Development of a multiphasic, cryptic screening protocol for body dysmorphic disorder in cosmetic dermatology

Area of Science:

• Cosmetic Dermatology
• Psychiatry
• Medical Screening

Background:

• Body dysmorphic disorder (BDD) is prevalent in cosmetic dermatology.
• Low screening rates are attributed to lack of awareness and inadequate tools.
• Treating BDD patients carries risks and potential complications.

Purpose of the Study:

• To determine the prevalence of BDD in non-surgical cosmetic settings.
• To assess the impact of a multiphasic screening protocol on patient outcomes.
• To identify high-risk patients for BDD.

Main Methods:

• A multiphasic screening protocol was implemented across eight US aesthetic clinics.
• Anonymous prescreening forms were administered to new patients aged 18-65.
• Positive screens led to more extensive questionnaires, with potential treatment refusal.

Main Results:

• Over 16 weeks, 734 initial screenings were conducted.
• 4.2% of patients advanced to secondary screening.
• 29% of those in secondary screening tested positive for BDD, with 77.8% refused treatment.

Conclusions:

• A cryptic screening protocol aids in identifying at-risk individuals for BDD.
• This method fosters better patient-provider communication.
• Early identification can lead to appropriate management and improved outcomes.