Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings
Background Body dysmorphic disorder (BDD) is a psychiatric disturbance with high incidence in aesthetic clinical settings. Early recognition may avoid unnecessary elective procedures with ethical and medicolegal consequences. Aims To identify validated BDD screening tools and critically appraise cur...
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| Veröffentlicht in: | Journal of cosmetic dermatology 2023-07, Vol.22 (7), p.1951-1966 |
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| container_end_page | 1966 |
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| container_issue | 7 |
| container_start_page | 1951 |
| container_title | Journal of cosmetic dermatology |
| container_volume | 22 |
| creator | Pereira, Ines Novo Chattopadhyay, Rashmi Fitzpatrick, Sean Nguyen, Sheila Hassan, Haidar |
| description | Background
Body dysmorphic disorder (BDD) is a psychiatric disturbance with high incidence in aesthetic clinical settings. Early recognition may avoid unnecessary elective procedures with ethical and medicolegal consequences.
Aims
To identify validated BDD screening tools and critically appraise current literature regarding its implementation and efficacy in aesthetic medicine and surgery scenarios, with the purpose of transposing the findings to the broad clinical settings in the field.
Methods
Data was collected using advanced search from PubMed (MEDLINE). Having satisfied the search parameters, 12 studies referring BDD definition according to Diagnostic and Statistical Manual of Mental Disorder (DSM‐5) criteria and including a BDD screening tool in clinical aesthetic settings were selected.
Results
While BDD screening enables the recognition of at‐risk individuals, further work is required to uncover the best screening tool for general aesthetic clinical practice. Level III evidence favored BDD Questionnaire (BDDQ)/BDDQ‐Dermatology Version (DV), and The Dysmorphic Concern Questionnaire (DCQ) among the limited available validated screening instruments to be used outside the psychiatric environment. Based on level II self‐classification, one study selected BDDQ‐Aesthetic Surgery (AS) version for rhinoplasty patients. The validation process of both BDDQ‐AS and Cosmetic Procedure Screening Questionnaire (COPS) had limitations. For BDD screening potential in avoiding postoperative complications, the limited studies found evaluating the outcomes following aesthetic treatments using validated BDD screening measures showed a trend toward less satisfaction with aesthetic treatment outcome among positive screening population against non‐BDD counterparts.
Conclusion
Further research is necessary to establish more effective methods to identify BDD and evaluate the impact of positive findings on aesthetic intervention outcomes. Future studies may elucidate which BDD characteristics best predict a favorable outcome and provide high‐quality evidence for standardized protocols in research and clinical practice. |
| doi_str_mv | 10.1111/jocd.15685 |
| format | Article |
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Body dysmorphic disorder (BDD) is a psychiatric disturbance with high incidence in aesthetic clinical settings. Early recognition may avoid unnecessary elective procedures with ethical and medicolegal consequences.
Aims
To identify validated BDD screening tools and critically appraise current literature regarding its implementation and efficacy in aesthetic medicine and surgery scenarios, with the purpose of transposing the findings to the broad clinical settings in the field.
Methods
Data was collected using advanced search from PubMed (MEDLINE). Having satisfied the search parameters, 12 studies referring BDD definition according to Diagnostic and Statistical Manual of Mental Disorder (DSM‐5) criteria and including a BDD screening tool in clinical aesthetic settings were selected.
Results
While BDD screening enables the recognition of at‐risk individuals, further work is required to uncover the best screening tool for general aesthetic clinical practice. Level III evidence favored BDD Questionnaire (BDDQ)/BDDQ‐Dermatology Version (DV), and The Dysmorphic Concern Questionnaire (DCQ) among the limited available validated screening instruments to be used outside the psychiatric environment. Based on level II self‐classification, one study selected BDDQ‐Aesthetic Surgery (AS) version for rhinoplasty patients. The validation process of both BDDQ‐AS and Cosmetic Procedure Screening Questionnaire (COPS) had limitations. For BDD screening potential in avoiding postoperative complications, the limited studies found evaluating the outcomes following aesthetic treatments using validated BDD screening measures showed a trend toward less satisfaction with aesthetic treatment outcome among positive screening population against non‐BDD counterparts.
Conclusion
Further research is necessary to establish more effective methods to identify BDD and evaluate the impact of positive findings on aesthetic intervention outcomes. Future studies may elucidate which BDD characteristics best predict a favorable outcome and provide high‐quality evidence for standardized protocols in research and clinical practice.</description><identifier>ISSN: 1473-2130</identifier><identifier>EISSN: 1473-2165</identifier><identifier>DOI: 10.1111/jocd.15685</identifier><identifier>PMID: 36847707</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>aesthetics ; Body dysmorphic disorder ; Classification ; Evidence-based medicine ; evidence‐based review ; Questionnaires ; screening ; Suicides & suicide attempts ; Surgeons ; Systematic review ; Validity</subject><ispartof>Journal of cosmetic dermatology, 2023-07, Vol.22 (7), p.1951-1966</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC.</rights><rights>2023 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.</rights><rights>2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3935-e5aa7d473a73cf6664d71fff3eccc6d3cbccb6dec22106cb268bbb8a8e24ef1d3</citedby><cites>FETCH-LOGICAL-c3935-e5aa7d473a73cf6664d71fff3eccc6d3cbccb6dec22106cb268bbb8a8e24ef1d3</cites><orcidid>0000-0002-8192-9916 ; 0000-0001-7236-3968 ; 0000-0001-8806-3863</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocd.15685$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocd.15685$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,11541,27901,27902,45550,45551,46027,46451</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36847707$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pereira, Ines Novo</creatorcontrib><creatorcontrib>Chattopadhyay, Rashmi</creatorcontrib><creatorcontrib>Fitzpatrick, Sean</creatorcontrib><creatorcontrib>Nguyen, Sheila</creatorcontrib><creatorcontrib>Hassan, Haidar</creatorcontrib><title>Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings</title><title>Journal of cosmetic dermatology</title><addtitle>J Cosmet Dermatol</addtitle><description>Background
Body dysmorphic disorder (BDD) is a psychiatric disturbance with high incidence in aesthetic clinical settings. Early recognition may avoid unnecessary elective procedures with ethical and medicolegal consequences.
Aims
To identify validated BDD screening tools and critically appraise current literature regarding its implementation and efficacy in aesthetic medicine and surgery scenarios, with the purpose of transposing the findings to the broad clinical settings in the field.
Methods
Data was collected using advanced search from PubMed (MEDLINE). Having satisfied the search parameters, 12 studies referring BDD definition according to Diagnostic and Statistical Manual of Mental Disorder (DSM‐5) criteria and including a BDD screening tool in clinical aesthetic settings were selected.
Results
While BDD screening enables the recognition of at‐risk individuals, further work is required to uncover the best screening tool for general aesthetic clinical practice. Level III evidence favored BDD Questionnaire (BDDQ)/BDDQ‐Dermatology Version (DV), and The Dysmorphic Concern Questionnaire (DCQ) among the limited available validated screening instruments to be used outside the psychiatric environment. Based on level II self‐classification, one study selected BDDQ‐Aesthetic Surgery (AS) version for rhinoplasty patients. The validation process of both BDDQ‐AS and Cosmetic Procedure Screening Questionnaire (COPS) had limitations. For BDD screening potential in avoiding postoperative complications, the limited studies found evaluating the outcomes following aesthetic treatments using validated BDD screening measures showed a trend toward less satisfaction with aesthetic treatment outcome among positive screening population against non‐BDD counterparts.
Conclusion
Further research is necessary to establish more effective methods to identify BDD and evaluate the impact of positive findings on aesthetic intervention outcomes. Future studies may elucidate which BDD characteristics best predict a favorable outcome and provide high‐quality evidence for standardized protocols in research and clinical practice.</description><subject>aesthetics</subject><subject>Body dysmorphic disorder</subject><subject>Classification</subject><subject>Evidence-based medicine</subject><subject>evidence‐based review</subject><subject>Questionnaires</subject><subject>screening</subject><subject>Suicides & suicide attempts</subject><subject>Surgeons</subject><subject>Systematic review</subject><subject>Validity</subject><issn>1473-2130</issn><issn>1473-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kLtOwzAUhi0E4lJYeAAUiQUhBew4sVM2VO5CYgAWFss-PqGu0qTYLagbj8Az8iQYUjow4OVYR9_59esjZJfRIxbf8agFe8QKURYrZJPlkqcZE8Xq8s_pBtkKYUQpk31WrJMNLspcSio3ydP5q7PYAH6-fxgd0CYeXx2-nST34BEb1zwnprXzxM7DuPWToYPEutB6iz5xTaIxTIc4jVuoXeNA10nA6TSehW2yVuk64M5i9sjjxfnD4Cq9vbu8HpzepsD7vEix0Fra2FRLDpUQIreSVVXFEQCE5WAAjLAIWcaoAJOJ0hhT6hKzHCtmeY8cdLkT377MYh81dgGwrnWD7SyoTJY0L7M8ExHd_4OO2plvYjvFaZ8KxnnBI3XYUeDbEDxWauLdWPu5YlR9G1ffxtWP8QjvLSJnZox2if4qjgDrgDdX4_yfKHVzNzjrQr8AILGOJA</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Pereira, Ines Novo</creator><creator>Chattopadhyay, Rashmi</creator><creator>Fitzpatrick, Sean</creator><creator>Nguyen, Sheila</creator><creator>Hassan, Haidar</creator><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8192-9916</orcidid><orcidid>https://orcid.org/0000-0001-7236-3968</orcidid><orcidid>https://orcid.org/0000-0001-8806-3863</orcidid></search><sort><creationdate>202307</creationdate><title>Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings</title><author>Pereira, Ines Novo ; Chattopadhyay, Rashmi ; Fitzpatrick, Sean ; Nguyen, Sheila ; Hassan, Haidar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3935-e5aa7d473a73cf6664d71fff3eccc6d3cbccb6dec22106cb268bbb8a8e24ef1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>aesthetics</topic><topic>Body dysmorphic disorder</topic><topic>Classification</topic><topic>Evidence-based medicine</topic><topic>evidence‐based review</topic><topic>Questionnaires</topic><topic>screening</topic><topic>Suicides & suicide attempts</topic><topic>Surgeons</topic><topic>Systematic review</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pereira, Ines Novo</creatorcontrib><creatorcontrib>Chattopadhyay, Rashmi</creatorcontrib><creatorcontrib>Fitzpatrick, Sean</creatorcontrib><creatorcontrib>Nguyen, Sheila</creatorcontrib><creatorcontrib>Hassan, Haidar</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cosmetic dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pereira, Ines Novo</au><au>Chattopadhyay, Rashmi</au><au>Fitzpatrick, Sean</au><au>Nguyen, Sheila</au><au>Hassan, Haidar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings</atitle><jtitle>Journal of cosmetic dermatology</jtitle><addtitle>J Cosmet Dermatol</addtitle><date>2023-07</date><risdate>2023</risdate><volume>22</volume><issue>7</issue><spage>1951</spage><epage>1966</epage><pages>1951-1966</pages><issn>1473-2130</issn><eissn>1473-2165</eissn><abstract>Background
Body dysmorphic disorder (BDD) is a psychiatric disturbance with high incidence in aesthetic clinical settings. Early recognition may avoid unnecessary elective procedures with ethical and medicolegal consequences.
Aims
To identify validated BDD screening tools and critically appraise current literature regarding its implementation and efficacy in aesthetic medicine and surgery scenarios, with the purpose of transposing the findings to the broad clinical settings in the field.
Methods
Data was collected using advanced search from PubMed (MEDLINE). Having satisfied the search parameters, 12 studies referring BDD definition according to Diagnostic and Statistical Manual of Mental Disorder (DSM‐5) criteria and including a BDD screening tool in clinical aesthetic settings were selected.
Results
While BDD screening enables the recognition of at‐risk individuals, further work is required to uncover the best screening tool for general aesthetic clinical practice. Level III evidence favored BDD Questionnaire (BDDQ)/BDDQ‐Dermatology Version (DV), and The Dysmorphic Concern Questionnaire (DCQ) among the limited available validated screening instruments to be used outside the psychiatric environment. Based on level II self‐classification, one study selected BDDQ‐Aesthetic Surgery (AS) version for rhinoplasty patients. The validation process of both BDDQ‐AS and Cosmetic Procedure Screening Questionnaire (COPS) had limitations. For BDD screening potential in avoiding postoperative complications, the limited studies found evaluating the outcomes following aesthetic treatments using validated BDD screening measures showed a trend toward less satisfaction with aesthetic treatment outcome among positive screening population against non‐BDD counterparts.
Conclusion
Further research is necessary to establish more effective methods to identify BDD and evaluate the impact of positive findings on aesthetic intervention outcomes. Future studies may elucidate which BDD characteristics best predict a favorable outcome and provide high‐quality evidence for standardized protocols in research and clinical practice.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>36847707</pmid><doi>10.1111/jocd.15685</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-8192-9916</orcidid><orcidid>https://orcid.org/0000-0001-7236-3968</orcidid><orcidid>https://orcid.org/0000-0001-8806-3863</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | aesthetics Body dysmorphic disorder Classification Evidence-based medicine evidence‐based review Questionnaires screening Suicides & suicide attempts Surgeons Systematic review Validity |
| title | Evidence‐based review: Screening body dysmorphic disorder in aesthetic clinical settings |
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