Body Dysmorphic Disorder in aesthetic rhinoplasty: Validating a new screening tool. (25th May 2016)

• Record Type: Journal Article
• Authors: Lekakis, Garyfalia; Picavet, Valerie A.; Gabriëls, Loes; Grietens, Jente; Hellings, Peter W.
• Is Part Of: Laryngoscope. Volume 126:Number 8(2016:Aug.)
• Page Start: 1739
• Page End: 1745
• Publication Date: 2016-05-25
• Subjects: Body dysmorphic disorder -- dysmorphophobia -- rhinoplasty -- screening -- questionnaire -- Body Dysmorphic Disorder Questionnaire -- aesthetic -- cosmetic surgery; Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.25963
• Languages: English
• ISSNs: 0023-852X

Abstract

Abstract : Objectives/Hypothesis: To validate a new screening tool for body dysmorphic disorder (BDD) in patients seeking aesthetic rhinoplasty. Study Design: We performed a prospective instrument validation study in an academic rhinology clinic. Methods: The Body Dysmorphic Disorder Questionnaire–Aesthetic Surgery (BDDQ‐AS) is a seven‐item short questionnaire validated in 116 patients undergoing aesthetic rhinoplasty. Screening was positive if the patient acknowledged on the BDDQ‐AS that he/she was concerned about their appearance (question 1 = yes) AND preoccupied with these concerns (question 2 = yes) AND that these concerns caused at least moderate distress or impairment in different domains of daily life (question 3 or 4 or 5 or 6 ≥ 3 or question 7 = yes). Construct validity was assessed by comparing the BDDQ‐AS to the Sheehan Disability Scale and the Derriford Appearance Scale‐59. To determine concurrent validity, the BDDQ‐AS was compared to the Yale‐Brown Obsessive Compulsive Scale Modified for BDD. Finally, the predictive value of the BDDQ‐AS on satisfaction 12 months after rhinoplasty was evaluated using a visual analogue scale and the Rhinoplasty Outcome Evaluation. Results: Reliability of the BDDQ‐AS was adequate, with Cronbach alpha = .83 for rhinoplasty patients and .84 for controls. Sensitivity was 89.6% and specificity 81.4%. BDDQ‐AS–positive patients (n = 55) were more impaired in daily life and experienced more appearance‐related distress and dysfunction compared to BDDQ‐AS–negative patients. Moreover, they had more severe BDD symptoms. Finally, BDDQ‐AS–positive patients were less satisfied after surgery compared to BDDQ‐AS–negative patients. Conclusions: We hereby validated a new screening tool for BDD in an aesthetic rhinoplasty population. Level of Evidence: 3b. Laryngoscope, 126:1739–1745, 2016