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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EOlfactory reference syndrome (ORS) is a disabling psychiatric disorder that is characterized by the excessive, irrational fear that one is emitting a foul or unpleasant odor. The obsession may be an exaggerated, disproportionate concern with a natural body smell or may involve an entirely imagined odor.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ESomatoform Disorders\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EOlfactory reference syndrome (ORS) is a disabling psychiatric disorder that is characterized by the excessive, irrational fear that one is emitting a foul or unpleasant odor. The obsession may be an exaggerated, disproportionate concern with a natural body smell or may involve an entirely imagined odor.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EPatients with ORS \u201csuffer tremendously,\u201d said Katharine Phillips, MD, Rhode Island Hospital, Providence, RI. \u201cThey are impaired in terms of functioning and have high rates of suicidality.\u201d\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EDr. Phillips and colleagues assessed 20 patients and found that the average patient was female, in her early 30s, and had first started experiencing these concerns around the age of 16 years. These subjects were convinced their belief about the odor was real, even though no one else could detect it.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003ENearly all subjects (95%) performed at least one ORS-related compulsive behavior, most commonly smelling themselves (80%), showering excessively (68%), and changing clothes excessively (50%).\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003E\u201cThese individuals spend 3 to 8 hours a day preoccupied with concerns about body odors,\u201d said Dr. Phillips. \u201cSome used an entire bar of soap in one shower.\u201d\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003EThe most common areas patients felt the odor originated from was the mouth, followed by the armpits, genitalia, anus, feet, and skin. Bad breath was the concern of most (75%), followed by foul sweat (65%), flatulence or feces (30%), and urine (20%). Most were concerned about multiple odor sources, and 85% reported actually smelling the odor\u2014ie, they had what was described by Dr. Phillips as an olfactory hallucination.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003EThree quarters had avoided social situations, and 40% reported staying at home at least one week at a time because of perceived odors. Suicidal thoughts were reported by 68%, and 32% had actually attempted suicide. About half (53%) had had psychiatric hospitalizations.\u003C\/p\u003E\u003Cp id=\u0022p-9\u0022\u003EThe most common lifetime comorbid disorders that were associated with ORS were major depressive disorder (85%), social phobia (65%), and substance use disorders (50%). Nearly half (44%) had sought nonpsychiatric treatment for their perceived body odor, such as from a dermatologist.\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2010 MD Conference Express\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/10\/4\/9.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzms21\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}