护肤强迫症（cosmeticorexia）是近期提出的术语，用以描述对完美皮肤的过度或强迫性追求，但目前尚未被正式认可为医学或精神病学诊断1。虽然护肤本身可以是积极的自我照顾行为，但过度使用产品、强制性执行复杂程序和对皮肤缺陷的持续监控可能预示更深层的心理问题1。一项小规模研究在217名皮肤科患者中识别出18人（约8%）表现出护肤强迫症特征，尽管这一数据的代表性有限1。
2025年对100个TikTok视频的研究发现，7至18岁女孩展示的护肤程序平均包含6种产品，平均成本达168美元（约230澳元），而其中仅有26%的日间护肤程序包含防晒霜1。专家列举了多项警示信号，包括花费越来越多的时间或金钱、强制性执行多步程序、产品不可用时感到焦虑或羞愧、频繁检查或拍照皮肤缺陷，以及因皮肤问题回避学校、工作或社交活动等症状1。对于存在相关症状的人群，认知行为疗法被确认为治疗身体畸形妄想症或强迫症症状的循证治疗方法1。
A newly identified psychological concern, termed "cosmeticorexia," describes an excessive or compulsive pursuit of flawless skin that may extend beyond healthy self-care practices.1 While skincare itself can represent positive personal maintenance, overuse of products, rigid routines, and constant monitoring of skin imperfections may indicate deeper mental health challenges.1 The condition remains unrecognized as a formal medical or psychiatric diagnosis, though emerging research is beginning to document its characteristics.1
Recent studies highlight the scale of intensive skincare routines, particularly among younger audiences. A 2025 analysis of 100 TikTok videos found that girls aged 7 to 18 displayed skincare regimens averaging six products with a mean cost of 168 US dollars, approximately 230 Australian dollars.1 A smaller dermatological study identified approximately 8 percent of 217 surveyed patients as exhibiting "cosmeticorexia features," though this sample cannot be generalized to broader populations.1 Notably, only 26 percent of daytime skincare routines in the videos included sunscreen.1
Several warning signs may indicate problematic skincare engagement. These include progressively increased spending of time or money, compulsive adherence to multi-step regimens, anxiety or shame when products become unavailable, frequent self-inspection or photographing of skin flaws, and avoidance of school, work, or social activities due to skin concerns.1 Cognitive behavioral therapy has demonstrated effectiveness in treating body dysmorphic disorder and obsessive-compulsive symptoms that may underlie such behaviors.1
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