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2811 – Personality and Body Image Disorders in Cosmetic Surgery Settings: Prevalence, Comorbidity and Evaluation of their Impact on Post-Operative Patient's Satisfaction

Published online by Cambridge University Press:  15 April 2020

A. Dakanalis ,
V.E. Di Mattei ,
A.M. Zanetti ,
M. Clerici ,
F. Madeddu ,
G. Riva ,
L. Lanfranchi  and
F. Baruffaldi Preis
A. Dakanalis
Affiliation:
Humanistic Studies, Section of Psychology, University of Pavia, Pavia
V.E. Di Mattei
Affiliation:
Psychology, University Vita Salute San Raffaele
A.M. Zanetti
Affiliation:
Humanistic Studies, Section of Psychology, University of Pavia, Pavia
M. Clerici
Affiliation:
Neurosciences and Biomedical Technologies, University of Milano Bicocca, Milan Psychiatry, S. Gerardo Hospital Mental Health Care Trust, Monza
F. Madeddu
Affiliation:
Psychology, University of Milan Bicocca
G. Riva
Affiliation:
Psychology, Catholic University of Milan Istituto Auxologico Italiano
L. Lanfranchi
Affiliation:
Plastic Surgery, San Raffaele Scientific Institute Plastic Surgery, Istituto Ortopedico Galeazzi, Milan, Italy
F. Baruffaldi Preis
Affiliation:
Plastic Surgery, San Raffaele Scientific Institute Plastic Surgery, Istituto Ortopedico Galeazzi, Milan, Italy

Abstract

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Introduction:

Based on clinical impressions personality disorders (PDs) and psychiatric disorders characterized by body image disorder (BID) have been suggested to be relatively common in cosmetic surgery settings and closely associated with patient's post-operative dissatisfaction despite technically satisfactory surgical results, leading to problems for both patients and surgeons.

Aims:

The study investigated the prevalence and the comorbidity between BID and PDs in patients seeking cosmetic surgery, as well as the impact of the following clinical variables on patient's post-operative dissatisfaction: number of pathological personality traits, severity of body uneasiness and worries about particular body parts and intensity of these concerns.

Methods:

Two hundred fifty patients scheduled for profile, breast and body contouring cosmetic surgery from two Italian hospitals (90% F; Mage = 31.5 ± 4.0) completed the Body Uneasiness Test (BUT), the Personality Diagnostic Questionnaire-4+ (PDQ-4) before surgery and a measure of patient satisfaction 13 months after surgery.

Results:

18.9% of subjects, had at least 1 PD (cluster B and C's in particular). Using the BUT cut-off score as a marker of clinical significance, 48.8% of subjects had a BID, and all PD patients showed comorbidity with BID. The number of pathological personality traits, the severity of body uneasiness and the intensity of worries about body parts showed a predictive power on patients’ post-operative dissatisfaction.

Conclusion:

PDs and BID are common in cosmetic surgery settings. Our data suggest also that a thorough pre-operative clinical assessment may allow the pre-operative identification of patients with low levels of post-operative satisfaction.

Type
Abstract
Information
European Psychiatry , Volume 28 , Issue S1: Abstracts of the 21th European Congress of Psychiatry , 2013 , 28-E1685
Copyright
Copyright © European Psychiatric Association 2013
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