Rammal Almoaidbellah, Bukhari Jamila S, Alsharif Ghadi N, Aseeri Haneen S, Alkhamesi Ameera A, Alharbi Rehaf F, Almohammadi Wasan F
Otolaryngology: Head and Neck Surgery, King Abdulaziz University, Jeddah, SAU.
Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Cureus. 2024 Dec 26;16(12):e76431. doi: 10.7759/cureus.76431. eCollection 2024 Dec.
Background Body dysmorphic disorder (BDD) is a psychiatric disorder characterized by excessive preoccupation with a perceived defect in one's appearance. Patients with BDD often seek cosmetic surgery to correct their perceived defect. Rhinoplasty is one of the most requested cosmetic surgeries. Our study aims to determine the prevalence of BDD among patients desiring rhinoplasty. Methods In a cross-sectional study using the Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery (BDDQ-AS), we evaluated BDD prevalence in 340 participants who expressed a desire for rhinoplasty. Results We found that among 340 participants, 143 (43.3%) expressed a desire for rhinoplasty, with the majority being females (83.8%), and a prevalence of BDD among participants was 37.6%. It was also observed that the willingness to have rhinoplasty was significantly associated with BDD (p < 0.001), with 53.1% of participants expressing a wish for rhinoplasty screening positive for BDD. Our findings underscore the need for BDD screening in rhinoplasty candidates to prevent dissatisfaction and improve postoperative outcomes. Logistic regression analysis identified significant predictors of BDD, with female gender demonstrating a substantial impact (OR = 4.26, 95% CI: 1.99-10.3, p < 0.001). This means that females are over four times more likely to experience BDD compared to males, highlighting a critical gender disparity. Similarly, the desire for rhinoplasty was strongly associated with BDD prevalence (OR = 3.45, 95% CI: 2.15-5.59, p < 0.001), indicating that individuals seeking rhinoplasty are more than three times as likely to have BDD compared to those without this desire. These findings underscore the importance of gender-specific screening and psychological evaluation, particularly for patients considering rhinoplasty, to identify and address potential body image concerns effectively. Conclusion Our study highlights the critical need for integrating mental health assessments into the preoperative process and standard practice for all rhinoplasty candidates to identify potential psychological concerns early. However, follow-up mental health support should be reserved for those who exhibit significant dissatisfaction with the results or show persistent BDD symptoms. It shows that BDD prevalence among individuals desiring rhinoplasty was high at 53.1%, and individuals who have a desire for rhinoplasty were 3.45 times more likely to screen positive for BDD than those with no desire.
躯体变形障碍（BDD）是一种精神障碍，其特征是过度关注自己认为的外貌缺陷。BDD患者常寻求整形手术来矫正他们认为的缺陷。隆鼻术是最常被要求实施的整形手术之一。我们的研究旨在确定想要进行隆鼻术的患者中BDD的患病率。方法：在一项使用《躯体变形障碍问卷 - 美容手术版》（BDDQ - AS）的横断面研究中，我们评估了340名表示希望进行隆鼻术的参与者中BDD的患病率。结果：我们发现，在340名参与者中，143人（43.3%）表示希望进行隆鼻术，其中大多数为女性（83.8%），参与者中BDD的患病率为37.6%。还观察到进行隆鼻术的意愿与BDD显著相关（p < 0.001），53.1%表示希望进行隆鼻术的参与者BDD筛查呈阳性。我们的研究结果强调了对隆鼻术候选者进行BDD筛查的必要性，以防止不满情绪并改善术后结果。逻辑回归分析确定了BDD的显著预测因素，女性性别显示出重大影响（OR = 4.26，95% CI：1.99 - 10.3，p < 0.001）。这意味着女性患BDD的可能性是男性的四倍多，突出了关键的性别差异。同样，隆鼻术的意愿与BDD患病率密切相关（OR = 3.45，95% CI：2.15 - 5.59，p < 0.001），表明寻求隆鼻术的个体患BDD的可能性是没有这种意愿的个体的三倍多。这些研究结果强调了针对性别的筛查和心理评估的重要性，特别是对于考虑隆鼻术的患者，以便有效地识别和解决潜在的身体形象问题。结论：我们的研究强调了将心理健康评估纳入所有隆鼻术候选者术前流程和标准实践的迫切需求，以便早期识别潜在的心理问题。然而，后续的心理健康支持应保留给那些对结果表现出明显不满或表现出持续BDD症状的人。研究表明，想要进行隆鼻术的个体中BDD患病率高达53.1%，有隆鼻术意愿的个体BDD筛查呈阳性的可能性是没有意愿者的3.45倍。
