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Delusional versus nondelusional body dysmorphic disorder
Comprehensive Psychiatry, 07/22/09

Mancuso SC et al. – The study results support other studies in the view that BDD and its delusional variant have more similarities than differences and that the delusional variant may be simply a more severe form of BDD.

• Assessed demographic and clinical features in 65 subjects with body dysmorphic disorder (BDD) and compared the 39 (60%) with the delusional form (receiving an additional diagnosis of delusional disorder, somatic type) with those who did not meet delusionality criteria.

• Delusional and nondelusional patients did not statistically differ on most demographic and clinical variables.
• Delusional patients, however, had significantly more severe BDD symptoms at both baseline and follow–up assessments than those of nondelusional patients.
• Poorer insight was significantly associated with more severe BDD symptoms at both baseline and follow–up.
• Overall improvement in BDD symptom severity was similar for the 2 groups.

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