title: [Prevalence of depression and body dysmorphic disorder in patients before functional rhinosurgery].
abstract: OBJECTIVE
  Psychiatric disorders are known to influence the result of many surgical procedures. Body dysmorphic disorder (BDD) is found in many patients undergoing plastic surgery. The prevalence before functional rhinosurgery has not been examined so far. The aim of this study was to determine the prevalence of depression and BDD before functional rhinosurgery.
  
  
  METHODS
  201 patients were prospectively examined with a questionnaire before functional rhinosurgery. Beck-Depression-Index was used to rate depression, the PISA body dsymorphic symptom scale was used to evaluate the likelihood that a patient suffers from body dysmoprhic disorder.
  
  
  RESULTS
  186 patients returned a complete questionnaire. In 33.9% showed a mild or strong indication for a body dysmorphic disorder. Patients who were planned to undergo septorhinoplasty had a significantly higher scores in the PISA-scale compared to patients before septoplasty. 1.7% patients were depressive without a significant difference between the planned surgical procedure.
  
  
  CONCLUSIONS
  Many patients before functional septorhinoplasty show signs of body dysmorphic disorder. Whether this influences the subjective clinical outcome needs to be evaluated in further studies.
authors.affiliation: Universitätsklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm.
authors.forename: M
authors.initials: M
authors.lastname: Bender
authors.affiliation: Universitätsklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm.
authors.forename: L
authors.initials: L
authors.lastname: Rustige
authors.affiliation: Universitätsklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm.
authors.forename: J
authors.initials: J
authors.lastname: Lindemann
mesh_terms: D000328:Adult; D057215:Body Dysmorphic Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D016013:Likelihood Functions; D008297:Male; D009300:Nasal Septum / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D011300:Preoperative Care; D011594:Psychometrics / Q000706:statistics & numerical data; D012225:Rhinoplasty / Q000523:psychology* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult