Screening tools for body dysmorphic disorder in a cosmetic surgery setting.

Area of Science:

• Psychiatry
• Dermatology
• Plastic Surgery

Background:

• Body Dysmorphic Disorder (BDD) is a psychiatric condition involving preoccupation with perceived appearance flaws.
• Diagnosing BDD preoperatively in aesthetic surgery consultations is difficult.
• High BDD prevalence is suspected in patients seeking cosmetic procedures.

Purpose of the Study:

• To review and assess the quality and feasibility of existing screening tools for BDD in aesthetic surgery.
• To identify validated screening instruments for BDD in cosmetic settings.

Main Methods:

• Systematic review of electronic bibliographic databases.
• Identification and evaluation of BDD screening tools for cosmetic settings.
• Assessment of tool validation and predictive value for subjective outcomes.

Main Results:

• Six BDD screening tools were identified for cosmetic settings.
• Only the Body Dysmorphic Disorder Questionnaire-Dermatology Version (BDDQ-DV) and Dysmorphic Concern Questionnaire (DCQ) were validated in cosmetic dermatology.
• No validated tools were found outside dermatologic surgery settings.
• The BDDQ-DV did not show influence on subjective outcomes post-treatment.

Conclusions:

• There is a notable lack of validated BDD screening tools for aesthetic surgery patients.
• The BDDQ-DV and DCQ are the most suitable tools for further research on BDD prevalence and treatment impact in cosmetic surgery.
• Further research is needed to address the high prevalence and impact of BDD in this population.