Sarwer David B, Spitzer Jacqueline C, Sobanko Joseph F, Beer Kenneth R
*Department of Psychiatry, Center for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; †Division of Plastic Surgery, Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; ‡Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; §Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Philadelphia, Pennsylvania; ‖Department of Dermatology, Hospital of University of Pennsylvania, Philadelphia, Pennsylvania; ¶Kenneth Beer, MD PA, General, Surgical and Esthetic Dermatology, West Palm Beach, Florida.
Dermatol Surg. 2015 Mar;41(3):352-7. doi: 10.1097/DSS.0000000000000279.
Dermatologists have long been interested in mental health issues of their patients. Some psychosocial distress likely motivates the pursuit of cosmetic dermatologic treatments. However, a percentage of patients seeking treatment suffer from significant psychopathology, such as body dysmorphic disorder (BDD), which may contraindicate treatment.
To assess dermatologic surgeons' strategies for identification and management of mental health issues among patients seeking cosmetic procedures.
A survey was sent to 2,855 practicing members of the American Society for Dermatologic Surgery by e-mail.
Two hundred sixty members completed the survey (9.1%). Approximately, 60% of respondents indicated that they ask new patients about psychiatric treatment history, and 92% reported that they have declined to provide a cosmetic treatment because of concerns about mental health status. Most (94%) indicated that they were aware of BDD, and 62% indicated that they refused to treat a patient believed to have BDD. Respondents estimated that 13% of new patients had BDD and 63% considered BDD to be a contraindication to treatment.
Approximately 60% of dermatologic surgeons inquire about the mental health issues of their cosmetic patients. Most are aware of BDD, but less than two-thirds consider it a contraindication to treatment.
皮肤科医生长期以来一直关注患者的心理健康问题。一些心理社会困扰可能促使患者寻求美容皮肤科治疗。然而，一部分寻求治疗的患者患有严重的精神病理学疾病，如躯体变形障碍（BDD），这可能成为治疗的禁忌证。
评估皮肤科外科医生对寻求美容手术患者心理健康问题的识别和管理策略。
通过电子邮件向2855名美国皮肤科外科学会的执业会员发送了一份调查问卷。
260名会员完成了调查（9.1%）。大约60%的受访者表示他们会询问新患者的精神科治疗史，92%的受访者报告称，由于担心患者的心理健康状况，他们拒绝提供美容治疗。大多数（94%）表示他们了解BDD，62%表示他们拒绝治疗被认为患有BDD的患者。受访者估计13%的新患者患有BDD，63%认为BDD是治疗的禁忌证。
大约60%的皮肤科外科医生会询问美容患者的心理健康问题。大多数人了解BDD，但不到三分之二的人认为它是治疗的禁忌证。
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