Plast Aesthet Nurs (Phila). 2024;44(2):133-139. doi: 10.1097/PSN.0000000000000559. Epub 2024 Apr 19.
In the field of medical aesthetics and plastic surgery, it is not uncommon to interact with clients who never seem to be satisfied, regardless of the success of an intervention. Medical professionals may attribute this to the patient having an overly critical nature; however, this continual dissatisfaction could also be the result of a mental health disorder known as body dysmorphic disorder (BDD) that is significantly underdiagnosed and prevalent within the plastic surgery and aesthetic patient population. According to the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5; American Psychiatric Association, 2013), BDD is defined as, "a preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others" (Substance Abuse and Mental Health Services Administration, 2016, Table 23). Having the ability to identify the signs of BDD, utilize appropriate communication skills with individuals who may have BDD, and understand the implications of providing additional aesthetic treatments for patients who present with BDD allows aesthetic practitioners to prioritize and promote patient safety, well-being, and satisfaction.
在医学美容和整形外科学领域，与那些无论干预是否成功似乎都从不满意的客户打交道并不罕见。医疗专业人员可能将其归因于患者过于挑剔；然而，这种持续的不满也可能是一种心理健康障碍的结果，这种心理健康障碍称为身体畸形障碍（BDD），在整形和美容患者群体中，这种障碍的诊断率明显较低，且普遍存在。根据《精神疾病诊断与统计手册》第五版（DSM-5；美国精神病学协会，2013），BDD 的定义为，“对身体外表的一个或多个感知缺陷或瑕疵的过分关注，这些缺陷或瑕疵在他人看来并不明显或微不足道”（物质滥用和精神健康服务管理局，2016，表 23）。能够识别 BDD 的迹象，与可能患有 BDD 的人使用适当的沟通技巧，并了解为有 BDD 的患者提供额外美容治疗的影响，使美容从业者能够优先考虑和促进患者的安全、健康和满意度。
