Body dysmorphic disorder, trauma, and dissociation in patients with borderline personality disorder: a preliminary study

摘要

Objective: The purpose of this study is to determine the extent of comorbid body dysmorphic disorder (BDD) in a group of patients with borderline personality disorder (BPD) and its relation to childhood traumatic experiences and dissociation. Method: The study included 35 patients (aged 18-42 years) who were consecutively admitted and had been diagnosed with BPD according to the DSM-IV criteria and 35 age and sex matched healthy controls. The subjects were evaluated with a comprehensive assessment battery using SCID-I, SCID-II, SCIDlike semi-structured interview for BDD, Dissociative Experiences Scale (DES), Somatoform Dissociation Questionnaire (SDQ), Traumatic Experiences Checklist (TEC), and Hamilton Depression Rating Scale (HDRS). Results: The average number of DSM-IV criteria for BPD was 7.7 (SD = 1.4) in the study group and 28.5% of them reported childhood physical abuse, 28.5% childhood sexual abuse, 8.5% childhood emotional abuse, 60% childhood neglect. BPD group had signi?cantly higher scores 14% more than one trauma. BPD group had signi?cantly higher scores on the DES (t=26.38; p0.05) and dissociation scores (DES r=0.059, p>0.05; DISQ r=0.005, p>0.05) was not signi?cant. Conclusions: We have limited data concerning the nature or degree of pathology in individuals with comorbid BPD and BDD. It is conceivable that some features of BDD and BPD may interface. That the lifetime prevalence of BDD was found 80% in our borderline sample, may be seen quite greater than expected. But co-occurrence and pscyhopathological relation between BDD and BPD remains to be clari?ed, because disturbed body image is a common diagnostic feature in both disorders.