Department of Psychology, San Jose State University, San Jose, CA 95192-1020, USA.
Body Image. 2011 Jun;8(3):267-74. doi: 10.1016/j.bodyim.2011.04.002. Epub 2011 Jun 8.
Elective cosmetic surgeries are increasing in the American population with reasons linked to body image disturbance and body dysmorphic disorder (BDD). Little research exists documenting the continuum of body image disturbance and its relationship to seeking surgery. The present research examined data from 544 participants, 55 of whom were diagnosable with BDD. Using assessments for body image disturbance, problematic coping strategies, and BDD symptomatology, results provided evidence for a continuum of body image distress. Logistic regression analysis supported the hypothesis that increased levels of body image disturbance and one type of problematic coping strategy (Appearance Fixing) predicted consideration of cosmetic surgery. Of participants diagnosable with BDD, those who considered cosmetic surgery showed more severe body image disturbance and problematic coping than those who did not consider surgery. These results have implications for pre-surgical assessment as well as psychological interventions rather than invasive medical interventions.
美国的选择性整容手术数量正在增加，其原因与身体意象障碍和躯体变形障碍（BDD）有关。目前几乎没有研究记录身体意象障碍的连续体及其与手术寻求的关系。本研究分析了 544 名参与者的数据，其中 55 名参与者可被诊断为 BDD。使用身体意象障碍、有问题的应对策略和 BDD 症状学评估，结果为身体意象困扰的连续体提供了证据。逻辑回归分析支持了这样一种假设，即身体意象障碍程度的增加和一种有问题的应对策略（外观修复）预测了对整容手术的考虑。在可被诊断为 BDD 的参与者中，那些考虑整容手术的人比那些不考虑手术的人表现出更严重的身体意象障碍和有问题的应对方式。这些结果对术前评估以及心理干预而非侵入性的医疗干预具有重要意义。
