Shauly Orr, Calvert Jay, Stevens Grant, Rohrich Rod, Villanueva Nate, Gould Daniel J
Department of Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, Calif.
Private Practice, Beverly Hills, Calif.
Plast Reconstr Surg Glob Open. 2020 Apr 21;8(4):e2737. doi: 10.1097/GOX.0000000000002737. eCollection 2020 Apr.
Recently, it has been proposed that psychosocial concerns may motivate the demand for aesthetic rhinoplasty. Although successful operations often improve the quality of life and self-esteem symptoms in patients with sound mental health, they may actually result in unsatisfactory outcomes in those patients with significant depression, anxiety, or other severe psychological disorders. The purpose of this study was to assess the incidence of psychological disorders in patients seeking rhinoplasty.
A prospective cross-sectional study of 298 random volunteers was conducted, with each participant completing a survey instrument that was administered through an internet crowd-sourcing service (Amazon Mechanical Turk). Participants were asked to complete a 10-item standardized SHNOS scale, and a 26-question PRIME-MD questionnaire in order to assess functional and aesthetic need for rhinoplasty, and the incidence of psychological disorders respectively.
38.95% of female participants reported a willingness to undergo aesthetic rhinoplasty, with a significantly lower number of men reporting the same (27.78%, = 0.042). Adults between the ages of 18-24 (52.92%) were more willing to undergo aesthetic rhinoplasty, as compared to any other age group ( < 0.01). It was found that 57.84% of patients interested in surgery reported a psychological disorder as determined by the PRIME-MD questionnaire.
Those suffering from major depressive disorder, generalized anxiety disorder, or body dysmorphic disorder may seek aesthetic rhinoplasty as a solution. It is important that surgeons assess patient mental health prior to treatment in order to avoid unsuccessful outcomes secondary to psychosocial illness.
最近有人提出，社会心理因素可能促使人们寻求鼻整形手术。虽然成功的手术通常能改善心理健康状况良好的患者的生活质量和自尊症状，但对于那些患有严重抑郁症、焦虑症或其他严重心理障碍的患者，手术结果可能并不理想。本研究的目的是评估寻求鼻整形手术的患者中心理障碍的发生率。
对298名随机志愿者进行了一项前瞻性横断面研究，每位参与者都要完成一份通过互联网众包服务（亚马逊土耳其机器人）发放的调查问卷。参与者被要求完成一份10项标准化的SHNOS量表和一份26个问题的PRIME-MD问卷，以分别评估鼻整形手术的功能和美学需求以及心理障碍的发生率。
38.95%的女性参与者表示愿意接受鼻整形手术，而表示愿意的男性数量显著较少（27.78%，P = 0.042）。与其他任何年龄组相比，18 - 24岁的成年人（52.92%）更愿意接受鼻整形手术（P < 0.01）。根据PRIME-MD问卷，发现对手术感兴趣的患者中有57.84%被诊断患有心理障碍。
患有重度抑郁症、广泛性焦虑症或身体变形障碍的人可能会寻求鼻整形手术作为一种解决方案。外科医生在治疗前评估患者的心理健康状况很重要，以避免因社会心理疾病导致手术结果不理想。
