High Prevalence of Body Dysmorphic Disorder Symptoms in Patients Seeking Rhinoplasty

Picavet, Valerie A.; Prokopakis, Emmanuel P.; Gabriëls, Lutgardis; Jorissen, Mark; Hellings, Peter W.

doi:10.1097/prs.0b013e31821b631f

Cited by 117 publications

(100 citation statements)

References 39 publications

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“…This study reveals that 15% of patients who received cosmetic rhinoplasty in a tertiary hospital setting have possible BDD. As expected, this figure is lower than that reported by studies which looked at the prevalence of BDD in patients seeking rhinoplasty which ranges from 20 to 33 percent [7,12,13]. This suggests that surgeons generally refrain from operating on patients suspected to have BDD, however despite this the high percentage of BDD in patients who received rhinoplasty reflected in this study highlights the potential difficulty faced by surgeons in screening for or excluding these patients.…”

Section: Discussioncontrasting

confidence: 61%

“…It has previously been used to determine the prevalence of BDD in cosmetic rhinoplasty setting by Veale et al [7]. To our knowledge, some studies have investigated the BBD rates in patients seeking rhinoplasty but there is no data on the proportion of BDD in patients who have already received cosmetic rhinoplasty [7,12,13]. This study reveals that 15% of patients who received cosmetic rhinoplasty in a tertiary hospital setting have possible BDD.…”

Section: Discussionmentioning

confidence: 79%

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Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Jeremy¹

2015

Anaplastology

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Importance: To improve understanding of body dysmorphic disorder in Asian rhinoplasty patients Objective:To determine the prevalence of body dysmorphic disorder (BDD) in Asian patients who received cosmetic rhinoplasty and determine its impact on subjective outcomes after surgery. Design:A survey study of patients who received cosmetic rhinoplasty between January 2009 and December 2012 was undertaken. Telephone interview using validated instruments (Body Dysmorphic Disorder Questionnaire and Rhinoplasty Outcome Evaluation) were performed to determine the prevalence of BDD and the subjects' pre-/ post-operative subjective scoring of their noses. Setting: Tertiary care hospitalParticipants: All adult patients who received rhinoplasty for mainly cosmetic indications were included into our study population. Main Outcome Measures:Those who screened positive on the Body Dysmorphic Disorder Questionnaire were considered to have BDD. The Rhinoplasty Outcome Evaluation quantified the individual's perception of his/her nose before and after the operation.Results: Fifty-two patients who received cosmetic rhinoplasty were approached and forty-seven (90%) agreed to and completed the interview. The mean age of participants was 31.1 years. Twenty-seven (57%) of the participants were male and 20 were female. Of the 47 patients who participated in the study, seven (15%) were identified to have possible BDD. Six out of 7 of them were male. The BDD-group (mean age=26.0) was significantly younger (p=0.003) than the non-BDD group (mean age=32.0). Although the revision rate was clinically higher for the BDD group (29%) than the non-BDD group (12.5%), this was not statistically significant (p=0.276). Both groups reported overall improvement in ROE scores but patients with BDD had significantly lower pre-and post-operative ROE scores compared to non-BDD patients (p<0.05). Conclusion and Relevance:Our results show that BDD is quite prevalent amongst patients who have received cosmetic rhinoplasty. BDD patients are likely to have poorer subjective outcomes after surgery although they may experience some improvement in satisfaction when compared to before surgery.

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Section: Discussioncontrasting

confidence: 61%

Section: Discussionmentioning

confidence: 79%

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Jeremy¹

2015

Anaplastology

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“…3,4 Rhinoplasty is also one of the cosmetic surgical procedures most frequently involved in lawsuits. 5,7,9,10,[12][13][14] Despite indications of improvement in psychosocial wellbeing following rhinoplasty, the prevalence of body dysmorphic disorder in patients seeking this surgical procedure ranges from 12% to 33% 10,13,[15][16][17][18] and 52%. 4 Although the prevalence of psychiatric disorders among rhinoplasty patients seems inconsistent in the literature and requests for rhinoplasty should not be considered to be a symptom of a psychiatric disorder, screening for psychological conditions in selecting candidates for surgery is essential for a successful surgical cosmetic outcome.…”

Section: Introductionmentioning

confidence: 99%

Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

et al. 2016

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CONTEXT AND OBJECTIVE: Rhinoplasty is one of the most sought-after esthetic operations among individuals with body dysmorphic disorder. The aim of this study was to cross-culturally adapt and validate the Body Dysmorphic Symptoms Scale. DESIGN AND SETTING: Cross-cultural validation study conducted in a plastic surgery outpatient clinic of a public university hospital. METHODS: Between February 2014 and March 2015, 80 consecutive patients of both sexes seeking rhinoplasty were selected. Thirty of them participated in the phase of cultural adaptation of the instrument. Reproducibility was tested on 20 patients and construct validity was assessed on 50 patients, with correlation against the Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder. RESULTS:The Brazilian version of the instrument showed Cronbach's alpha of 0.805 and excellent interrater reproducibility (intraclass correlation coefficient, ICC = 0.873; P < 0.001) and intra-rater reproducibility (ICC = 0.939; P < 0.001). Significant differences in total scores were found between patients with and without symptoms (P < 0.001). A strong correlation (r = 0.841; P < 0.001) was observed between the YaleBrown Obsessive Compulsive Scale for Body Dysmorphic Disorder and the Body Dysmorphic Symptoms Scale. The area under the receiver operating characteristic curve was 0.981, thus showing good accuracy for discriminating between presence and absence of symptoms of body dysmorphic disorder. Forty-six percent of the patients had body dysmorphic symptoms and 54% had moderate to severe appearancerelated obsessive-compulsive symptoms. CONCLUSIONS: The Brazilian version of the Body Dysmorphic Symptoms Scale is a reproducible instrument that presents face, content and construct validity.RESUMO CONTEXTO E OBJETIVO: Rinoplastia é uma das operações mais procuradas por indivíduos com o transtorno dismórfico corporal. O objetivo deste estudo foi adaptar culturalmente e validar a Body Dysmorphic Symptoms Scale. DESENHO E LOCAL: Estudo de validação cultural desenvolvido no ambulatório de cirurgia plástica de um hospital universitário público. MÉTODOS: Oitenta pacientes consecutivos de ambos os gêneros que desejavam submeter-se à rinoplastia foram selecionados entre fevereiro de 2014 e março de 2015. Trinta pacientes participaram da fase de adaptação cultural do instrumento. A reprodutibilidade foi testada em 20 pacientes e a validade de construto em 50 pacientes, correlacionando-se a escala com a Yale-Brown Obsessive Compulsive Scale para transtorno dismórfico corporal. RESULTADOS: A versão brasileira do instrumento mostrou alfa de Cronbach de 0,805 e excelente reprodutibilidade interobservador (coeficiente de correlação intraclasse, CCI = 0,873; P < 0,001) e intraobservador (CCI = 0,939; P < 0,001). Houve diferença significante entre os escores totais de pacientes com e sem sintomas (P < 0,001). Observou-se forte correlação (r = 0,841; P < 0,001) entre a Yale-Brown Obsessive Compulsive Scale para transtorno dismórfico corporal e a Body Dysmorphic Symptoms S...

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“…That will be useful for the surgeon to make a right decision about the operative course, especially in the post-operative course in making difference between surgeon's expectation and expectation of the patients [33,34].…”

Section: Discussionmentioning

confidence: 99%

Risks and Complications in Aesthetic and Functional Septorhinoplasty

et al. 2013

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High Prevalence of Body Dysmorphic Disorder Symptoms in Patients Seeking Rhinoplasty

Abstract: Risk, III.

Cited by 117 publications

References 39 publications

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

Risks and Complications in Aesthetic and Functional Septorhinoplasty

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