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

Ümit B. Semiz, Cengiz Başoğlu, Servet Ebrinç, B. Murat Ergün, C. Onur Noyan, Mesut Çetin.

Abstract
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
signiŞcantly higher scores 14% more than one trauma. BPD group had
signiŞcantly higher scores on the DES (t=26.38; p0.05) was not
signiŞcant.

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
clariŞed, because disturbed body image is a common
diagnostic feature in both disorders.

Key words: borderline personality disorder, body dysmorphic disorder, comorbidity, trauma, dissociation



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