Body Dysmorphic Disorder in Cosmetic Surgery Patients

Sarwer, David B.; Crerand, Canice E.; Didie, Elizabeth R.

doi:10.1055/s-2003-39137

Cited by 72 publications

(76 citation statements)

References 45 publications

(98 reference statements)

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“…Mostly, patients focus on their face, hair, nose and skin (scars, discolouration, wrinkles, reddening, pallor and other defects), however, this disorder may be linked to any part of the body. It may result in withdrawal, problems in everyday life, diminished quality of life, significant depressive disorder symptoms, including suicidal attempts [10,[13][14][15][16][17]. Patients with BDD often seek treatment from cosmetic surgeons, dermatologists or lately aesthetic dermatologists.…”

Section: Discussionmentioning

confidence: 99%

“…The dysmorphic syndrome is characterized by recurrent intrusive thoughts (obsession) or/and repetitive behaviors (compulsion). It may manifest as delusions and is recognized as hypochondriac psychosis (dermatologic hypochondria) and may be a precursor to schizophrenia [13,14]. In over 70% of patients with BDD, depressive disorders were found: dysthymia, major depressive disorder, fear disorders, social phobia or personality disorder [14].…”

Section: Discussionmentioning

confidence: 99%

“…It may manifest as delusions and is recognized as hypochondriac psychosis (dermatologic hypochondria) and may be a precursor to schizophrenia [13,14]. In over 70% of patients with BDD, depressive disorders were found: dysthymia, major depressive disorder, fear disorders, social phobia or personality disorder [14]. Other disorders to be taken into consideration when referring a patient for a cosmetic procedure include narcissistic, histrionic or borderline personality.…”

Section: Discussionmentioning

confidence: 99%

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Self-reported depression and sense of disease in cosmetic patients

Magdziarz-Orlitz¹,

Gerlicz-Kowalczuk²,

Dziankowska‐Bartkowiak³

2012

pdia

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A Ad dd dr re es ss s f fo or r c co or rr re es sp po on nd de en nc ce e: : Zofia A. Gerlicz-Kowalczuk MD, Department of Immunodermatology, Medical University of Lodz, 5 Krzemieniecka, Poland, Original paper A b s t r a c t I In nt tr ro od du uc ct ti io on n: : An increasing number of patients with various personality disorders, psychological problems and depression due to real or imaginary cosmetic defects visit a doctor. A Ai im m: : Evaluation of the relationship between cosmetic problems and self-reported depression in individuals electing to undergo cosmetic procedures, sense of disease in these individuals as well as the relationship between selfreported disease and depression. M Ma at te er ri ia al l a an nd d m me et th ho od ds s: : Investigations using Beck Depression Inventory (BDI) and Self-Esteem Scale (SES) were carried out on 167 patients, before and 4 weeks after the procedure. R Re es su ul lt ts s: : There is a statistically significant difference (p < 0.001) between mean values of measurements before (9.3 points) and after (6.12 points) surgical procedures. The percentage of patients with different severity of depression before the procedure decreased from 42% to 18%. Using SES, the problem was assessed in the following categories: Obstacle, Challenge, Threat, Injustice, Benefit and Importance. The difference between mean scores before and following the intervention was 6.52 points and was statistically significant (p < 0.05). C Co on nc cl lu us si io on ns s: : The results obtained confirm that depression has an impact on self-reported disease and in the case of the investigated group it may be assumed that the aesthetic defect is a disease.K Ke ey y w wo or rd ds s: : depression, sense of disease, cosmetic dermatology.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Self-reported depression and sense of disease in cosmetic patients

Magdziarz-Orlitz¹,

Gerlicz-Kowalczuk²,

Dziankowska‐Bartkowiak³

2012

pdia

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“…Die Betroffenen empfinden ihren Kör-per oder einzelne Körperteile als hässlich oder entstellt, wobei sich dies häufig auf das Gesicht oder den Kopf bezieht ( [3,4]; . Tab.…”

Section: Grundlagenunclassified

Körperdysmorphe Störung

Lahousen¹,

Linder

Gieler³

et al. 2017

Hautarzt

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“…36 Nos casos de gravidade extrema, há risco de suicídio. 4,37 Os níveis de crítica sobre as preocupações com a aparência podem variar durante o curso da enfermidade: há pacientes que apresentam juízo crítico bom ou razoável, percebendo que suas preocupações são um tanto exageradas e pacientes que não reconhecem que suas preocupações são excessivas. A classificação em separado das formas "delirante" e não delirante é contrária á experiência clínica e ás crescentes evidên-cias na literatura, que mostram que o TDC é um transtorno único e a forma chamada "delirante", apenas mais grave.…”

Section: Clínica Do Transtorno Dismórfico Corporalunclassified

Transtorno dismórfico corporal em dermatologia: diagnóstico, epidemiologia e aspectos clínicos

Conrado

2009

An. Bras. Dermatol.

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Resumo: São cada vez mais frequentes as queixas cosméticas, uma vez que objetivam a perfeição das formas do corpo e da pele. Os dermatologistas são consultados para avaliar e tratar essas queixas. Sendo assim, é importante conhecer o Transtorno Dismórfico Corporal, inicialmente chamado de "dismorfofobia", pouco estudado até recentemente. Esse transtorno é relativamente comum, por vezes, incapacitante, e envolve uma percepção distorcida da imagem corporal, caracterizada pela preocupação exagerada com um defeito imaginário na aparência ou com um mínimo defeito corporal presente. A maioria dos pacientes apresenta algum grau de prejuízo no funcionamento social e ocupacional, e como resultado de suas queixas obsessivas com a aparência, podem desenvolver comportamentos compulsivos, e, em casos mais graves, há risco de suicídio. O nível de crença é prejudicado, visto que não reconhecem o seu defeito como mínimo ou inexistente e, frequentemente, procuram tratamentos cosméticos para um transtorno psíquico. A prevalência do transtorno, na população geral, é de 1 a 2% e, em pacientes dermatológicos e de cirurgia cosmética, de 2,9 a 16%. Considerando a alta prevalência do Transtorno Dismórfico Corporal, em pacientes dermatológicos, e que os tratamentos cosméticos raramente melhoram seus sintomas, o treinamento dos profissionais para a investigação sistemática, diagnóstico e encaminhamento para tratamento psiquiátrico é fundamental. Palavras-chave: Cirurgia plástica; Dermatologia; Imagem corporal; Prevalência; Transtorno obsessivocompulsivo; Transtornos somatoformes; Transtornos somatoformes/epidemiologia Abstract: Cosmetic concerns are becoming increasingly common in view of the obsession with the perfect body and skin. Dermatologists are often seen to evaluate and treat these conditions. Therefore, it is important to acknowledge the existence of Body Dysmorphic Disorder, also known as dysmorphophobia. Despite being relatively common, this disorder has not been well researched. Sometimes causing impairment, the disease involves a distorted body image perception characterized by excessive preoccupation with a perceived defect. Most of the patients experience some degree of impairment in social or occupational functioning and, as a result of their obsessive concerns, they may develop compulsive behaviors. In severe cases, there is a risk of suicide. Most individuals do not acknowledge that their defect is minimal or nonexistent and seek out cosmetic treatments for a psychiatric disorder. The prevalence of this disorder among the general population ranges from 1 to 2 % and in dermatological and cosmetic surgery patients, from 2.9 to 16%. The training of professionals to systematically investigate, diagnose, and refer these patients to adequate psychiatric treatment is essential, considering the high prevalence of Body Dysmorphic Disorder in dermatological patients and the fact that cosmetic treatments rarely improve their condition.

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Body Dysmorphic Disorder in Cosmetic Surgery Patients

Cited by 72 publications

References 45 publications

Self-reported depression and sense of disease in cosmetic patients

Self-reported depression and sense of disease in cosmetic patients

Körperdysmorphe Störung

Transtorno dismórfico corporal em dermatologia: diagnóstico, epidemiologia e aspectos clínicos

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