Body dysmorphic disorder in children and young people

Watson, Chloe; Ban, Sasha

doi:10.12968/bjon.2021.30.3.160

Cited by 7 publications

(4 citation statements)

References 36 publications

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“…16 Additionally, a decline in body image among adolescents and young adults may be a result of increased social media influence and screen time. 38 The increasing trend of "Zoom" mirror gazing may highlight dissatisfaction with perceived flaws in appearance. 39 When it comes to nasal trauma, we suggest that patients with posttraumatic anomalies have a more realistic mindset compared to patients with predominantly aesthetic wishes.…”

Section: Discussionmentioning

confidence: 99%

The Body Dysmorphic Disorder Questionnaire—Aesthetic Surgery: Are We Screening the Troublesome Patients?

Declau,

Pingnet,

Smolders

et al. 2024

Facial Plast Surg

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This study aims to clarify the current concept of performing rhinoplasty in patients with possible body dysmorphic disorder (BDD). The primary outcome was to investigate the validity and evolution over time of the Body Dysmorphic Disorder Questionnaire - Aesthetic Surgery (BDDQ-AS) before and after surgery. Methods Together with the BDDQ-AS, also the NOSE scale, FACE-Q nose and nostrils, and Utrecht questionnaire were used for convergent validation. In this prospective study, 187 patients completed these PROMs at 4 time points: at the preoperative consultation and postoperatively at 3, 6 and 12 months. Results The preoperative BDDQ-AS positivity rate was as high as 55.1%. Postoperatively, there was a highly significant decrease in the odds of scoring positive on the BDDQ-AS. At the preoperative consultation, positively screened patients were less satisfied with the aesthetics of their noses with worse scores on UQ, FACE-Q nose and VAS. The preoperative differences in outcome measure ratings disappeared postoperatively, except for the FACE-Q nostrils, which surprisingly showed better values in BDDQ-AS positive patients. Age and previous nasal trauma were statistically significant covariates associated with positive BDDQ-AS screening. Conclusion Due to the overwhelming decrease in positive BDDQ-AS outcome after surgery, a positive screening result on the BDDQ-AS should not be interpreted as a formal contra-indication for surgery. Collaboration with psychologists or psychiatrists remains crucial to diagnose BDD conclusively.

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Section: Discussionmentioning

confidence: 99%

The Body Dysmorphic Disorder Questionnaire—Aesthetic Surgery: Are We Screening the Troublesome Patients?

Declau,

Pingnet,

Smolders

et al. 2024

Facial Plast Surg

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“… 24–27 The incidence of body dysmorphic disorders (BDDs) in all children globally is on the increase with long-term mental health issues including depression and even suicide. 28 Surgical scars are one of the conditions that can lead to BDD, and these can either separately or in combination have a negative impact on the mental health of patients. 29 A study conducted in 2023 reported on the daily QoL impact of scars on patients.…”

Section: Discussionmentioning

confidence: 99%

Disease-specific quality of life as part of the long-term follow-up for children born with esophageal atresia in an academic unit in South Africa—a pilot study

de Vos,

Dellenmark-Blom,

Sikwete

et al. 2024

Diseases of the Esophagus

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Summary As neonatal mortality rates have decreased in esophageal atresia (EA), there is a growing focus on quality of life (QoL) in these children. No study from Africa has reported on this topic. This pilot study aimed to describe disease-specific QoL in EA children and its applicability as part of long-term follow-up in an academic facility in South Africa. Disease-specific QoL in children born with EA was assessed utilizing the EA-QoL questionnaire for children aged 2–17 years during a patient-encounter. The parent-report for children aged 2–7 years compromised 17 items categorized into three domains: eating, physical health and treatment, and social isolation/stress. The 24-item EA-QL questionnaire for children aged 8–18 (child- and parent-report) explored four domains: eating, body perception, social relationships, and health and well-being. A total of 13 questionnaires for children aged 2–7 years were completed by five parents. A negative perceived impact on their child’s eating was reported by 46–92% of parents, and less impact in the other two domains. A total of 27 questionnaires were completed by eight children aged 8–17 years and 10 parents. Similar percentages children and parents reported a negative impact in the eating, social relationships, and body perception domains. More than half reported a negative impact on the child’s health and well-being. This study supports the concept that assessment of disease-specific QoL should play a vital role in the comprehensive follow-up approach for children born with EA. We identified that parents of younger children were more likely to report eating disorders, whereas parents of older children were more likely to report health difficulties with different perceptions when it came to the child’s scar.

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“…Однако, по данным наблюдений, в популяции больше страдают лица женского пола, при этом у значительной части наблюдаются относительно легкие симптомы. Среди всех социальных групп наиболее часто от ДР страдают студенты и девочки старшего подросткового возраста [13]. Согласно последним данным, ДР, обычно начинающееся в подростковом возрасте, затрагивает от 2 до 3% населения, страдает примерно 1 из 50 человек [14,15].…”

Section: резюме _____________________________________________________...unclassified

Dysmorphic Disorder as a Form of Mental Pathology in Adolescence and Young Age

Леонова

2023

Психиатрия, Психотерапия И Клиническая Психология

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Дисморфическое расстройство представляет собой патологию психической деятельности индивида, основными признаками которой являются выраженное беспокойство относительно своего внешнего вида и преувеличенное желание корректировать или скрывать имеющиеся незначительные недостатки, что ведет к существенному снижению социальной адаптации человека. Несмотря на достаточно высокую распространенность в популяции, особенно среди лиц подросткового и молодого возраста, осведомленность о расстройстве среди специалистов остается низкой, что приводит к неверному выбору тактики лечебных мероприятий и, как следствие, прогрессированию патологии и присоединению сопутствующих нарушений, например суицидального поведения. Знание этиопатогенетических основ расстройства, его клинических проявлений и применение скрининговых методик определения наличия патологии помогут своевременно диагностировать и подбирать индивидуальный план терапевтических мероприятий для каждого пациента в соответствии с уровнем имеющихся нарушений. Body dysmorphic disorder is a pathology of an individual’s mental activity. The main signs are expressed concern about his appearance, an exaggerated desire to correct or hide the existing minor disadvantage, which leads to a significant decrease in human social adaptation. Despite the relatively high prevalence in the population, awareness of the disorder among specialists remains low, which leads to an incorrect choice of therapeutic measures tactics and, as a result, the progression of pathology, the addition of concomitant disorders, for example, suicidal behavior. Persons of adolescent and young age have the highest predisposition to the occurrence of body dysmorphic disorder. Knowledge of the etiopathogenetic foundations of the disorder, its clinical manifestations, the use of screening methods to determine the presence of pathology will help to diagnose and select an individual plan of therapeutic measures for each patient in a timely manner in accordance with the level of existing disorders.

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Body dysmorphic disorder in children and young people

Cited by 7 publications

References 36 publications

The Body Dysmorphic Disorder Questionnaire—Aesthetic Surgery: Are We Screening the Troublesome Patients?

The Body Dysmorphic Disorder Questionnaire—Aesthetic Surgery: Are We Screening the Troublesome Patients?

Disease-specific quality of life as part of the long-term follow-up for children born with esophageal atresia in an academic unit in South Africa—a pilot study

Dysmorphic Disorder as a Form of Mental Pathology in Adolescence and Young Age

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