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

Brito, Maria José Azevedo de; Nahas, Fábio Xerfan; Córdas, Taki Athanássios; Tavares, Hermano; Ferreira, Lydia Masako

doi:10.1097/01.prs.0000475753.33215.8f

Cited by 67 publications

(68 citation statements)

References 50 publications

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“…5,7,9,10,[12][13][14] Despite indications of improvement in psychosocial wellbeing following rhinoplasty, the prevalence of body dysmorphic disorder in patients seeking this surgical procedure ranges from 12% to 33% 10,13,[15][16][17][18] and 52%. 4 Although the prevalence of psychiatric disorders among rhinoplasty patients seems inconsistent in the literature and requests for rhinoplasty should not be considered to be a symptom of a psychiatric disorder, screening for psychological conditions in selecting candidates for surgery is essential for a successful surgical cosmetic outcome. 4,[19][20][21][22] Excessive concern for appearance may conceal psychopathological states that are not always easily identified and which may lead to iatrogenic and medico-legal problems if neglected.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 This shows the high level of social acceptance of esthetic surgery in general and of rhinoplasty in particular, as a means of physical enhancement in a culture in which physical attractiveness is highly valued, thus leading to greater concern regarding appearance based on an ideal standard body. 4 However, the social importance of physical appearance also makes it difficult to diagnose body dysmorphic disorder. 4,6 Rhinoplasty is one of the most sought-after esthetic surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Rhinoplasty is also one of the cosmetic surgical procedures most frequently involved in lawsuits. 5,7,9,10,[12][13][14] Despite indications of improvement in psychosocial wellbeing following rhinoplasty, the prevalence of body dysmorphic disorder in patients seeking this surgical procedure ranges from 12% to 33% 10,13,[15][16][17][18] and 52%.…”

Section: Introductionmentioning

confidence: 99%

“…4,6 Rhinoplasty is one of the most sought-after esthetic surgical procedures. Typical candidates include people with ethnically characteristic noses, teenagers and individuals with body dysmorphic disorder, [3][4][5][7][8][9][10][11] which thus shows the social aspect of rhinoplasty. Rhinoplasty improves appearance through enhancing facial harmony.…”

Section: Introductionmentioning

confidence: 99%

“…1 Rhinoplasty is often sought by young people between 13 and 34 years of age. [1][2][3][4][5] Patients between 13 and 19 years account for 5% of all surgical cosmetic procedures performed. 1,2 This shows the high level of social acceptance of esthetic surgery in general and of rhinoplasty in particular, as a means of physical enhancement in a culture in which physical attractiveness is highly valued, thus leading to greater concern regarding appearance based on an ideal standard body.…”

Section: Introductionmentioning

confidence: 99%

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Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

et al. 2016

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CONTEXT AND OBJECTIVE: Rhinoplasty is one of the most sought-after esthetic operations among individuals with body dysmorphic disorder. The aim of this study was to cross-culturally adapt and validate the Body Dysmorphic Symptoms Scale. DESIGN AND SETTING: Cross-cultural validation study conducted in a plastic surgery outpatient clinic of a public university hospital. METHODS: Between February 2014 and March 2015, 80 consecutive patients of both sexes seeking rhinoplasty were selected. Thirty of them participated in the phase of cultural adaptation of the instrument. Reproducibility was tested on 20 patients and construct validity was assessed on 50 patients, with correlation against the Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder. RESULTS:The Brazilian version of the instrument showed Cronbach's alpha of 0.805 and excellent interrater reproducibility (intraclass correlation coefficient, ICC = 0.873; P < 0.001) and intra-rater reproducibility (ICC = 0.939; P < 0.001). Significant differences in total scores were found between patients with and without symptoms (P < 0.001). A strong correlation (r = 0.841; P < 0.001) was observed between the YaleBrown Obsessive Compulsive Scale for Body Dysmorphic Disorder and the Body Dysmorphic Symptoms Scale. The area under the receiver operating characteristic curve was 0.981, thus showing good accuracy for discriminating between presence and absence of symptoms of body dysmorphic disorder. Forty-six percent of the patients had body dysmorphic symptoms and 54% had moderate to severe appearancerelated obsessive-compulsive symptoms. CONCLUSIONS: The Brazilian version of the Body Dysmorphic Symptoms Scale is a reproducible instrument that presents face, content and construct validity.RESUMO CONTEXTO E OBJETIVO: Rinoplastia é uma das operações mais procuradas por indivíduos com o transtorno dismórfico corporal. O objetivo deste estudo foi adaptar culturalmente e validar a Body Dysmorphic Symptoms Scale. DESENHO E LOCAL: Estudo de validação cultural desenvolvido no ambulatório de cirurgia plástica de um hospital universitário público. MÉTODOS: Oitenta pacientes consecutivos de ambos os gêneros que desejavam submeter-se à rinoplastia foram selecionados entre fevereiro de 2014 e março de 2015. Trinta pacientes participaram da fase de adaptação cultural do instrumento. A reprodutibilidade foi testada em 20 pacientes e a validade de construto em 50 pacientes, correlacionando-se a escala com a Yale-Brown Obsessive Compulsive Scale para transtorno dismórfico corporal. RESULTADOS: A versão brasileira do instrumento mostrou alfa de Cronbach de 0,805 e excelente reprodutibilidade interobservador (coeficiente de correlação intraclasse, CCI = 0,873; P < 0,001) e intraobservador (CCI = 0,939; P < 0,001). Houve diferença significante entre os escores totais de pacientes com e sem sintomas (P < 0,001). Observou-se forte correlação (r = 0,841; P < 0,001) entre a Yale-Brown Obsessive Compulsive Scale para transtorno dismórfico corporal e a Body Dysmorphic Symptoms S...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

et al. 2016

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Effects of videoconferencing use on momentary changes in disordered eating urges, body dissatisfaction, and mood

Portingale,

Kenny,

Fuller‐Tyszkiewicz

et al. 2023

Euro Eating Disorders Rev

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The coronavirus disease 2019 (COVID‐19) pandemic led to a global surge in videoconferencing use for work/study‐related reasons. Although these platforms heighten exposure to one's image, the implications of videoconferencing use on body image and eating concerns remain scantly examined. This study sought to investigate, in an Australian sample, whether videoconferencing for work/study‐related reasons predicted increases in body dissatisfaction (BD), urge to engage in disordered eating (DE; restrictive eating, exercise, overeating/purging), and negative mood at the state level. Participants (N = 482, 78.8% women, Mage = 20.5 years [SD = 5.3]) completed baseline demographic measures, accompanied by an ecological momentary assessment (EMA) of videoconferencing for work/study‐related reasons, BD, DE urges, and negative mood six times a day for 7 days via a smartphone application. Most participants (n = 429; 89.0%) reported state‐based videoconferencing use during the EMA phase. Consistent with expectations, state‐based videoconferencing use was associated with an increase in state‐level urges to engage in exercise. However, contrary to predictions, state‐based videoconferencing use was linked to a decrease in state‐level BD at the next assessment point and failed to predict negative mood and urges to engage in restrictive eating or overeating/purging at the state level. Given the simplified measure of videoconferencing use, the current research is considered preliminary and future replication and extension, using more nuanced measures, is warranted.

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Prevalence of body dysmorphic disorder in rhinoplasty candidates: A systematic review and meta‐analysis

Nabavizadeh,

Naseri,

Sadeghi

et al. 2023

Health Science Reports

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BackgroundBody dysmorphic disorder (BDD) is a prevalent mental disorder, particularly in those seeking plastic surgery, leading to unnecessary surgeries and postsurgical dissatisfaction. Among the plastic surgeries, rhinoplasty is the most commonly sought, yet the data on prevalence of BDD among the candidates of rhinoplasty is limited. Therefore, this systematic review and meta‐analysis aimed to estimate the prevalence of BDD in rhinoplasty candidates.MethodsThe online libraries of Web of Science, PubMed, Cochrane Library, ProQuest, Research Square, Scopus, and Google Scholar were searched up to August 2022. Statistical analyses were performed using STATA software (v. 16). The heterogeneity was determined using the I2 statistic, and an overall estimated analysis was conducted. Subgroup analyses were performed on study year, age, gender, World Health Organization regional classification, sociodemographic index, country, sample size, and employed diagnostic tool. A meta‐regression analysis was performed to identify potential sources of heterogeneity.ResultsOut of 12,999 studies assessed, 18, with a combined sample size of 2132 individuals, met our criteria and were included in the study. The pooled prevalence of BDD was 32.7% (95% CI: 23.6−41.7; I2 = 96.45%). Subgroup analyses revealed the studies that were conducted in the European region (42.8%), with a sample size of ≥100 (40.2%), utilized the BDD modification of the Y‐BOCS (BDD‐YBOCS) diagnostic method (47.3%), and with a quality score of ≥6 (34.2%) demonstrated higher prevalence of BDD. The meta‐regression analysis identified a higher prevalence in the BDD‐YBOCS diagnostic method than in the BDD questionnaire (β: 0.23; 95% CI: 0.04−0.43; p = 0.022).ConclusionsThe prevalence of BDD is high in those seeking rhinoplasty. Clinicians should be aware of BDD symptoms to prevent unnecessary surgery and dissatisfaction. Public awareness through the media and access to affordable medical services should also be provided.

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

Abstract: Abdominoplasty candidates showed the highest prevalence; rhytidectomy candidates exhibited the highest percentage of severe cases, and rhinoplasty candidates had the lowest percentage of severe cases.

Cited by 67 publications

References 50 publications

Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

Effects of videoconferencing use on momentary changes in disordered eating urges, body dissatisfaction, and mood

Prevalence of body dysmorphic disorder in rhinoplasty candidates: A systematic review and meta‐analysis

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