{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:53:25Z","timestamp":1791284005758,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T00:00:00Z","timestamp":1572220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T00:00:00Z","timestamp":1572220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and objective<\/jats:title>\n                    <jats:p>\n                      Body dysmorphic disorder (\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      ) is a mental disorder that is difficult to diagnose, causes a lot of suffering and is more prevalent in dermatology patients than in the general population. Our objective was to screen for possible cases of\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      in patients with acne and to determine the prevalence according to\n                      <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                      \u20105 criteria, as well as to analyse the relationship between dermatological and sociodemographic variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 245 patients diagnosed with acne in 11 dermatological centres in Spain were included in the study by members of the Aragon Psychodermatology Research Group and Spanish Research Group of Psychiatric Dermatology. We used the Body Dysmorphic Disorder Questionnaire (\n                      <jats:styled-content style=\"fixed-case\">BDDQ<\/jats:styled-content>\n                      ) as a screening tool.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In our sample, we obtained a prevalence for\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      of 10.6% (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 7.6\u201313.6%). The prevalence was the same with\n                      <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>\n                      or\n                      <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                      \u20105 criteria. Possible cases of\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      were predominantly women (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.021), and 56% had non\u2010inflammatory lesions vs. 30% of negative patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.002). Positive patients as possible cases of\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      spent more than two hours on average a day worrying about their appearance. Most people only worried about one part of their body (86%), and in 95% of the cases, the part of their body that worried them was the face. The three most frequent compulsive behaviours in patients who screened positive for\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      were mirror checking (90.7%), camouflaging (79.1%) and using make\u2010up (72.1%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      As a consequence of the high prevalence of possible cases of\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      in patients with acne observed in our study, there is a need for dermatologists to screen for\n                      <jats:styled-content style=\"fixed-case\">BDD<\/jats:styled-content>\n                      so that they can be referred to a mental health unit to confirm the diagnosis and be offered treatment to reduce the progression of psychosocial deterioration and the development of comorbid disorders.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.15954","type":"journal-article","created":{"date-parts":[[2019,9,13]],"date-time":"2019-09-13T03:28:05Z","timestamp":1568345285000},"page":"370-376","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Body dysmorphic disorder in patients with acne: a multicentre study"],"prefix":"10.1111","volume":"34","author":[{"given":"S.E.","family":"Marron","sequence":"first","affiliation":[{"name":"Department of Dermatology University Hospital Miguel Servet Zaragoza Spain"},{"name":"Aragon Psychodermatology Research Group (GAI+PD) Zaragoza Spain"},{"name":"Spanish Research Group of Dermatology and Psychiatry (GEDEPSI) of the Spanish Academy of Dermatology and Venereology (AEDV) Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Miranda\u2010Sivelo","sequence":"additional","affiliation":[{"name":"Spanish Research Group of Dermatology and Psychiatry (GEDEPSI) of the Spanish Academy of Dermatology and Venereology (AEDV) Madrid Spain"},{"name":"Department of Psychiatry General Hospital of Segovia Segovia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5891-628X","authenticated-orcid":false,"given":"L.","family":"Tomas\u2010Aragones","sequence":"additional","affiliation":[{"name":"Aragon Psychodermatology Research Group (GAI+PD) Zaragoza Spain"},{"name":"Spanish Research Group of Dermatology and Psychiatry (GEDEPSI) of the Spanish Academy of Dermatology and Venereology (AEDV) Madrid Spain"},{"name":"Department of Psychology University of Zaragoza Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Rodriguez\u2010Cerdeira","sequence":"additional","affiliation":[{"name":"Spanish Research Group of Dermatology and Psychiatry (GEDEPSI) of the Spanish Academy of Dermatology and Venereology (AEDV) Madrid Spain"},{"name":"Department of Dermatology University Hospital of Vigo Vigo Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.J.","family":"Tribo\u2010Boixaro","sequence":"additional","affiliation":[{"name":"Spanish Research Group of Dermatology and Psychiatry (GEDEPSI) of the Spanish Academy of Dermatology and Venereology (AEDV) Madrid Spain"},{"name":"Department of Dermatology Hospital del Mar Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Garcia\u2010Bustinduy","sequence":"additional","affiliation":[{"name":"Spanish Research Group of Dermatology and Psychiatry (GEDEPSI) of the Spanish Academy of Dermatology and Venereology (AEDV) 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