Dysmorphic disorder: heterogeneous risk factors and clinical-dynamic characteristics
During the examination of 309 patients (78.6% women and 21.4% men), the risk factors for the development of dysmorphia and its clinical and dynamic variants were studied in patients of a plastic surgeon and cosmetologist with unreasonable dissatisfaction with their appearance. Described statistically significant pathocharacterological, psychopathological, chronobiological (age peaks, periods of hormonal crises and generative cycle) and psychosocial (changes in financial wealth, forced separation, loss of a loved one, work, decreased social activity, conflict, problems with the law, sexual dysfunction, diagnosis of somatic diseases) risk factors for dysmorphia in different age periods. Correlations were verified between the heterogeneous clinical picture (overvalued - 33%, affective - 24.3%, hypochondriacal - 23.3%, obsessive-compulsive - 10.7% and delusional - 8.7%) and stereotypes of dynamics (phase - 41,7%, recurrent - 33%, chronic - 25.3%) of dysmorphic disorder. In addition, the data obtained indicate that the development of dysmorphia is observed in any age range and is not continuously persistent in 74.7% of patients. The data obtained make it possible to conduct targeted diagnostic searches, preventive psychotherapeutic and early psychopharmacological treatment of persons with identified clinical manifestations and risk factors for dysmorphic disorder.