Nabavizadeh Sara S, Naseri Reyhaneh, Sadeghi Erfan, Afshari Aylar, Dehdari Ebrahimi Niloofar, Sadeghi Alireza
Student Research Committee, School of Medicine Shiraz University of Medical Sciences Shiraz Iran.
Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.
Health Sci Rep. 2023 Aug 17;6(8):e1495. doi: 10.1002/hsr2.1495. eCollection 2023 Aug.
Body dysmorphic disorder (BDD) is a prevalent mental disorder, particularly in those seeking plastic surgery, leading to unnecessary surgeries and postsurgical dissatisfaction. Among the plastic surgeries, rhinoplasty is the most commonly sought, yet the data on prevalence of BDD among the candidates of rhinoplasty is limited. Therefore, this systematic review and meta-analysis aimed to estimate the prevalence of BDD in rhinoplasty candidates.
The online libraries of Web of Science, PubMed, Cochrane Library, ProQuest, Research Square, Scopus, and Google Scholar were searched up to August 2022. Statistical analyses were performed using STATA software (v. 16). The heterogeneity was determined using the statistic, and an overall estimated analysis was conducted. Subgroup analyses were performed on study year, age, gender, World Health Organization regional classification, sociodemographic index, country, sample size, and employed diagnostic tool. A meta-regression analysis was performed to identify potential sources of heterogeneity.
Out of 12,999 studies assessed, 18, with a combined sample size of 2132 individuals, met our criteria and were included in the study. The pooled prevalence of BDD was 32.7% (95% CI: 23.6-41.7; = 96.45%). Subgroup analyses revealed the studies that were conducted in the European region (42.8%), with a sample size of ≥100 (40.2%), utilized the BDD modification of the Y-BOCS (BDD-YBOCS) diagnostic method (47.3%), and with a quality score of ≥6 (34.2%) demonstrated higher prevalence of BDD. The meta-regression analysis identified a higher prevalence in the BDD-YBOCS diagnostic method than in the BDD questionnaire (: 0.23; 95% CI: 0.04-0.43; = 0.022).
The prevalence of BDD is high in those seeking rhinoplasty. Clinicians should be aware of BDD symptoms to prevent unnecessary surgery and dissatisfaction. Public awareness through the media and access to affordable medical services should also be provided.
躯体变形障碍（BDD）是一种常见的精神障碍，在寻求整形手术的人群中尤为常见，会导致不必要的手术以及术后不满。在整形手术中，隆鼻手术是最常被寻求的，但隆鼻手术候选者中BDD患病率的数据有限。因此，本系统评价和荟萃分析旨在估计隆鼻手术候选者中BDD的患病率。
检索截至2022年8月的Web of Science、PubMed、Cochrane图书馆、ProQuest、Research Square、Scopus和谷歌学术等在线数据库。使用STATA软件（版本16）进行统计分析。使用 统计量确定异质性，并进行总体估计分析。对研究年份、年龄、性别、世界卫生组织区域分类、社会人口指数、国家、样本量和所采用的诊断工具进行亚组分析。进行荟萃回归分析以确定异质性的潜在来源。
在评估的12999项研究中，18项符合我们的标准，合并样本量为2132人，被纳入研究。BDD的合并患病率为32.7%（95%CI：23.6 - 41.7； = 96.45%）。亚组分析显示，在欧洲地区进行的研究（42.8%）、样本量≥100的研究（40.2%）、采用Y - BOCS的BDD修改版（BDD - YBOCS）诊断方法的研究（47.3%）以及质量评分≥6的研究（34.2%）中，BDD患病率较高。荟萃回归分析显示，BDD - YBOCS诊断方法的患病率高于BDD问卷（：0.23；95%CI：0.04 - 0.43； = 0.022）。
寻求隆鼻手术的人群中BDD患病率较高。临床医生应了解BDD症状，以防止不必要的手术和不满。还应通过媒体提高公众意识，并提供可负担的医疗服务。
