Translation, cross-cultural adaptation and validation of the Mandarin version of the BDDQ-AS for rhinoplasty patients

Wijaya, Wilson A.; Liu, Yu; Zhou, Min; Qing, Yong; Li, Zhengyong

doi:10.1186/s40463-022-00557-x

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Noteworthy that apart from the studies developing and validating these two BDD screening tools, the present search has only found a recent single‐blind cohort study by Spataro et al (2020) using BDDQ‐AS to screen rhinoplasty patients at higher risk for BDD, arguably providing level II evidence 51 . However, the recent upsurge of studies proposing validated versions of these tools in several different languages may soon change this finding 53–56,58–60 …”

Section: Discussionmentioning

confidence: 93%

Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings

Pereira

Chattopadhyay

Fitzpatrick

et al. 2023

J of Cosmetic Dermatology

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Background: Body dysmorphic disorder (BDD) is a psychiatric disturbance with high incidence in aesthetic clinical settings. Early recognition may avoid unnecessary elective procedures with ethical and medicolegal consequences. Aims:To identify validated BDD screening tools and critically appraise current literature regarding its implementation and efficacy in aesthetic medicine and surgery scenarios, with the purpose of transposing the findings to the broad clinical settings in the field. Methods: Data was collected using advanced search from PubMed (MEDLINE). Having satisfied the search parameters, 12 studies referring BDD definition according to Diagnostic and Statistical Manual of Mental Disorder (DSM-5) criteria and including a BDD screening tool in clinical aesthetic settings were selected. Results: While BDD screening enables the recognition of at-risk individuals, further work is required to uncover the best screening tool for general aesthetic clinical practice. Level III evidence favored BDD Questionnaire (BDDQ)/BDDQ-Dermatology Version (DV), and The Dysmorphic Concern Questionnaire (DCQ) among the limited available validated screening instruments to be used outside the psychiatric environment. Based on level II self-classification, one study selected BDDQ-Aesthetic Surgery (AS) version for rhinoplasty patients. The validation process of both BDDQ-AS and Cosmetic Procedure Screening Questionnaire (COPS) had limitations. For BDD screening potential in avoiding postoperative complications, the limited studies found evaluating the outcomes following aesthetic treatments using validated BDD screening measures showed a trend toward less satisfaction with aesthetic treatment outcome among positive screening population against non-BDD counterparts. Conclusion:Further research is necessary to establish more effective methods to identify BDD and evaluate the impact of positive findings on aesthetic intervention outcomes. Future studies may elucidate which BDD characteristics best predict a favorable outcome and provide high-quality evidence for standardized protocols in research and clinical practice.

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Section: Discussionmentioning

confidence: 93%

Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings

Pereira

Chattopadhyay

Fitzpatrick

et al. 2023

J of Cosmetic Dermatology

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Psychosocial Impacts of Maxillofacial Disorder

Nazari,

Safapour

2024

Handbook of Oral and Maxillofacial Surgery and Implantology

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Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients

Abdelhamid

Elzayat²,

Amer³

et al. 2023

Journal of Otolaryngology - Head & Neck Surgery

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Background Body Dysmorphic Disorder (BDD) is a significant aspect that compromises patient satisfaction after rhinoplasty. BDDQ-AS (Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery) is a validated, simple, reliable patient-reported outcome measure. It is a screening tool to detect body dysmorphic disorder in rhinoplasty patients. This study aimed to translate, culturally adapt, and validate BDDQ-AS to Arabic as a novel tool for screening and detecting BDD in Arabic rhinoplasty individuals. Methods BDDQ-AS was translated from English to Arabic following the international consensus guidelines. We tested the translation on ten Arabic-speaking rhinoplasty patients to ensure that the final version was understandable and acceptable. The proposed Arabic version was then completed by 112 patients whose average age was 28.79 ± 9.32 years. The screening is assumed positive if the patients expressed bother and preoccupation about their appearance (questions 1 and 2 “yes”), as well as a moderately disrupted everyday life (question 7 "yes" or questions 3, 4, 5, or 6 are equal to or greater than “3′′). The internal consistency, test–retest reliability, and item-response theory (IRT) were used to evaluate psychometric validations. Results The Arabic BDDQ had a high level of internal consistency, as measured by Cronbach's alpha 0.995. The A-BDDQ-AS was deemed reliable with an Intraclass Correlation Coefficient (ICC) of 0.989. A-BDDQ had good discrimination scores (above 2.0) with adequate difficulty parameters. The overall scale content validity average was 0.83, affirming that all items were relevant, clear, and straightforward. Conclusion The Arabic version of the BDDQ-AS is reliable, culturally adapted, and psychometrically validated to be readily used and incorporated into clinical practice. It is a beneficial tool that can guide the screening of Arabic rhinoplasty patients suffering from body dysmorphic disorder and be utilized in further studies to optimize patient outcomes. Graphical Abstract

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Translation, cross-cultural adaptation and validation of the Mandarin version of the BDDQ-AS for rhinoplasty patients

Cited by 4 publications

References 14 publications

Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings

Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings

Psychosocial Impacts of Maxillofacial Disorder

Arabic translation, cultural adaptation, and validation of the BDDQ-AS for rhinoplasty patients

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