关键词: Body dysmorphic disorder clinical features plastic and reconstructive surgery temperament

Mesh : Humans Body Dysmorphic Disorders / epidemiology psychology Female Adult Male Comorbidity Prevalence Middle Aged Surgery, Plastic / statistics & numerical data Young Adult Psychiatric Status Rating Scales Ambulatory Care Facilities / statistics & numerical data Body Image / psychology

来  源:   DOI:10.1080/08039488.2024.2376184

Abstract:
UNASSIGNED: The present study aimed to determine the prevalence of body dysmorphic disorder (BDD), its clinical features, and comorbidities in patients applying for plastic and reconstructive surgery.
UNASSIGNED: Five-hundred and seventy nine participants who applied to the plastic and reconstructive surgery outpatient clinic completed a sociodemographic data form, and were subjected to the Body Perception Scale (seventy-nineBPS), Social Appearance Anxiety Scale (SAAS), TEMPS-A Temperament Scale, and Beck Depression Inventory (BDI). Participants who scored 135 or more on the BPS were included in a psychiatric interview. Next, the participants diagnosed with BDD were compared with participants with a high BPS scores but without a BDD diagnosis, along with a control group.
UNASSIGNED: The prevalence of BDD among all patients attending the plastic surgery outpatient clinic was found to be 4.7%, whereas the prevalence was 8.6% among those specifically seeking cosmetic procedures. The mean SAAS, BDI, TEMPS-A depressive, and anxious scores were higher in the BDD group compared to the controls (p < 0.001). The difference in the mean SAAS, BDI, TEMPS-A depressive, and anxious scores of the patients with a high BPS scores and the control group was comparable to the difference observed between the BDD and control groups. A regression analysis revealed that the SAAS and depressive temperament scores have an effect on the BPS score.
UNASSIGNED: The significantly high comorbidity of BDD in patients seeking plastic and reconstructive surgery underscores the importance of identifying these patients to prevent unnecessary surgical procedures.
摘要:
本研究旨在确定身体畸形障碍(BDD)的患病率,其临床特征,以及申请整形和重建手术的患者的合并症。
向整形和重建手术门诊申请的五百七十九名参与者填写了一份社会人口统计学数据表格,并接受了身体感知量表(70-nineBPS),社会表象焦虑量表(SAAS),TEMPS-A气质量表,和贝克抑郁量表(BDI)。在BPS上得分超过135的参与者被纳入精神病学访谈。接下来,将被诊断为BDD的参与者与具有高BPS评分但没有BDD诊断的参与者进行比较,还有一个对照组。
在整形外科门诊就诊的所有患者中,BDD的患病率为4.7%,而在专门寻求整容手术的人群中,患病率为8.6%。平均SAAS,BDI,TEMPS-A抑郁,与对照组相比,BDD组的焦虑评分更高(p<0.001)。平均SAAS的差异,BDI,TEMPS-A抑郁,BPS评分高的患者和对照组的焦虑评分与BDD组和对照组之间观察到的差异相当。回归分析显示,SAAS和抑郁气质评分对BPS评分有影响。
在寻求整形和重建手术的患者中,BDD的合并症非常高,这突显了识别这些患者以防止不必要的外科手术的重要性。
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