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A screening questionnaire for body dysmorphic disorder in a cosmetic dermatologic surgery practice
R G Dufresne1, K A Phillips, C C Vittorio
1Department of Dermatology and Butler Hospital and Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island, USA.
Summary
A new screening tool effectively identifies body dysmorphic disorder (BDD) in cosmetic dermatology patients. This brief questionnaire offers high sensitivity and specificity, aiding in early detection and appropriate patient management.
Area of Science:
- Psychiatry
- Dermatology
- Psychometrics
Background:
- Body dysmorphic disorder (BDD) is a prevalent condition among patients seeking cosmetic dermatology procedures.
- Accurate screening for BDD is crucial to prevent suboptimal surgical outcomes.
- Currently, no validated screening tools exist for BDD in dermatology settings.
Purpose of the Study:
- To develop a concise self-report questionnaire for screening BDD.
- To validate the questionnaire's efficacy in a cosmetic dermatology patient population.
Main Methods:
- A self-report questionnaire was developed and administered to patients.
- Diagnostic interviews were used as a gold standard for BDD diagnosis.
- Sensitivity, specificity, and interrater reliability were calculated.
Main Results:
- The questionnaire demonstrated 100% sensitivity and 93% specificity for BDD detection.
- High interrater reliability (ICC = .88) was found for the defect severity scale.
Conclusions:
- The developed questionnaire is a highly effective screening tool for BDD in cosmetic dermatology.
- This tool can assist clinicians in identifying patients with BDD, potentially improving patient care and outcomes.
