Abstract
Objective: Body Dysmorphic Disorder (BDD) is a psychiatric disorder defined as obsessive ideas about distorted physical appearance, leading to social, professional and personal dysfunction. Many of these patients seek aesthetic surgery and are generally dissatisfied with the outcome of their surgery. In the present study patients coming to the otolaryngology clinic of Thaleghani Hospital in Tehran seeking rhinoplasty were evaluated. Methodology: Between October 2010 and October 2011, 130 patients seeking rhinoplasty were recruited in a cross-sectional study. These patients were consecutively interviewed in the otolaryngology clinic of Taleghani Hospital, Tehran, Iran. Questionnaires were filled containing demographic data. BDD was evaluated by a separate questionnaire. Hospital Anxiety and Depression Scale (HADS) questionnaire was filled to evaluate depression and anxiety. Data were analyzed by using SPSS software. The frequency and standard deviations were calculated. Differences between groups were evaluated by using the chi-square, and t-tests. Results: Ninety nine (76.2%) of rhinoplasty candidates were female and thirty one (23.8%) were male. Eighty five (65.4%) were single and thirty eight (29.2%) were married while seven were divorced. About 63.8% were University students or University graduates. Mean age was 26.43±6.29 years old. 41 patients (31.5%) had BDD. Among BDD patients 12 (29.3%) had concurrent depression and 11 (26.8%) had concurrent anxiety. No statistically significant correlation was found between the presence or severity of BDD and age, gender, marital status, level of education and profession. Conclusion: Considering the high prevalence of Body Dysmorphic Disorder (BDD) among rhinoplasty candidates, psychiatric evaluation is advisable before surgery to avoid unnecessary operations and patient dissatisfaction.
Highlights
Aesthetic operations have become very popular over the past two decades.[1]
Body Dysmorphic Disorder (BDD) is a psychiatric disorder defined as obsessive ideas about distorted physical appearance leading to social, professional and personal dysfunction
Out of the 41 patients diagnosed with BDD 12 patients (29.3%) had concurrent depression and 11 patients (26.8%) had concurrent anxiety
Summary
Aesthetic operations have become very popular over the past two decades.[1] In 2000 over 1.3 million aesthetic operations were performed in the United States, showing 198% increase compared to 1992.2 Rhinoplasty is one of the most popular aesthetic operations.[3] In recent years the character of applicants for rhinoplasty[4,5] and BDD in them[6,7,8,9] has been considered by researchers. In Iran rhinoplasty has become very popular especially among the young people.[8] Personality disorders and BDD are common among rhinoplasty candidates.[4,5,6,9] BDD is a psychiatric disorder defined as obsessive ideas about distorted physical appearance leading to social, professional and personal dysfunction. Rhinoplasty is the most commonly asked aesthetic surgery by these patients.[10]
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