Bresnick Stephen D, Morris Susie, Lagman Carlito
From Private Practice, Los Angeles, CA.
Department of Psychiatry, Loma Linda University, Loma Linda, CA.
Plast Reconstr Surg Glob Open. 2024 Nov 27;12(11):e6322. doi: 10.1097/GOX.0000000000006322. eCollection 2024 Nov.
Self-reported breast implant illness (BII) has been found to be associated with anxiety as well as medically diagnosed anxiety and depression. Somatic symptom disorder (SSD) is a relatively common mental health condition that includes anxiety and somatic symptoms, often without a clear cause.
We evaluated patients with BII symptoms, with or without a history of an anxiety disorder, for findings consistent with SSD. A total of 120 women were evaluated in 2 cohorts, 60 women with somatic symptoms and breast implants desiring explantation as well as 60 women desiring explantation without BII symptoms. Patient demographics, a patient survey, and validated anxiety scale and somatic symptom scale measurements were obtained.
Patients with a history of an anxiety disorder and BII symptoms had very high levels of anxiety and highly elevated somatic symptom scores. Patients with a combined diagnosis of anxiety and BII symptoms demonstrated an SSD prevalence of 70.2%, with the difference between the BII/anxiety group and other groups statistically significant ( < 0.01). Other patients with BII symptoms and no history of anxiety had a lower SSD prevalence (21.7%). Patients without a history of BII had little to no SSD inclusion.
Our data suggest that a significant subset of patients with somatic symptoms have findings consistent with a breast implant-associated somatic symptom disorder. Patients with persistent or excessive thoughts about somatic symptoms will benefit from counseling and referral to an SSD specialist if they wish to maintain breast implants.
自我报告的乳房植入物疾病（BII）已被发现与焦虑以及医学诊断的焦虑和抑郁有关。躯体症状障碍（SSD）是一种相对常见的心理健康状况，包括焦虑和躯体症状，通常没有明确病因。
我们评估了有或没有焦虑症病史的BII症状患者，以寻找与SSD一致的表现。在2个队列中对总共120名女性进行了评估，其中60名有躯体症状且希望取出乳房植入物的女性，以及60名希望取出植入物但没有BII症状的女性。获取了患者的人口统计学信息、患者调查问卷以及经过验证的焦虑量表和躯体症状量表测量结果。
有焦虑症病史且有BII症状的患者焦虑水平非常高，躯体症状得分也大幅升高。同时诊断为焦虑和BII症状的患者SSD患病率为70.2%，BII/焦虑组与其他组之间的差异具有统计学意义（<0.01）。其他有BII症状但无焦虑病史的患者SSD患病率较低（21.7%）。无BII病史的患者几乎没有或没有SSD纳入情况。
我们的数据表明，有躯体症状的患者中有很大一部分表现与乳房植入物相关的躯体症状障碍一致。对躯体症状有持续或过度想法的患者，如果希望保留乳房植入物，将从咨询并转诊至SSD专家处中受益。
