Brazilian version of the Body Dysmorphic Disorder Examination

Abstract

CONTEXT AND OBJECTIVE:Body image improvement is considered to be the main reason for undergoing plastic surgery. The objective was to translate the body dysmorphic disorder examination (BDDE) into Brazilian Portuguese and to adapt and validate this questionnaire for use in Brazil. DESIGN AND SETTING:Cross-sectional survey, at the Department of Plastic Surgery of Universidade Federal de São Paulo. METHODS:The BDDE was fi rst translated into Portuguese and then back-translated into English. These translations were then discussed by healthcare professionals in order to establish the fi nal Brazilian version. In a second stage, the validity and reliability of the BDDE were assessed. For this, patients were initially interviewed by two interviewers and subsequently, by only one of these interviewers. On the fi rst occasion, in addition to the BDDE, the body shape questionnaire (BSQ) and the Rosenberg self-esteem scale were also applied. These questionnaires were applied to 90 patients. RESULTS:Six questions were modifi ed during the assessment of cultural equivalence. Cronbach's alpha was 0.89 and the intraclass correlation coeffi cients for interobserver and test-retest reliability were 0.91 and 0.87, respectively. Pearson's coeffi cient showed no correlation between the BDDE and the Rosenberg self-esteem scale (0.22), whereas there was a moderate correlation between the BDDE and the BSQ (0.64). CONCLUSIONS:The BDDE was successfully translated and adapted, with good internal consistency, reliability and construct validity.

Body image in patients with rheumatoid arthritis

“…In the same study by MacSween et al [11], women with RA achieved better scores than obese women with regard to the body domain. Likewise, in a study involving women who desired cosmetic surgery, Jorge et al [13] found a worse body image score in the experimental group. These findings suggest that women with RA have an intermediate perception of body image that falls between that of healthy women from the community and those with complaints related to esthetic issues.…”

“…The score ranges from 0 to 168, with higher scores denoting a worse perception of body image [13]. • The Rosenberg Self-Esteem Scale: a self-esteem assessment measure validated for the Portuguese language that contains ten questions designed to globally assess an individual's positive or negative attitude regarding himself/herself.…”

Body Dysmorphic Disorder in Patients Seeking Abdominoplasty, Rhinoplasty, and Rhytidectomy

“…All data evaluated here were retrieved by administering the Brazilian version of the Body Dysmorphic Disorder Examination. 26 The Body Dysmorphic Disorder Examination and the clinical assessment for body Plastic and Reconstructive Surgery • February 2016 dysmorphic disorder 3 were used to classify the participants into those with and without body dysmorphic disorder symptoms. Sociodemographic (e.g., name, sex, age, and ethnicity) and clinical characteristics (e.g., history of previous cosmetic procedures, psychological/psychiatric treatment, and sexual abuse) of the study population were also obtained through a clinical interview.…”

Short Mood and Feelings Questionnaire for screening children and adolescents for plastic surgery: cross-cultural validation study

“…33 Studies have reported retesting as early as a few hours after baseline testing. [24][25][26][27][28] The longer the time that elapses is, the lower the measured reliability will be, and the more likely it will be that knowledge or attitudes have in fact changed. 40 The instrument was tested for test-retest reliability (reproducibility) in three interviews conducted by two independent interviewers.…”

“…The number of patients participating in the cultural adaptation, reliability and validity phases was similar to that used in previous studies evaluating the psychometric properties of social construct measurements in plastic surgery populations, [23][24][25][26][27][28][29] and was in accordance with the methodology internationally accepted and used for translation, cultural adaptation and validation of instruments. [30][31][32][33][34] According to Sapnas and Zeller, 34 the traditional protocol for determination of an adequate sample size based on power analysis is not appropriate for studies assessing the psychometric properties of social construct measurements; a total sample size of 50 subjects or more is adequate for representing the study population.…”