Pikoos Toni D, Buchanan Ben, Hegarty David, Rossell Susan L
Aesthet Surg J. 2025 Jan 16;45(2):202-207. doi: 10.1093/asj/sjae187.
Patients with psychological risk factors such as body dysmorphic disorder (BDD) and unmanaged mental health concerns are considered at higher risk for dissatisfaction with aesthetic procedures. Identifying these risks before a procedure may decrease the chance of adverse outcomes for patients and practitioners.
In this study we aimed to develop a comprehensive psychological screening tool to assess patient's psychological suitability for surgical and nonsurgical aesthetic procedures.
Items for the Pilot Cosmetic Readiness Questionnaire (CRQ) were developed by psychologists (n = 3) and then reviewed by plastic surgeons (n = 2) and nonsurgical cosmetic doctors (n = 3). Patient interviews (n = 15) and piloting of the questionnaire (n = 69) provided data regarding the scale's initial psychometric properties.
Results supported the reliability and validity of the Pilot-CRQ's subscales of Body Dysmorphia, Psychological Distress, Self-Criticism, Perfectionism, and Lack of Openness. Lack of Openness was a validity scale that examined the degree that respondents might be underreporting symptoms. The CRQ predicted individuals with a BDD diagnosis, as rated by a blinded expert clinical psychologist, with high sensitivity and specificity.
These results provide support for the Pilot-CRQ identifying people with BDD and psychological factors related to aesthetic treatment outcomes and provide a strong basis for employing the CRQ in clinical contexts and in future research.
患有诸如躯体变形障碍（BDD）等心理风险因素以及心理健康问题未得到妥善处理的患者，被认为对美容手术不满意的风险更高。在手术前识别这些风险可能会降低患者和从业者出现不良后果的几率。
在本研究中，我们旨在开发一种全面的心理筛查工具，以评估患者对手术和非手术美容手术的心理适应性。
初步的美容准备问卷（CRQ）项目由3名心理学家制定，然后由2名整形外科医生和3名非手术美容医生进行审查。15名患者访谈以及对69名患者进行问卷试测，提供了有关该量表初步心理测量特性的数据。
结果支持了初步CRQ的躯体变形、心理困扰、自我批评、完美主义和缺乏开放性等子量表的信度和效度。缺乏开放性是一个效度量表，用于检验受访者可能隐瞒症状的程度。CRQ能够以较高的敏感性和特异性预测由一位不知情的专家临床心理学家评定的BDD诊断个体。
这些结果为初步CRQ识别患有BDD以及与美容治疗结果相关的心理因素的人群提供了支持，并为在临床环境和未来研究中使用CRQ提供了有力依据。
