S. BELLINO, M. ZIZZA, E. PARADISO, L. PATRIA, A. RIVAROSSA, M. FULCHERI, F. BOGETTO- Vol. 9, September 2003, Issue 2
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.
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.
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.
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.