injurious Behavior - diagnosis
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - psychology
Severity of Illness Index
Skin
Skin picking
Social Adjustment
Somatoform disorders
Somatoform Disorders - diagnosis
Somatoform Disorders - epidemiology
Somatoform Disorders - psychology
Somatoform disorders. Psychosomatics
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Summary:The objective of this study was to examine the prevalence and clinical correlates of pathological skin picking (PSP) in a large sample of individuals with body dysmorphic disorder (BDD). One hundred seventy-six individuals with BDD (71.0% women; mean age, 32.5±12.3 years) were assessed with respect to comorbidity, BDD severity, delusionality (insight), quality of life and social/occupational functioning, using reliable and valid measures. All variables were compared in BDD subjects with and without lifetime PSP. About 44.9% of subjects reported lifetime PSP, and 36.9% reported current PSP secondary to BDD. BDD subjects with PSP were more likely to be female, to have skin preoccupations, to have comorbid trichotillomania or a personality disorder, to camouflage with makeup and to seek and receive nonpsychiatric (e.g., dermatological) treatment for their skin preoccupations. There is a high prevalence of PSP among individuals with BDD, and clinicians should be aware of the clinical correlates of this problematic behavior.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2006.08.009