Objectives: Psychiatric disorders characterized by body image disorder (BID) such as body dysmorphic disorder, are relatively common in cosmetic surgery settings and several authors suggested the need for a preoperative clinical evaluation of Axis I and Axis II comorbidity. Study 1 investigated the prevalence of Personality Disorders (PDs) and Study 2 investigated the comorbidity between BID and PDs in patients seeking cosmetic surgery. Methods: Sixty two patients (study 1) scheduled for aesthetic rhinoplasty (62,9% F; Mage = 34.47 ± 10.69 ys) and 80 patients (study 2) scheduled for profile, breast and body contouring cosmetic surgery from two Italian hospitals (91% F; Mage = 32.68 ± 3.63) completed the Body Uneasiness Test (BUT) and the Personality Diagnostic Questionnaire - 4+ (PDQ-4+) with the exception of the items relating to two appendix PDs. Results: 19.6% and 17.5% of subjects (study 1 and 2, respectively), had at least 1 PD. In both studies, cluster B and C PDs are the most prevalent. In particular, the five most prevalent PDs were: obsessive-compulsive, avoidant, narcissistic, borderline and histrionic PD. In study 2, using the BUT cut-off score as a marker of clinical significance, 43.8% of subjects had a BID and all PD patients showed comorbidity with BID. Conclusion: Our study supports the evidence that PDs and BIDs are common in cosmetic surgery settings, as well as the importance of preoperative clinical evaluation of these disorders.

Body image and personality disorders in cosmetic surgery settings

DAKANALIS, ANTONIOS;ZANETTI, MARIA ASSUNTA;
2012

Abstract

Objectives: Psychiatric disorders characterized by body image disorder (BID) such as body dysmorphic disorder, are relatively common in cosmetic surgery settings and several authors suggested the need for a preoperative clinical evaluation of Axis I and Axis II comorbidity. Study 1 investigated the prevalence of Personality Disorders (PDs) and Study 2 investigated the comorbidity between BID and PDs in patients seeking cosmetic surgery. Methods: Sixty two patients (study 1) scheduled for aesthetic rhinoplasty (62,9% F; Mage = 34.47 ± 10.69 ys) and 80 patients (study 2) scheduled for profile, breast and body contouring cosmetic surgery from two Italian hospitals (91% F; Mage = 32.68 ± 3.63) completed the Body Uneasiness Test (BUT) and the Personality Diagnostic Questionnaire - 4+ (PDQ-4+) with the exception of the items relating to two appendix PDs. Results: 19.6% and 17.5% of subjects (study 1 and 2, respectively), had at least 1 PD. In both studies, cluster B and C PDs are the most prevalent. In particular, the five most prevalent PDs were: obsessive-compulsive, avoidant, narcissistic, borderline and histrionic PD. In study 2, using the BUT cut-off score as a marker of clinical significance, 43.8% of subjects had a BID and all PD patients showed comorbidity with BID. Conclusion: Our study supports the evidence that PDs and BIDs are common in cosmetic surgery settings, as well as the importance of preoperative clinical evaluation of these disorders.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11571/986370
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