Barrera Patricia, Felice Fernando, Orlovska Madara, Harris Steven
Aesthet Surg J Open Forum. 2025 Jun 24;7:ojaf070. doi: 10.1093/asjof/ojaf070. eCollection 2025.
Body dysmorphic disorder (BDD) is a mental health condition characterized by an obsessive focus on perceived physical flaws, causing significant psychological distress. Aesthetic practitioners often interact with appearance-focused patients, increasing their potential exposure to BDD and its psychological effects. Understanding BDD prevalence and awareness among practitioners is crucial for their professional and personal well-being.
The authors of this study aim to assess the prevalence of BDD among aesthetic practitioners (physicians and surgeons) and evaluate their awareness of the disorder.
A cross-sectional study was conducted with 199 participants, including 98 aesthetic practitioners and 101 lawyers (control group). Participants completed the Depression, Anxiety, and Stress Scale (DASS-10) and the Cosmetic Procedure Screening (COPS) questionnaires, along with questions assessing BDD knowledge. Statistical analyses included Pearson's correlations, tests, analysis of covariance, and logistic regression.
Possible BDD was identified in 8.2% of aesthetic practitioners vs 2% of controls ( = .056). Aesthetic practitioners showed a significant association with self-reported physical-aesthetic disorders ( (2) = 11.25, = .004). Total COPS scores correlated significantly with distress, anxiety, and depression levels (all < .001). Regression analysis revealed that aesthetic practitioners were 7 times more likely to exhibit BDD symptoms compared with controls ( = 2.03, = .03, odds ratio = 7.59), even after controlling for anxiety and depression.
In this study, the authors underscore the need for enhanced BDD awareness and mental health training among aesthetic practitioners. Addressing mental health within the aesthetic field is essential to improve professional practices and safeguard psychological well-being.
躯体变形障碍（BDD）是一种心理健康状况，其特征是过度关注感知到的身体缺陷，导致严重的心理困扰。美容从业者经常与关注外表的患者互动，增加了他们接触BDD及其心理影响的可能性。了解从业者中BDD的患病率和认知情况对他们的职业和个人幸福感至关重要。
本研究的作者旨在评估美容从业者（医生和外科医生）中BDD的患病率，并评估他们对该疾病的认知。
对199名参与者进行了一项横断面研究，其中包括98名美容从业者和101名律师（对照组）。参与者完成了抑郁、焦虑和压力量表（DASS - 10）以及美容手术筛查（COPS）问卷，以及评估BDD知识的问题。统计分析包括Pearson相关性分析、检验、协方差分析和逻辑回归分析。
8.2%的美容从业者被确定可能患有BDD, 而对照组为2%（P = .056）。美容从业者与自我报告的身体美学障碍存在显著关联（F(2) = 11.25, P = .004）。COPS总分与痛苦、焦虑和抑郁水平显著相关（均P < .001）。回归分析显示，即使在控制了焦虑和抑郁之后，美容从业者出现BDD症状的可能性是对照组的7倍（β = 2.03, P = .03, 比值比 = 7.59）。
在本研究中, 作者强调美容从业者需要提高对BDD 的认知和心理健康培训水平。在美容领域关注心理健康对于改善专业实践和保障心理健康至关重要。
