Sucupira E, De Brito Mja, Leite A T, Aihara Emk, Neto M Sabino, Ferreira L M
Graduate Program in Translational Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Institute of Psychiatry, School of Medicine, Universidade de São Paulo (USP), São Paulo, Brazil.
J Plast Reconstr Aesthet Surg. 2022 Sep;75(9):3101-3107. doi: 10.1016/j.bjps.2021.11.044. Epub 2021 Nov 14.
Breast augmentation is one of the most performed cosmetic surgeries in the world. Personality traits predict the presence of psychological and social factors that may affect the patient satisfaction with a cosmetic surgical procedure and may be risk factors for body dysmorphic disorder. The aim of this study was to assess symptoms of body dysmorphic disorder in patients undergoing breast augmentation and identify their personality traits.
Thirty-six women with hypoplasia of the breast (Sacchini index < 9 cm), a mean age of 28.1 years (SD = 6.2), body mass index ≤ 25 kg/m, and no history of breast surgery or breast-associated conditions were included in this prospective study.The Brazilian versions of the Structured Clinical Interview (SCID-I), Big Five Inventory (IGFP-5), and Body Dysmorphic Symptoms Scale (BDSS) were applied preoperatively and at 2 and 4 months after breast augmentation.
Personality traits were associated with symptoms of body dysmorphic disorder. A significant decrease (p< 0.001) in IGFP-5 scores on the Conscientiousness dimension, symptoms of body dysmorphic disorder (BDSS scores), and the number of patients with body dysmorphic disorder (SCID-I) were observed among different time points. In the study population, breast augmentation decreased the symptoms of body dysmorphic disorder, psychosocial impairment, and mean scores on Conscientiousness.
Personality traits varied in intensity and overlapped over time, and were associated with core symptoms of body dysmorphic disorder and the onset of body dissatisfaction.
隆胸是全球开展最为广泛的整形手术之一。人格特质预示着可能影响患者对整形手术满意度的心理和社会因素，并且可能是躯体变形障碍的风险因素。本研究旨在评估接受隆胸手术患者的躯体变形障碍症状，并确定其人格特质。
本前瞻性研究纳入了36名乳房发育不全（萨基尼指数<9厘米）、平均年龄28.1岁（标准差=6.2）、体重指数≤25千克/平方米且无乳房手术或乳房相关疾病史的女性。术前以及隆胸术后2个月和4个月应用巴西版的结构化临床访谈（SCID-I）、大五人格量表（IGFP-5）和躯体变形症状量表（BDSS）。
人格特质与躯体变形障碍症状相关。在不同时间点观察到，尽责性维度上的IGFP-5得分、躯体变形障碍症状（BDSS得分）以及躯体变形障碍患者数量（SCID-I）均显著下降（p<0.001）。在研究人群中，隆胸减轻了躯体变形障碍症状、心理社会损害以及尽责性的平均得分。
人格特质的强度随时间变化且相互重叠，并与躯体变形障碍的核心症状及身体不满的发生相关。
