BACKGROUND: Acne is one of the most common concerns of patients with body dysmorphic disorder (BDD), a psychiatric condition defined as a preoccupation with a slight or imagined defect in appearance that causes significant disruption in daily functioning. OBJECTIVE: We sought to screen for BDD symptoms among patients with acne across a spectrum of acne severity. METHODS: We used a validated self-report questionnaire and an objective assessment of acne severity by a single observer. RESULTS: Rates of BDD ranged from 14.1% using more stringent criteria to assess acne severity to 21.1% using less stringent criteria. Two-fold increased odds of having BDD was seen in patients requiring systemic isotretinoin therapy. LIMITATIONS: Cross-sectional study design is a limitation. CONCLUSION: A significant proportion of patients, regardless of their acne severity at the time of examination, have substantial distress and preoccupation related to their facial appearance.
Body dysmorphic disorder symptoms among patients with acne vulgaris. Publishing Authors By Initials