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Body dysmorphic disorder and cosmetic surgery: Evolution of 24 subjects with a minimal defect in appearance 5 years after their request for cosmetic surgery

Published online by Cambridge University Press:  16 April 2020

Jean Tignol ,
Louise Biraben-Gotzamanis ,
Corinne Martin-Guehl ,
Denis Grabot  and
Bruno Aouizerate
Jean Tignol*
Affiliation:
Victor Segalen University School of Medicine and Charles Perrens Hospital, 121 rue de la Béchade, 33076Bordeaux Cedex, France
Louise Biraben-Gotzamanis
Affiliation:
Victor Segalen University School of Medicine and Charles Perrens Hospital, 121 rue de la Béchade, 33076Bordeaux Cedex, France
Corinne Martin-Guehl
Affiliation:
31 rue de Cheverus, 33000Bordeaux, France
Denis Grabot
Affiliation:
Victor Segalen University School of Medicine and Charles Perrens Hospital, 121 rue de la Béchade, 33076Bordeaux Cedex, France
Bruno Aouizerate
Affiliation:
Victor Segalen University School of Medicine and Charles Perrens Hospital, 121 rue de la Béchade, 33076Bordeaux Cedex, France
*
*Corresponding author. Tel.: +33556563585; fax: +33556563515. E-mail addresses: [email protected] (J. Tignol), corinne. [email protected] (C. Martin-Guehl).
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Abstract

Objectives

To evaluate the effect of cosmetic surgery and the stability of body dysmorphic disorder (BDD) diagnosis in patients with a minimal defect in appearance, with and without BDD, 5 years after their request for plastic surgery.

Subjects and methods

Thirty patients requesting cosmetic surgery with minimal defect in appearance, of whom 12 had BDD and 18 did not, were re-evaluated 5 years later by telephone interview regarding their cosmetic surgery interventions, satisfaction with the intervention, BDD diagnosis, handicap, and psychiatric comorbidity.

Results

Of the 30 patients, we were able to re-evaluate 24 subjects (80%), 10 with BDD and 14 non-BDD. Seven BDD subjects had undergone cosmetic surgery vs 8 non-BDD. Patient satisfaction with the intervention was high in both groups. Nevertheless at follow-up, 6 of the 7 operated BDD patients still had a BDD diagnosis and exhibited higher levels of handicap and psychiatric comorbidity compared to their non-BDD counterparts. Moreover, 3 non-BDD patients had developed a BDD at follow-up.

Conclusion

This prospective study confirms that cosmetic surgery is not efficient on BDD despite declared patient satisfaction. Cosmetic surgery had no significant effects on BDD diagnosis, handicap or psychiatric comorbidity in BDD patients at 5-year follow-up. Furthermore, BDD appeared at follow-up in some initially non-BDD diagnosed subjects. Patients' declared satisfaction with surgery may contribute to explain why some plastic surgeons may not fully adhere to the contraindication of cosmetic surgery in BDD.

Keywords

Somatoform disorders/*diagnosisSurgeryPlasticAdultHumanEpidemiologic/comparative studies
Type
Original article
Information
European Psychiatry , Volume 22 , Issue 8 , November 2007 , pp. 520 - 524
Copyright
Copyright © Elsevier Masson SAS 2007

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Footnotes

1

Tel.: +33556792706.

References

Altamura, C., Paluello, M.M., Mundo, E., Medda, S., Mannu, P.Clinical and subclinical body dysmorphic disorder. Eur Arch Psychiatry Clin Neurosci 2001;251(3):105–108.CrossRefGoogle ScholarPubMed
American Psychiatric Association, Diagnostic and statistical manual of mental disorders. 4th ed., Text Revision. Washington, DC: American Psychiatric Association; 2000.Google Scholar
Aouizerate, B., Pujol, H., Grabot, D., Faytout, M., Suire, K., Braud, C.et al.Body dysmorphic disorder in a sample of cosmetic surgery applicants. Eur Psychiatry Nov 2003;18(7):365–368.CrossRefGoogle Scholar
Coles, M.E., Phillips, K.A., Menard, W., Pagano, M.E., Fay, C., Weisberg, R.B.et al.Body dysmorphic disorder and social phobia: cross-sectional and prospective data. Depress Anxiety 2006;23(1):26–33.CrossRefGoogle ScholarPubMed
Crerand, C.E., Phillips, K.A., Menard, W., Fay, C.Nonpsychiatric medical treatment of body dysmorphic disorder. Psychosomatics 2005 Nov–Dec;46(6):549–555.CrossRefGoogle Scholar
Hollander, E., Allen, A., Kwon, J., Aronowitz, B., Schmeidler, J., Wong, C.et al.Clomipramine vs desipramine crossover trial in body dysmorphic disorder: selective efficacy of a serotonin reuptake inhibitor in imagined ugliness. Arch Gen Psychiatry Nov 1999;56(11):1033–1039.CrossRefGoogle ScholarPubMed
Hollander, E., Cohen, L., Simeon, D.Body dysmorphic disorder. Psychiatr Ann 1993;23:359–364.CrossRefGoogle Scholar
Lebow, J.Consumer satisfaction with mental health treatment. Psychol Bull Mar 1982;91(2):244–259.CrossRefGoogle ScholarPubMed
Lebow, J.L.Research assessing consumer satisfaction with mental health treatment: a review of findings. Eval Program Plann 1983;6(3–4):211–236.CrossRefGoogle Scholar
Muhlbauer, W., Holm, C., Wood, D.L.The thersites complex in plastic surgical patients. Plast Reconstr Surg 2001;107(2):319–326.CrossRefGoogle ScholarPubMed
Phillips, K.A.Body dysmorphic disorder: the distress of imagined ugliness. Am J Psychiatry Sep 1991;148(9):1138–1149.Google ScholarPubMed
Phillips, K.A., Albertini, R.S., Rasmussen, S.A.A randomized placebo-controlled trial of fluoxetine in body dysmorphic disorder. Arch Gen Psychiatry 2002;59(4):381–388.CrossRefGoogle ScholarPubMed
Phillips, K.A., Grant, J., Siniscalchi, J., Albertini, R.S.Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder. Psychosomatics 2001;42(6):504–510.CrossRefGoogle ScholarPubMed
Phillips, K.A., Hollander, E., Rasmussen, S.A., Aronowitz, B.R., DeCaria, C., Goodman, W.K.A severity rating scale for body dysmorphic disorder: development, reliability, validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacol Bull 1997;33(1):17–22.Google ScholarPubMed
Phillips, K.A., McElroy, S.L., Keck, P.E. Jr., Pope, H.G. Jr., Hudson, J.I.Body dysmorphic disorder: 30 cases of imagined ugliness. Am J Psychiatry Feb 1993;150(2):302–308.Google ScholarPubMed
Phillips, K.A., Menard, W.Suicidality in body dysmorphic disorder: a prospective study. Am J Psychiatry Jul 2006;163(7):1280–1282.CrossRefGoogle ScholarPubMed
Phillips, K.A., Menard, W., Fay, C., Pagano, M.E.Psychosocial functioning and quality of life in body dysmorphic disorder. Compr Psychiatry 2005 Jul–Aug;46(4):254–260.CrossRefGoogle Scholar
Phillips, K.A., Nierenberg, A.A., Brendel, G., Fava, M.Prevalence and clinical features of body dysmorphic disorder in atypical major depression. J Nerv Ment Dis Feb 1996;184(2):125–129.Google ScholarPubMed
Phillips, K.A., Pagano, M.E., Menard, W., Stout, R.L.A 12-month follow-up study of the course of body dysmorphic disorder. Am J Psychiatry May 2006;163(5):907–912.CrossRefGoogle ScholarPubMed
Rosen, J.C., Reiter, J., Orosan, P.Cognitive-behavioral body image therapy for body dysmorphic disorder. J Consult Clin Psychol Apr 1995;63(2):263–269.CrossRefGoogle ScholarPubMed
Sarwer, D.B.Awareness and identification of body dysmorphic disorder by aesthetic surgeons: results of a survey of American Society for Aesthetic Plastic Surgery members. Aesthet Surg J 2002;22:531–535.CrossRefGoogle ScholarPubMed
Sarwer, D.B., Crerand, C.E.Body image and cosmetic medical treatments. Body Image 2004;1(1):99–111.CrossRefGoogle ScholarPubMed
Sarwer, D.B., Crerand, C.E., Didie, E.R.Body dysmorphic disorder in cosmetic surgery patients. Facial Plast Surg Feb 2003;19(1):7–18.CrossRefGoogle ScholarPubMed
Sheehan, D., Lecrubier, Y., Harnett-Sheehan, K., Janavs, J., Weiller, E., Keskiner, A.et al.The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. Eur Psychiatry 1997;12:232–241.CrossRefGoogle Scholar
Sheehan, D.V., Harnett-Sheehan, K., Raj, B.A.The measurement of disability. Int Clin Psychopharmacol 1996;11:89–95.CrossRefGoogle ScholarPubMed
Spira, A., Bajos, N.Les comportements sexuels en France. Paris: INSERM; 1993.Google Scholar
Stein, M.B., Torgrud, L.J., Walker, J.R.Social phobia symptoms, subtypes, severity: findings from a community survey. Arch Gen Psychiatry 2000;57(11):1046–1052.CrossRefGoogle ScholarPubMed
Veale, D.Cognitive behaviour therapy for body dysmorphic disorder. In: Castle, D., Phillips, K. editors. Disorders of body image. Petersfield: Wrightson Biomedical; 2002. p. 121–138.Google Scholar
Veale, D.Outcome of cosmetic surgery and “DIY” surgery in patients with body dysmorphic disorder. Psychiatr Bull 2000;24:218–220.CrossRefGoogle Scholar
Veale, D., De Haro, L., Lambrou, C.Cosmetic rhinoplasty in body dysmorphic disorder. Br J Plast Surg Sep 2003;56(6):546–551.CrossRefGoogle ScholarPubMed
Williams, J., Hadjistavropoulos, T., Sharpe, D.A meta-analysis of psychological and pharmacological treatments for body dysmorphic disorder. Behav Res Ther Jan 2006;44(1):99–111.CrossRefGoogle ScholarPubMed
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