Baykal Bahadir, Erdim Ibrahim, Ozbay Isa, Oghan Fatih, Oncu Fatih, Erdogdu Zeynep, Kayhan Fatma Tulin
*Department of Otolaryngology, Bakirkoy Sadi Konuk Education and Research Hospital, Istanbul †Department of Otolaryngology, Faculty of Medicine, Dumlupinar University, Kutahya ‡Department of Psychiatry, Bakirkoy Psychiatry Neurology Research Hospital, §Humanite Psychiatry Central, Istanbul, Turkey.
J Craniofac Surg. 2015 Nov;26(8):2339-41. doi: 10.1097/SCS.0000000000002082.
To investigate the relationship between body dysmorphic syndrome and self-esteem in rhinoplasty candidates.
A negative statistical correlation was evident between Rosenberg Self-Esteem Scale (RSES) and Body Dysmorphic Disorder Examination-Self Report (BDDE-SR) scores. In terms of responses to the first Body Dysmorphic Disorder Questionnaire (BDDQ) question, which focuses on general attitude toward body dysmorphic syndrome, the average RSES "YES" score was significantly less than the "NO" score. No significant differences appeared between RSES scores and scores for the 4th subgroup of BDDQ questions (subgroups A, B, and C; these questions explore how much time is spent daily on maintenance of bodily appearance). However, significant differences appeared between scores for the 4th subgroup of BDDQ questions and BDDE-SR scores. The average BDD-SR score of subgroup A (less than 1 hour spent on bodily maintenance) was significantly lower than those of group B (1-3 hours) and group C (more than 3 hours). However, no significant differences appeared in average BDD-SR scores between subgroups B and C.
In this prospective study, 56 patients (31 females and 25 males) were evaluated preoperatively using the BDDQ, the BDDE-SR, and the RSES. Patients younger than 15 years and those with deformities caused by trauma were excluded.
Rhinoplasty candidates had higher levels of body dysmorphic disorder (BDD). Although patients with low RSES scores were more likely to have BDD, rhinoplasty candidates were not notably deficient in self-esteem. However, in rhinoplasty candidates with low RSES scores, the frequency of BDD was elevated. Therefore, the authors suggest that rhinoplasty candidates with low RSES scores should be investigated carefully in terms of BDD.
探讨隆鼻手术候选者的躯体变形综合征与自尊之间的关系。
罗森伯格自尊量表（RSES）得分与躯体变形障碍检查-自我报告（BDDE-SR）得分之间存在明显的负相关。就对第一个躯体变形障碍问卷（BDDQ）问题的回答而言，该问题聚焦于对躯体变形综合征的总体态度，RSES的“是”平均分显著低于“否”平均分。RSES得分与BDDQ问题第4亚组（A、B和C亚组；这些问题探讨每日花在身体外观保养上的时间）的得分之间未出现显著差异。然而，BDDQ问题第4亚组的得分与BDDE-SR得分之间出现了显著差异。A亚组（花在身体保养上的时间少于1小时）的平均BDD-SR得分显著低于B亚组（1 - 3小时）和C亚组（超过3小时）。然而，B亚组和C亚组的平均BDD-SR得分之间未出现显著差异。
在这项前瞻性研究中，使用BDDQ、BDDE-SR和RSES对56例患者（31例女性和25例男性）进行术前评估。排除年龄小于15岁的患者以及由创伤导致畸形的患者。
隆鼻手术候选者的躯体变形障碍（BDD）水平较高。虽然RSES得分低的患者更有可能患有BDD，但隆鼻手术候选者的自尊并不明显缺乏。然而，在RSES得分低的隆鼻手术候选者中，BDD的发生率有所升高。因此，作者建议应仔细调查RSES得分低的隆鼻手术候选者是否患有BDD。
