Screening tools for body dysmorphic disorder in a cosmetic surgery setting

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

doi:10.1002/lary.21728

Cited by 60 publications

(57 citation statements)

References 50 publications

(100 reference statements)

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“…19,25 In our study, the percentage of patients screening positively based on Body Dysmorphic Concern Questionnaire criteria was 8.94 per cent. This suggests that the prevalence of body dysmorphic disorder is greater than previously thought in our thyroidectomy patients, possibly enhanced by their underlying thyroid pathology and subsequent surgical intervention.…”

Section: Discussionmentioning

confidence: 45%

“…10,18 Similarly, there is an array of body image assessment tools. 19 Oosthuizen et al first constructed the Dysmorphic Concern Questionnaire in 1998, and it was originally developed to assess body image concern rather than being a tool to diagnose body dysmorphic disorder. 7 The questionnaire has been validated, achieving satisfactory internal consistency (Cronbach α = 0.88), and it has a strong correlation with impairment in various life domains and with the Beck Depression Inventory (r = 0.47).…”

Section: Discussionmentioning

confidence: 99%

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Scar satisfaction and body image in thyroidectomy patients: prospective study in a tertiary referral centre

Sethukumar

Awad

et al. 2017

J. Laryngol. Otol.

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Background: This study is the first to evaluate scar satisfaction and body image in thyroidectomy patients using validated assessment tools.Methods: A total of 123 thyroidectomy patients were recruited over 8 months. Both patients and clinicians completed assessment tools that included: the Manchester Scar Scale (to measure scar perception), Dysmorphic Concern Questionnaire (to assess body image), Body Dysmorphic Concern Questionnaire (to screen for body dysmorphic disorder) and EQ-5D (to measure life quality). A separate image panel comprising experts and nonexperts assessed 15 scar photographs. The results were analysed using non-parametric descriptive statistics.Results: Poor body image was associated with poor scar perception (ρ = 0.178, p = 0.05). Poor life quality correlated with poor scar perception (ρ = −0.292, p = 0.001). Scar length did not affect scar perception. Prevalence of body dysmorphic disorder among patients was found to be 8.94 per cent, which is higher than general population rates.Conclusion: Negative body image and life quality impact negatively upon scar perception.

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Section: Discussionmentioning

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Scar satisfaction and body image in thyroidectomy patients: prospective study in a tertiary referral centre

Sethukumar

Awad

et al. 2017

J. Laryngol. Otol.

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“…Encontramos 14 artículos, todos en inglés (Tabla I) (2,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Los revisores consideraron todos ellos relevantes y posteriormente, agregaron otras 21 publicaciones citadas reiteradamente en la literatura encontrada.…”

Section: Resultsunclassified

“…Es perentorio ampliar los estudios existentes sobre la materia, particularmente en nuestra región, para poder caracterizar mejor a nuestra población consultante y diseñar estrategias rápidas de cribado, fáciles de implementar y costoefectivas (6). Algunos autores han propuesto instrumentos para conseguir este fin (13,45).…”

Section: Discussionunclassified

Importancia de la detección del trastorno dismórfico corporal en la consulta de Cirugía Estética

Rochefort-Ciscutti¹,

Berner²,

Castillo-Montoya³

et al. 2014

Cir. plást. iberolatinoam.

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ResumenEl auge de la Cirugía Estética ha motivado que cobre mayor interés el estudiar las motivaciones de los pacientes para acudir a este tipo de consultas. En el denominado Trastorno Dismórfico Corporal (TDC), los pacientes sufren por la percepción de un defecto físico imaginario. Se ha generado controversia entre los especialistas, sobre el eventual perjuicio que tendría operar a este tipo de pacientes considerando las posibles implicaciones médico-legales.Nos planteamos como objetivo el realizar una revisión sistemática de la literatura para caracterizar epidemiológicamente el TDC en el contexto de la consulta de Cirugía Estética, considerando su prevalencia, comorbilidades y las consecuencias de los procedimientos quirúrgicos en la salud mental de este tipo de pacientes.Diseñamos una búsqueda sistemática en MEDLINE utilizando los términos MESH: "Body Dysmorphic Disorders" y "Surgery, Plastic". Encontramos 14 artículos, todos en inglés a los que agregamos otras 21 publicaciones relevantes. La definición de TDC más ampliamente difundida es la del DSM-IV TR. La prevalencia es significativamente mayor entre consultantes por Cirugía Estética (6-15%) que entre la población general (2,4%). Las comorbilidades más frecuentes son los trastornos depresivos, la ansiedad y trastornos del control de impulsos. Los pacientes suelen presentar pensamientos intrusivos e ideas sobrevaloradas de su imagen corporal asociados a egodistonía con escaso nivel de conciencia de la enfermedad (insight), que les lleva a padecer una mayor incidencia de intentos suicidas. Presentan además un bajo nivel de satisfacción postquirúrgica.Consideramos que es fundamental la detección del TDC en la consulta de Cirugía Estética para una derivación oportuna de estos pacientes hacia un tratamiento adecuado. Ampliar los estudios en nuestra región permitirá comparar nuestra situación local con lo publicados sobre otras poblaciones y validar así instrumentos de cribado de estos pacientes. Palabras clave Cirugía Estética,Síndrome dísmórfico corporal, Selección de pacientes. Nivel de evidencia científica III AbstractAlong with the boom in Cosmetic Surgery, interest has increased in understanding the patients' motivations for attending an Aesthetic Surgery consultation. Patients suffering from Body Dysmorphic Disorder (BDD) perceive imaginary body defects, producing discomfort. Controversy has risen among experts about the possible negative outcomes that Aesthetic Surgery could have in them.Our objective is to conduct a systematic review of the published literature about BDD and Aesthetic Surgery, considering prevalence, comorbidities and consequences of surgical procedures in their mental health.We designed a MEDLINE search strategy using appropriate MeSH terms: "Body Dysmorphic Disorders" and "Surgery, Plastic".The most widely used definition is the DSM-IV TR. BDD prevalence is significantly higher among Aesthetic Surgery patients (6-15%) than in the general population (2.4%). Most common comorbidities are: depressive disorders, anxiety and impulse cont...

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“…However, it requires a face-to-face interview by a trained interviewer, which is time-consuming. The fourth (the Dysmorphic Concern Questionnaire)15 and the fifth (the Body Dysmorphic Symptom Scale)16 ones also measure the physical appearance in a unidimensional manner only 17,18…”

Section: Introductionmentioning

confidence: 99%

Development of a Body Image Concern Scale using both exploratory and confirmatory factor analyses in Chinese university students

He¹,

Zheng²,

Ji³

et al. 2017

NDT

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BackgroundThe body dysmorphic disorder is prevalent in general population and in psychiatric, dermatological, and plastic-surgery patients, but there lacks a structure-validated, comprehensive self-report measure of body image concerns, which is established through both exploratory and confirmatory factor analyses.MethodsWe have composed a 34-item matrix targeting the body image concerns and trialed it in 328 male and 365 female Chinese university students. Answers to the matrix dealt with treatments including exploratory factor analyses, reserve of qualified items, and confirmatory factor analyses of latent structures.ResultsSix latent factors, namely the Social Avoidance, Appearance Dissatisfaction, Preoccupation with Reassurance, Perceived Distress/Discrimination, Defect Hiding, and Embarrassment in Public, were identified. The factors and their respective items have composed a 24-item questionnaire named as the Body Image Concern Scale. Each factor earned a satisfactory internal reliability, and the intercorrelations between these factors were in a median level. Women scored significantly higher than men did on the Appearance Dissatisfaction, Preoccupation with Reassurance, and Defect Hiding.ConclusionThe Body Image Concern Scale has displayed its structure validation and gender preponderance in Chinese university students.

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Screening tools for body dysmorphic disorder in a cosmetic surgery setting

Cited by 60 publications

References 50 publications

Scar satisfaction and body image in thyroidectomy patients: prospective study in a tertiary referral centre

Scar satisfaction and body image in thyroidectomy patients: prospective study in a tertiary referral centre

Importancia de la detección del trastorno dismórfico corporal en la consulta de Cirugía Estética

Development of a Body Image Concern Scale using both exploratory and confirmatory factor analyses in Chinese university students

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