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. 2021 Feb 22;54(1):8–19. doi: 10.1055/s-0040-1721868

Table 1. Studies assessing body dysmorphic disorder among cosmetic surgery patients.

Sl. No. Study (year) and country Procedure
Sample size
Tools of assessment Prevalence of BDD
Abbreviations: BDDE, body dysmorphic disorder examination; BDDE-SR, BDDQ, body dysmorphic disorder questionnaire; body dysmorphic disorder examination self-report; BDD–YBOCS, body dysmorphic disorder Yale–brown obsessive–compulsive scale; BDI, beck depression inventory; BDSS, body dysmorphic symptoms scale; BSQ, body shape questionnaire; DCQ, dysmorphic concern questionnaire; HADS, hospital anxiety and depression; MBSRQ, -multidimensional body self-relations questionnaire-appearance scales; SCL-90, scale symptom check list-90; SNOT 23, sinonasal outcome test-23.
1 De Brito et al (2016) 67 and Brazil Abdominoplasty
n = 90
1. BDDE (clinician rated)
2. BSQ
57%
2 Ramos et al (2019) 68 and Brazil Rhinoplasty
n = 80
1. (BDD-YBOCS)
2. (BDSS)-clinician rated
48%: BDD symptoms
54%: appearance related OC symptoms
3 Joseph et al (2017) 69 and USA Facial plastic and oculoplastic surgery
n = 597
1. BDDQ
2. FACE-Q
9.7%: BDD,
4.0%: clinically suspected of BDD by surgeons
4 Joseph et al (2017) 70 and UK Septo rhinoplasty
n = 84 (34 cases and 50 controls)
1. BDDQ
2. SNOT-23
32%: high risk for BDD
5 Brito et al (2016) 71 and Brazil Abdominoplasty ( n = 90)
Rhinoplasty ( n = 151)
Rhytidectomy ( n = 59)
BDDE BDD symptoms:
Abdominoplasty: 57%
Rhinoplasty: 52%
Rhytidectomy group: 42%
6 Woolley et al (2015) 10 and USA Oculofacial plastic surgery
n = 728
DCQ (cut-off 9) 6.9%
7 Bender et al (2014) 72 and Germany Functional rhinosurgery
n = 186
1. BDI
2. PISA body dysmorphic symptom scale
33.9%: mild
or strong indication for BDD
1.7%: depression
8 Dey et al (2015) 73 and USA Facial plastic and reconstructive surgery
n = 234
1. BDDQ
2. BDD-SCID
Reconstructive surgery: 1.8%
Cosmetic surgery: 13.1%
9 Metcalfe et al (2014) 74 and USA Breast reconstruction
n = 188
DCQ 17%
10 Dogruk Kacar et al (2014) 75 and Turkey Dermatology and cosmetic dermatology
n = 318
Brief self-report BDD screening questionnaire 6.3%
Higher prevalence in cosmetic dermatology (8.6%) than general dermatology (4.2%)
11 Mr et al (2013) 76 and Iran Aesthetic rhinoplasty
n = 130
1. BDDQ
2. HADS
31.5%
12 Vargel et al (2001) 77 and Turkey Cosmetic surgery
n = 20 cases and 20 controls
1. SCL-90
2. BDI
3. MBSRQ
20%
13 Sarwer et al (1998) 78 and USA Cosmetic surgery
n = 100
1. MBSRQ
2. BDDE-SR
7%