Personality Traits, Anxiety, and Self-esteem in Patients Seeking Cosmetic Surgery in Mexico City

Abstract

Background:There are reports on high psychological morbidity, mainly personality disorders, among people opting for cosmetic surgery. This study aims to describe the personality traits, level of self-esteem, and anxiety in women seeking cosmetic surgery with body contouring, such as liposculpture or lipoabdominoplasty with or without placement of breast implants.Methods:Subjects were 87 women between 18 and 60 years of age in Mexico City who went to a private clinic with the intention of undergoing cosmetic surgery with body contouring. A psychiatric interview was performed using three scales: the Salamanca questionnaire for screening for personality disorders, the Hamilton Anxiety Rating Scale, and the Rosenberg Self Esteem Scale.Results:The average age was 31 years, with 35% of participants having previously undergone body-contouring surgery. Regarding personality, the patients did not show a psychopathology level for diagnosing a personality disorder. Regarding anxiety, 92% of the patients showed an average level of anxiety. High level of self-esteem was exhibited by 81 participants (93.15%), and six participants (6.9%) exhibited average self-esteem. Notably, no participant exhibited low self-esteem.Conclusions:The level of psychopathology of the patients was lower than expected, the self-esteem was not affected prior to the surgical procedure, and the level of anxiety did not cause dysfunction.

Psychiatric Assessment and Management of Clients Undergoing Cosmetic Surgery: Overview and Need for an Integrated Approach

“…The prevalence of personality disorders was found to be 53%, which is high when compared with the prevalence in general population in western countries, which is 12.1%. 22 24 Clusters B and C personality disorders are more prevalent in patients who undergo cosmetic surgery, and it also increases the risk for adverse outcomes such as patient dissatisfaction, litigations, and self-harm. 25 The details about personality and associated dimensions are given in Table 3 .…”

“…It was found that prevalence was greater with interview-based methodology in comparison to standardized tools, which revealed lower rates. 22 23 Anxiety or depressive symptoms before surgery can be misconstrued as a syndromal disorder. Furthermore, the differences in the type of cosmetic surgery might also affect the rates of psychiatric illness.…”

“…Clinician-based questionnaire consisting of 14 items 2. It has acceptable reliability and validity in adults and has shown good interrater reliability [108][109][110] Del Aguila et al (2019) 22 Bellino et al (2006) 23 Beck anxiety inventory (BAI) 111 Binge eating scale 116 1. Self rated questionnaire comprising of 16 items: eight items that describe behavioral manifestations and eight items associated with feelings and cognitions 117 Pavan et al (2017) 104 beliefs; it has also been found to decrease the severity of BDD symptoms, as well as associated symptoms of depression, delusions, and improve insight.…”

“…Clinician-based questionnaire consisting of 14 items 2. It has acceptable reliability and validity in adults and has shown good interrater reliability [108][109][110] Del Aguila et al (2019) 22 Bellino et al (2006) 23 Beck anxiety inventory (BAI) 111 1. Binge eating scale 116 1.…”

A Correlative Study Between Personality Traits and the Preference of Site Selection in Cosmetic Treatment

“…There exists an inadequate number of reports concerning the assessment of personality traits in patients prior to undergoing cosmetic procedures. Participants possessing psychopathological traits in the cosmetic industry were lower than expected, and their levels of anxiety did not cause dysfunction ( 20 ). Integral personality scales have rarely been applied to elucidate aesthetic orientation.…”