躯体变形障碍与美容整形术前心理评估.pdfVIP

E瘸的心理治疗 阪学勾暂学{临床决世论坛版)2010 年 11 月 1再 31 ff第 11 期，~第 417 期 躯体变形障碍与美容整形术前心理评估 郑铮①张宁② 摘要:躯体变形障碍是一种并不华见的精神障碍，其l胳床农观的特殊性使大多;ft患者以普通求术者的身份出现在美容串串 形科医生面前.然而，羡容盘在形手术非但不能解决患者的心泼问题，更可能引发复杂的医疗纠纷。基于躯体变形隙碍在 *:容费在形科1..高发生...的特点，文章对爱容整形术前心理评估的必要性和现状进行分析，并列孕了有效的保佑工具以提 高心理评估的准确性。 关键诩:躯体变形降碍，关容靠在形术，心理评估 中团分类号:R395.1 文献标识码:A 文章编号:1002--0772(2010)11 …0059--02 B叫y Dysmorphic Disonler and Psycholo以ωIA倒刷刷ent before Aesthetic Plastic Su咿ry ZHENGZheng , ZHANGNíng. Nanjíng University of Chinese Medicine , Nanjing 210046 , China Absb咽t: Body dysmorphic disorde r( BDD) ís one kind of common mental disorder. Owing tp the specific c1inícal features of BDD , most patíents would go to p!astíc surgeons just as ordinary surgery seekers. In fact , aesthetic plastíc surgery can do nothíng to help the patient solve any mental problem , and it would possibly bring about complex disputes between the pa- tient and the doctor. Because of the high rate of BDD occurrence in the department of aesthetic p!astic surgery , this article analyzed the necessity and current status of psychological assessment before aesthetic plastic surgery. Besides , several ef翩 fective asseS5ment tool5 are Iisted in order to enhance the accuracy of psychological assessment. Key Words: body dysmorphic disorder , aesthetic plastic surgery , psychological assessment 躯体变形障碍(body dysmorphic disorder. BDD) 是…种对 2.2 帮助医生制定更有针对性的治疗方案 想象的成轻微外表缺陷的先占观念(preoccupatÎon) .这种先占 在不同类琐的躯体变形障网患者中，有些患者确实存在可 以纠正的外貌缺陷井接受了手术。 Phillips 等[5j 调资了 250 名 观念不仅给个体带来显著的痛苦，还可能引起职业、社交功能或 BDD 成人患者，在经过整形手术治疗