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Dissertation
Rate of body dysmorphic disorder among patients seeking facial cosmetic procedures
Doctor of Philosophy (Ph.D.), Drexel University
Dec 2003
DOI:
https://doi.org/10.17918/etd-314
Abstract
Body dysmorphic disorder (BDD) is defined as a preoccupation with an imaginedor slight defect in appearance resulting in significant distress or impairment in important areas of functioning (APA, 2000). BDD patients are often concerned with facial features and are also likely to present to cosmetic surgery settings for treatment of their perceived defect (Phillips & Diaz, 1997). Studies have reported rates of BDD of 7-12 % in patients from cosmetic surgery and dermatology settings (Sarwer, Wadden, Pertschuk, &Whitaker, 1998; Phillips, Dufresne, Wilkel, & Vittorio, 2000). Methodological weaknesses, including lack of control groups, reliance on surgeons' judgments of slight or minimal deformity, and the use of different measures to assess for BDD, necessitatefurther study of the rate of BDD in patients seeking cosmetic procedures. This study was designed to further establish the rate of BDD among patientsseeking cosmetic procedures. Ninety-one patients seeking facial cosmetic surgery and 50 patients seeking non-cosmetic facial procedures were recruited from a university cosmetic surgery practice, a university otorhinolaryngology practice, and a private cosmetic surgery practice. Prior to their initial visit, patients completed packets of questionnaires, including demographic questions and measures to assess body image dissatisfaction, BDD symptoms, and depression. Surgeons and nurses rated the severity of patient appearance concerns using a rating scale. Surgeons, nurses, and laypersons also rated a sample of patient photographs. Percentages of patients who screened positive for BDD on a self-report measure in combination with a surgeon rating of minimal or no deformity were calculated. Eight percent of the cosmetic group and 7% of the noncosmeticgroup met criteria for BDD. Patients with BDD symptoms reported greater depression and body image dissatisfaction as compared to patients without BDDsymptoms. There was poor diagnostic correspondence between the two self-reportmeasures of BDD. Nurses and surgeons rated defects similarly. Surgeons ratedappearance concerns as more noticeable as compared to laypersons. These resultssuggest that BDD is not uncommon among patients seeking facial cosmetic procedures.
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Details
- Title
- Rate of body dysmorphic disorder among patients seeking facial cosmetic procedures
- Creators
- Canice Ellen Crerand - DU
- Contributors
- David B. Sarwer (Advisor) - Drexel University (1970-)Michael R. Lowe (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Arts and Sciences; Drexel University
- Other Identifier
- 314; 991014632560304721