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Body Modifications in Patients with Chronic Dermatoses: Associations with Body Dysmorphic Disorder and Illness
Justyna Putek1, Przemysław Pacan2, Jacek Szepietowski3
1University Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, Wroclaw, Poland.
Body modifications like tattoos and piercings are common in dermatology patients. These modifications correlate with higher body dysmorphic disorder (BDD) tendencies and lower illness acceptance.
Area of Science:
- Dermatology
- Psychology
- Medical Sociology
Background:
- Body modifications (tattoos, piercings) are increasingly prevalent.
- Psychological implications of body modifications in dermatology patients are understudied.
- Understanding these links is crucial for holistic patient care.
Purpose of the Study:
- To determine the prevalence of body modifications in dermatology outpatients.
- To investigate the association between body modifications and body dysmorphic disorder (BDD) symptom tendencies.
- To examine the relationship between body modifications and illness acceptance.
Main Methods:
- Cross-sectional survey of 333 dermatology outpatients in Poland.
- Data collected on demographics, chronic skin disease, tattoos, and piercings.
- Assessed BDD symptoms using the Appearance Anxiety Inventory (AAI) and illness acceptance with the Acceptance of Illness Scale (AIS).
Main Results:
- 29.4% of patients had body modifications (20.7% tattoos, 15.9% piercings).
- BDD symptom tendencies were significantly higher in patients with tattoos (26.1%) and piercings (34%).
- Lower illness acceptance correlated with higher BDD symptomatology.
Conclusions:
- Body modifications in dermatology patients are linked to increased BDD risk and reduced illness acceptance.
- Highlights the need for psychological screening in dermatological settings.
- Dermatologists should be trained to identify and manage associated mental health concerns.
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