High Prevalence of Body Dysmorphic Disorder and Moderate to Severe Appearance-Related Obsessive–Compulsive Symptoms Among Rhinoplasty Candidates

Ramos, Tatiana Dalpasquale; Brito, Maria José Azevedo de; Suzuki, Vanessa Yuri; Neto, Miguel Sabino; Ferreira, Lydia Masako

doi:10.1007/s00266-018-1300-1

Cited by 36 publications

(31 citation statements)

References 22 publications

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“…A study by Sarwer (2002), on American Society for Aesthetic Plastic Surgery (ASAPS) members, showed that plastic surgeons' estimation of BDD in their cosmetic practice is only 2%. Thus, given the documented prevalence of BDD in cosmetic settings (Sweis et al, 2017;Anonymous, 1991;Ramos et al, 2019), and the current study findings, cosmetic treatment providers did indeed underestimate the prevalence of BDD.…”

Section: Discussionsupporting

confidence: 48%

“…In the future, the study may be augmented by developing a validated scale that accurately evaluates the physicians on their factual knowledge of BDD, and by developing multiple Arabic versions of screening tools to assess the severity of BDD symptoms as utilized in a study by Ramos et al (2019). Finally, one of the long-term goals of our research team is to implement a validated BDD screening tool for cosmetic treatment providers to use in their practice.…”

Section: Discussionmentioning

confidence: 99%

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Awareness and experiences of cosmetic treatment providers with body dysmorphic disorder in Saudi Arabia

Kattan

Alnujaim

Barasain

et al. 2020

PeerJ

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Body Dysmorphic Disorder (BDD) is defined as a constant obsession with one’s external appearance and flaws, and it falls under the criteria of neuropsychiatric disorders. Individuals suffering from this disorder may seek unnecessary cosmetic procedures from cosmetic treatment providers such as dermatologists or plastic surgeons. Cosmetic treatments have become readily available, which has led to an influx of undiagnosed BDD patients electing to undergo such treatments. Therefore, physicians should have the clinical knowledge about BDD to diagnose and manage these cases to avoid psychological and physical harm to these patients. However, there were no studies conducted in our region to assess the awareness of BDD among physicians who provide cosmetic treatments with regards to their attitude toward such cases and how they would manage it. This study aims to assess the awareness of Body Dysmorphic Disorder among Saudi physicians who provide cosmetic treatments. We conducted an observational cross-sectional study among physicians practicing in hospitals and cosmetic clinics in Riyadh and Jeddah city (Saudi Arabia), who perform cosmetic procedures, namely dermatologists, plastic surgeons, and otorhinolaryngologists. A paper-based questionnaire consisting of multiple-choice questions was distributed among them. The total number of participants was 155 physicians: 113 (72.9%) males and 42 (27.1%) females. Eighty-two (52.9%) participants reported that they have been familiar with the diagnostic criteria of BDD for a long time and ninety-nine (63.8%) reported being familiar with the clinical picture of BDD. Sixty-three (40.6%) participants estimated the prevalence of BDD cases seen in cosmetic practice to range from 1%-5%, and most agreed on an equal prevalence of BDD among female and male patients. Half of the participants (n = 76) (49%) reported that they sometimes share knowledge about BDD with patients whom they suspect to suffer from this condition. In conclusion, cosmetic treatment providers in Saudi Arabia are aware of BDD, but we have identified a discrepancy between the self-reported participant knowledge of diagnostic criteria and their ability to accurately estimate the prevalence of BDD cases seen in clinical practice.

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Awareness and experiences of cosmetic treatment providers with body dysmorphic disorder in Saudi Arabia

Kattan

Alnujaim

Barasain

et al. 2020

PeerJ

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“…Some authors suggest that every rhinoplasty candidate should be evaluated for BDD symptoms. 16,17 The final goal of rhinoplasty is the patient's wellbeing after the procedure, which depends on multiple variables and is difficult to assess and to compare. This study aimed to objectively analyze the association of the Rhinoplasty Outcome Evaluation (ROE) score, a widely used validated quality of life outcome in rhinoplasty, with nasal obstruction validated scores, specific nasal facial analysis measures, and BDD symptoms to identify the determinants of postoperative satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“…Body image dissatisfaction is a major factor in this disorder that may affect patient satisfaction with the results of esthetic surgical procedures. Some authors suggest that every rhinoplasty candidate should be evaluated for BDD symptoms 16,17 …”

Section: Introductionmentioning

confidence: 99%

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

et al. 2021

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Objectives/Hypothesis: To analyze different variables that influence postrhinoplasty quality of life outcomes to ascertain the determinants of postoperative satisfaction.Study Design: Prospective, observational study.Methods: This was a prospective, observational study where patients were divided into two groups based on the postoperative Rhinoplasty Outcome Evaluation (ROE) score: high satisfaction group, when postoperative ROE scores were >50, and low satisfaction group, when postoperative ROE scores were ≤50. Patients' general characteristics, Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) score, the Body Dysmorphic Disorder Examination, nasal angles, and measures from the esthetic facial analysis of postoperative photographs were compared between the groups.Results: Seventy-eight patients were included: 19 in the low satisfaction group and 58 in the high satisfaction group. The median reduction in the NOSE-p score was À45 (interquartile range [IIQ] À20 to À60) (P < .001) in the high satisfaction group and À10 (IIQ À10 to À30) in the low satisfaction group (P = .053). The high satisfaction group had a significantly higher reduction in NOSE-p scores. There was no significant difference between the groups in terms of the analyzed facial parameters, although a significant difference was found when comparing them with the ones established in the literature as a pattern. Previous rhinoplasty, preoperative crooked nose, and higher NOSE-p scores were significantly associated with lower ROE scores (P < .05) in the robust Poisson regression model.Conclusion: Functional results play an important role in satisfaction after rhinoplasty. Neoclassical canons were not fulfilled even in a group of patients with a high postoperative satisfaction evaluation.

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“…According to the poor satisfaction after surgery and aggression towards surgeons, it is important to identify patients with BDD in cosmetic procedures to select suitable treatment for them 7 . The common symptoms of BDD are negative emotional responses to the body parts 1 .…”

Section: Introductionmentioning

confidence: 99%

Persian Validation and Cultural Adaptation of the Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery for Iranian Rhinoplasty Patients

Jahandideh

Firouzabadi

et al. 2021

WJPS

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BACKGROUNDBody dysmorphic disorder (BDD) is one of the obsessive-compulsive disorders (OCD) which is very common in populations. However, the diagnosis rate is lower than the reality. BDD may lead to loneliness, jobless, avoidance of daily life and public activities. The Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery (BDDQ-AS) is the validated questionnaire used to screen the BBD in patients seeking cosmetic surgeries. This study aimed to translate and validate a Persian version of the BDDQ-AS. METHODSThis analytical-descriptive cross-sectional study was conducted at Firoozgar Hospital, Tehran, Iran to validate the BDDQ-AS in Iranian society in 2020. A standard forward and back-translation procedure was followed. Overall, 79 Persian-speaking patients of both sexes referred to rhinoplasty surgery department at Firoozgar hospital were recruited. The control group consisted of 70 patients who also completed the final questionnaire. The BDDQ-AS was translated into Farsi. The final version was tested for reliability and validity in both groups. RESULTSThe internal consistency and split-half test were 89.2% and 92% respectively in rhinoplasty group. The spearman`s correlation coefficient between the scores obtained in BDD-YBOCS and BDDQ-AS was 0.757 (P<0.001) which confirmed the criterion validity and the minimum value of CVI was 0.79 that all items were relevant, transparent and simple. CONCLUSIONThe Persian version of the BDDQ-AS questionnaire consist of 6 short yes/no questions which is less time-consuming and reliable for interpreting and screening. The sensitivity and specificity of this version are 85.71% and 81% respectively, which are adequate for screening.

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High Prevalence of Body Dysmorphic Disorder and Moderate to Severe Appearance-Related Obsessive–Compulsive Symptoms Among Rhinoplasty Candidates

Cited by 36 publications

References 22 publications

Awareness and experiences of cosmetic treatment providers with body dysmorphic disorder in Saudi Arabia

Awareness and experiences of cosmetic treatment providers with body dysmorphic disorder in Saudi Arabia

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

Persian Validation and Cultural Adaptation of the Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery for Iranian Rhinoplasty Patients

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