Co-occurrence of Body Dysmorphic Disorder and Tourette’ s Disorder: Three Patient Examples

Autor: Gerardo Montero, Jeffrey Sverd, Stephen Ferrante, Marion Donner, Jacob Kerbeshian
Rok vydání: 1997
Předmět:
Zdroj: Psychosomatics. 38:578-581
ISSN: 0033-3182
Popis: Body dysmorphic disorder (BOD) is a somatoform disorder characterized by an affected person's preoccupation with an imagined defect in appearance, which results in significant distress and impairment in functioning. '-7Onset of the disorder usually occurs in adolescence,2.3.5.7 and onset in childhood has not been previously described.2.3·7 High rates of affective and anxiety disorders in BOD patients and their relatives suggest that a significant relationship may exist between these disturbances and BDD,'-6 and it has been proposed that BOD should be conceptualized as an obsessive-compulsive spectrum disorder and more broadly as an affective spectrum disorder.3.s Favorable response to serotonergic antidepressants in open trials suggests an important role of central nervous system serotonergic dysfunction in the pathogenesis of BDD.'-4 Tourette's disorder (TO) is a common hereditary neurobehavioral spectrum disorder whose onset usually occurs in childhood or early adolescence.9-'5 In addition to motor and vocal tics, patients may experience a wide array of neuropsychiatric disturbances, including attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OeD), and affective and anxiety disorders.9-'2 It has been proposed that the associated disorders are genetically related to the tic disorder9-12 and that the TO spectrum of disorders is identical 'o to the
Databáze: OpenAIRE