Body dysmorphic disorder and other psychiatric morbidity in aesthetic rhinoplasty candidates
Section snippets
Methods
In this cross-sectional study, a population was recruited from consecutive patients presenting to plastic surgery and Ear, Nose and Throat (ENT) clinics for cosmetic rhinoplasty affiliated with Shiraz University of Medical Sciences in Iran. The study was conducted over a period of 6 months from August 2007 to January 2008. Patients were included in this study if they sought cosmetic rhinoplasty surgery for the first time. Those subjects, who presented with correct defects from a medical
Results
Table 1 provides information on the socio-demographic characteristics of BDD and non-BDD subjects. As shown is Table 1, 80% of patients were female. The mean age for BDD subjects and non-BDD subjects was the same (range 23 SD ± 4.9 years). There was no significant difference between BDD and non-BDD subjects as regards their sex and marital status. Initial analyses showed that at least 126 patients (41%) met the criteria for associated psychiatric disorders such as BDD, OCD, AN, social anxiety
Discussion
The nose has a central position in the face and subjective perception of the nose can affect our image of both soma and psych. Cultural, psychological and sexual significance of the nose has been evaluated for more than a century.12 Last et al. showed that both objective and subjective preciseness of nasal deformity was correlated to various aspects of mental health.13 There is some evidence that female patients with nasal deformity experienced more psychological distress than men.14 From this
Conflict of interest
None.
Funding
None.
References (21)
- et al.
Rate of body dysmorphic disorder in dermatology patients
J Am Acad Dermatol
(2000) - et al.
Axis I comorbidity in body dysmorphic disorder
Compr Psychiatry
(2003) - et al.
Prevalence of body dysmorphic disorder in patients with anxiety disorders
J Anxiety Disord
(1997) - et al.
Do mental health and self-concept associate with rhinoplasty requests?
J Plast Reconstr Aesthet Surg
(2008) - et al.
Current concepts in body dysmorphic disorder
Arch Psychiatr Nurs
(2002) - et al.
Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder
Psychosomatics
(2001) - et al.
Body dysmorphic disorder
Psychiatr Clin North Am
(2006) - et al.
Body dysmorphic disorder: a survey of fifty cases
Br J Psychiatry
(1996) - et al.
Psychological issues in patient outcomes
Facial Plast Surg Clin North Am
(2002) - et al.
Clomipramine vs Desipramine crossover trial in body dysmorphic disorder
Arch general psychiatry
(1999)
Cited by (69)
Mental health screening in facial cosmetic surgery: a narrative review of the literature
2023, British Journal of Oral and Maxillofacial SurgeryBody dysmorphic disorder in individuals requesting cosmetic surgery: A systematic review and meta-analysis
2022, Journal of Plastic, Reconstructive and Aesthetic SurgeryEating disorders: A neglected group of mental disorders in patients requesting aesthetic surgery
2022, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :Even, when the Mini International Neuropsychiatry Interview, which includes diagnoses of eating disorders, was used, results on eating disorders were not mentioned. Also authors11, 12, who applied the Structured Clinical Interview (SCID) for DSM-IV, axis 1 diagnoses13, did not report on eating disorders. Furthermore, some anecdotal reports mention eating disorders in patients requesting aesthetic surgery.14-16