S. BELLINO, M. ZIZZA, E. PARADISO, L. PATRIA, A. RIVAROSSA, M. FULCHERI, F. BOGETTO- Vol. 9, September 2003, Issue 2
Testo Immagini Bibliografia Summary Indice
Disturbo da dismorfismo corporeo e disturbi
di personalità: un’indagine clinica in pazienti della chirurgia estetica
Body dysmorphic disorder and personality disorders: a clinical investigation
in patients seeking cosmetic surgery
Objectives
Body dysmorphic disorder (BDD) has been extensively studied in cosmetic
surgery settings. Several authors suggested the need of a preoperative psychiatric
evaluation, focusing on the high frequency of Axis I and Axis II psychiatric
comorbidity.
The aim of the present study is to investigate if specific personality traits
are significantly related to symptom severity of BDD in a population of patients
seeking cosmetic surgery.
Methods
51 consecutive patients seeking cosmetic surgery were included and assessed
in an outpatient psychiatric setting. Assessment instruments included: a semistructured
interview for demographic and clinical features; the Structured Clinical Interview
for DSM-IV (SCID); the Body Dysmorphic Disorder Yale-Brown Obsessive Compulsive
Scale (BDD-YBOCS); Hamilton scales for anxiety and depression.
A logistic regression analysis was performed using BDD-YBOCS score as dependent
variable.
Results
Symptom severity of BDD (BDD-YBOCS score) was significantly related to
two factors: the number of personality traits of schizotypal and that of those
of paranoid personality disorders.
Conclusions
The results of this study suggest that schizotypal and paranoid personality
disorders are related to the onset of a psychopathological reaction to a slight
defect in appearance (BDD), that can lead the patient to require a surgical
correction.