Surgical and minimally invasive cosmetic procedures among persons with body dysmorphic disorder.
Persons with body dysmorphic disorder (BDD) frequently seek surgical and minimally invasive (MI) treatments to improve their appearance, but few studies have evaluated patient characteristics and outcomes. Surgical/MI treatment histories of 200 persons with BDD were cross-sectionally/retrospectively evaluated. Clinical and demographic characteristics of persons who received such treatments (n = 42) were compared to those who had not (n = 158). Outcomes and reasons for nonreceipt of requested procedures were examined. Receivers of surgical/MI treatments reported less severe current BDD symptoms and delusionality than persons who did not receive such treatments. Surgical/MI treatments were more likely than other cosmetic procedures to decrease preoccupation with the treated body part; however, overall BDD severity improved with only 2.3% of treatments. Cost and physician refusal were the most common reasons requested treatment was not received. However, physicians were more likely to provide requested surgical/MI treatment than other types of requested cosmetic treatment, despite the poor longer-term outcome.
Crerand
Canice E
CE
Department of Psychology, The Children's Hospital of Philadelphia, PA, USA.
Menard
William
W
Phillips
Katharine A
KA
D000223:Adaptation, Psychological; D000328:Adult; D057215:Body Dysmorphic Disorders / Q000175:diagnosis / Q000523:psychology*; D001828:Body Image; D003094:Collagen / Q000008:administration & dosage; D003430:Cross-Sectional Studies; D003702:Delusions / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007279:Injections, Subcutaneous; D008297:Male; D016462:Mammaplasty / Q000523:psychology; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D017060:Patient Satisfaction; D010555:Personality Inventory / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000175:diagnosis / Q000523:psychology; D011594:Psychometrics; D019651:Plastic Surgery Procedures / Q000523:psychology*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000523:psychology; D055815:Young Adult
D003094:Collagen
Plast Reconstr Surg. 1998 May;101(6):1644-9
9583501
Clin Plast Surg. 1999 Jan;26(1):37-40, vi
10063447
Dermatol Surg. 2001 May;27(5):457-62
11359494
Psychopharmacol Bull. 1985;21(4):714-1124
3911249
Psychiatry Res. 2006 Sep 30;144(1):73-8
16914206
J Int Neuropsychol Soc. 2000 Sep;6(6):673-81
11011514
Psychiatry Res. 2009 May 15;172(2):161-7
19328661
Plast Reconstr Surg. 2004 Apr 1;113(4):1229-37
15083026
Psychiatry Clin Neurosci. 1998 Jun;52(3):283-7
9681579
Eur Psychiatry. 2003 Nov;18(7):365-8
14643566
Plast Reconstr Surg. 2006 Dec;118(7):167e-180e
17102719
Arch Gen Psychiatry. 2007 Dec;64(12):1417-25
18056550
Plast Reconstr Surg Transplant Bull. 1960 Oct;26:356-72
13718613
Int J Clin Pharmacol Ther. 2001 Oct;39(10):460-3
11680671
Body Image. 2008 Mar;5(1):3-12
18314401
Psychosomatics. 2005 Nov-Dec;46(6):549-55
16288134
Am J Psychiatry. 2006 Jul;163(7):1280-2
16816236
Psychopharmacol Bull. 1997;33(1):17-22
9133747
Aesthetic Plast Surg. 2001 Nov-Dec;25(6):474-8
11731858
Ned Tijdschr Geneeskd. 2006 Jan 14;150(2):97-100
16440565
Aesthet Surg J. 2002 Nov;22(6):531-5
19332010
Arch Otolaryngol Head Neck Surg. 1987 Jul;113(7):724-7
3580151
Am J Psychiatry. 1998 Jan;155(1):102-8
9433346
Dermatol Clin. 1996 Jul;14(3):457-63
8818555
Arch Gen Psychiatry. 1992 Aug;49(8):624-9
1637252
Br J Psychiatry. 1996 Aug;169(2):196-201
8871796
Body Image. 2008 Mar;5(1):13-27
18325859
Aust N Z J Psychiatry. 2004 Jun;38(6):439-44
15209836
Psychosomatics. 2001 Nov-Dec;42(6):504-10
11815686
Eur Psychiatry. 2007 Nov;22(8):520-4
17900876
J Nerv Ment Dis. 2005 Aug;193(8):564-7
16082302
Plast Reconstr Surg. 1999 Jul;104(1):220-1
10597700
J Anxiety Disord. 2008;22(3):540-7
17624717
Psychosomatics. 2005 Jul-Aug;46(4):317-25
16000674