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BDD Knowledge, Attitude and Practice Among Aesthetic Plastic Surgeons Worldwide
Nada Raafat Khattab1, Dan Mills2
1Plastic Surgery Unit, Kasr Al Ainy Hospital, Faculty of Medicine, Cairo University, Al Manial, Cairo, 11562, Egypt. nadarkhattab@gmail.com.
Plastic surgeons generally recognize Body Dysmorphic Disorder (BDD), with experience correlating to awareness. However, experienced surgeons may underestimate the need for psychiatric referral, and male surgeons diagnose BDD more frequently than female surgeons.
Area of Science:
- Plastic Surgery
- Psychiatry
- Psychology
Background:
- Body Dysmorphic Disorder (BDD) presents a complex challenge in aesthetic plastic surgery.
- Understanding plastic surgeons' perspectives on BDD is crucial for patient care.
Purpose of the Study:
- To investigate the influence of surgeon experience, sex, practice location, and patient volume on knowledge, attitude, and practice (KAP) regarding BDD.
- To compare BDD KAP among surgeons in developed versus developing countries.
Main Methods:
- A 24-question survey on BDD KAP was distributed globally to aesthetic plastic surgeons.
- Data were collected from 464 respondents over a 20-day period.
Main Results:
- Surgeon experience is the primary determinant of BDD awareness, with more experienced surgeons showing greater familiarity.
- Experienced surgeons were less inclined to refer BDD patients for psychiatric evaluation.
- Male surgeons reported diagnosing more BDD cases than female surgeons.
- Knowledge acquisition often stemmed from scientific journals.
- KAP was similar across developed and developing countries, with notable differences in diagnostic interview questions.
Conclusions:
- Aesthetic surgeons possess BDD knowledge and are inclined to diagnose it.
- Surgeons often employ individualized BDD management strategies.
- Emphasizing BDD as a contraindication for aesthetic procedures and enhancing awareness through journals and residency programs are vital.
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