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Personality Traits: "The Big Five" and "the Dark Triad"
Tahj Blow1, Patrick Amar2, Rachel C Perry3
1Department of Internal Medicine & Psychiatry, Emory School of Medicine, Atlanta, GA, USA.
Clinics in Plastic Surgery
|June 14, 2025
Summary
High-quality screening tools are lacking for individuals with "Big Five" personality disorders or "Dark Triad" traits undergoing cosmetic surgery. Reevaluating risks and benefits for this population is crucial.
Area of Science:
- Psychiatry
- Plastic Surgery
- Psychology
Background:
- Limited high-quality screening tools exist for personality disorders and Dark Triad traits.
- Preoperative measures and postoperative comparisons for these patient groups are insufficient.
- Advances in diagnosing psychopathology necessitate reevaluation of cosmetic procedure risks.
Purpose of the Study:
- To highlight the need for better screening and management strategies.
- To advocate for a reevaluation of cosmetic procedures in patients with specific personality traits.
- To improve patient outcomes and safety in cosmetic surgery.
Main Methods:
- Literature review on personality disorders and cosmetic surgery.
- Analysis of current diagnostic criteria for psychopathology.
- Conceptual framework for risk-benefit assessment.
Main Results:
- Current literature lacks robust screening tools for "Big Five" personality disorders and "Dark Triad" traits.
- There is a deficit in established preoperative and postoperative protocols for these patients.
- Significant potential benefits exist for patients and providers through updated assessments.
Conclusions:
- Improved screening tools and protocols are needed for cosmetic surgery patients with personality disorders or Dark Triad traits.
- A comprehensive risk-benefit analysis is essential before cosmetic procedures in this population.
- Further research should focus on developing tailored approaches for patient safety and satisfaction.
Keywords:
Body dysmorphic disorder (BDD)Body dysmorphic disorder questionnaire (BDDQ)Borderline personality disorder (BPD)Cosmetic procedure screening questionnaire (COPS)Dysmorphic concerns questionnaire (DCQ)Histrionic personality disorder (HPD)Narcissistic personality disorder (NPD)Obsessive compulsive disorder (OCD)More Related Videos
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