Prevalence of Body Dysmorphic Disorder Symptoms and Body Weight Concerns in Patients Seeking Abdominoplasty.

Autor:	Brito MJ; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil., Nahas FX; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil., Cordás TA; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil., Gama MG; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil., Sucupira ER; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil., Ramos TD; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil., Felix Gde A; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil., Ferreira LM; Dr De Brito is an Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí, Minas Gerais; and A Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. Dr Nahas is an Affiliate Professor and Dr Ferreira is a Full Professor, Division of Plastic Surgery, Department of Surgery, UNIFESP, São Paulo, Brazil. Dr Cordás is a Joint Professor, Department of Psychiatry, Universidade de São Paulo (USP), São Paulo, Brazil. Dr Gama is an Associate Professor, Institute of Social Sciences, Universidade do Minho, Guimaraes, Portugal. Dr Sucupira is a plastic surgeon in private practice in Rio de Janeiro, Brazil. Ms Ramos is a Graduate Student in the Graduate Program in Translational Surgery, UNIFESP, São Paulo, Brazil. Dr Felix is a Medical Resident, Paulista School of Medicine, UNIFESP, São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	Aesthetic surgery journal [Aesthet Surg J] 2016 Mar; Vol. 36 (3), pp. 324-32. Date of Electronic Publication: 2016 Feb 04.
DOI:	10.1093/asj/sjv213
Abstrakt:	Background: Body dysmorphic disorder (BDD) is one of the most common psychiatric conditions found in patients seeking cosmetic surgery, and body contouring surgery is most frequently sought by patients with BDD. Objectives: To estimate the prevalence and severity of BDD symptoms in patients seeking abdominoplasty. Methods: Ninety patients of both sexes were preoperatively divided into two groups: patients with BDD symptoms (n = 51) and those without BDD symptoms (n = 39) based both on the Body Dysmorphic Disorder Examination (BDDE) and clinical assessment. Patients in the BDD group were classified as having mild to moderate or severe symptoms, according to the BDDE. Body weight and shape concerns were assessed using the Body Shape Questionnaire (BSQ). Results: The prevalence of BDD symptoms was 57%. There were significant associations between BDD symptoms and degree of body dissatisfaction, level of preoccupation with physical appearance, and avoidance behaviors. Mild to moderate and severe symptoms of BDD were present in 41% and 59% of patients, respectively, in the BDD group. It was found that the more severe the symptoms of BDD, the higher the level of concern with body weight and shape (P < .001). Patients having distorted self-perception of body shape, or distorted comparative perception of body image were respectively 3.67 or 5.93 times more likely to show more severe symptoms of BDD than those with a more accurate perception. Conclusions: Candidates for abdominoplasty had a high prevalence of BDD symptoms, and body weight and shape concerns were associated with increased symptom severity. (© 2016 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com.)
Databáze:	MEDLINE
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