Log in

Prevalence of Body Dysmorphic Disorder in Private Aesthetic Clinical Settings in Four Latin American Countries: A Cross-Sectional Study

  • Original Articles
  • Non-Surgical Procedures
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Body dysmorphic disorder (BDD) is a psychiatric condition characterized by persistent concern with non-existent or minor defects in one's physical appearance. BDD can be difficult to identify as patients often have limited insight into the condition.

Objective

We aimed to determine the prevalence of BDD in patients presenting to private aesthetic clinical settings in four Latin American countries.

Methods

We conducted a cross-sectional study From August to October 2022 to evaluate the prevalence of BDD among 360 patients seeking nonsurgical cosmetic procedures in Chile, Mexico, Argentina, and Colombia using the Dysmorphic Concern Questionnaire (DCQ). We reported prevalence estimates for the lowest and highest previously proposed DCQ cutoff points.

Results

The DCQ total scores in the study population ranged from 0 to 21, with a mean total score of 5.1 ± 3.4. The prevalence of positive screening results for BDD (total DCQ score ≥ 9) was 15.8%. The prevalence of a likely diagnosis of BDD (total DCQ score of ¥ 17) was 0.83%.

Limitations

The convenience sample limited the generalizability of the findings to Latin America.

Conclusion

We encourage colleagues to be more mindful of this diagnosis and to facilitate earlier psychological evaluation in patients who are positive for BDD.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Singh A, Veale D (2019) Understanding and treating body dysmorphic disorder. Indian J Psychiatry 61:S131–S135

    Article  PubMed  PubMed Central  Google Scholar 

  2. Nicewicz HR, Boutrouille JF (2023) Body dysmorphic disorder. StatPearls Publishing, Treasure Island, FL

    Google Scholar 

  3. Schulte J, Schulz C, Wilhelm S, Buhlmann U (2020) Treatment utilization and treatment barriers in individuals with body dysmorphic disorder. BMC Psychiatry 20:69

    Article  PubMed  PubMed Central  Google Scholar 

  4. Feusner JD, Neziroglu F, Wilhelm S, Mancusi L, Bohon C (2010) What causes BDD: research findings and a proposed model. Psychiatr Ann 40:349–355

    Article  PubMed  PubMed Central  Google Scholar 

  5. Buhlmann U, Marques LM, Wilhelm S (2012) Traumatic experiences in individuals with body dysmorphic disorder. J Nerv Ment Dis 200:95–98

    Article  PubMed  Google Scholar 

  6. Osman S, Cooper M, Hackmann A, Veale D (2004) Spontaneously occurring images and early memories in people with body dysmorphic disorder. Memory 12:428–436

    Article  PubMed  Google Scholar 

  7. Didie ER, Tortolani CC, Pope CG, Menard W, Fay C, Phillips KA (2006) Childhood abuse and neglect in body dysmorphic disorder. Child Abuse Negl 30:1105–1115

    Article  PubMed  PubMed Central  Google Scholar 

  8. Angelakis I, Gooding PA, Panagioti M (2016) Suicidality in body dysmorphic disorder (BDD): a systematic review with meta-analysis. Clin Psychol Rev 49:55–66

    Article  PubMed  Google Scholar 

  9. Stevens SM, Markatia ZA, Ameli K, Bayaraa E, Lee WW (2023) Prevalence of body dysmorphic disorder in orbital plastic surgery and its relationship with the use of social media. Aesthetic Plast Surg. 47:2447–2452

    Article  PubMed  Google Scholar 

  10. Laughter MR, Anderson JB, Maymone MBC, Kroumpouzos G (2023) Psychology of aesthetics: beauty, social media, and body dysmorphic disorder. Clin Dermatol 41:28–32

    Article  PubMed  Google Scholar 

  11. International Society of Aesthetic Plastic Surgeons (2023) ISAPS international survey on aesthetic/cosmetic procedures performed in 2021. Available from: https://www.isaps.org/discover/about-isaps/global-statistics/reports-and-press-releases/global-survey-2021-full-report-and-press-releases/

  12. Oosthuizen P, Lambert T, Castle DJ (1998) Dysmorphic concern: prevalence and associations with clinical variables. Aust N Z J Psychiatry 32:129–132

    Article  CAS  PubMed  Google Scholar 

  13. Mancuso SG, Knoesen NP, Castle DJ (2010) The Dysmorphic Concern Questionnaire: a screening measure for body dysmorphic disorder. Aust N Z J Psychiatry 44:535–542

    PubMed  Google Scholar 

  14. Schieber K, Kollei I, de Zwaan M, Martin A (2018) The Dysmorphic Concern Questionnaire in the German general population: psychometric properties and normative data. Aesthetic Plast Surg 42:1412–1420

    Article  PubMed  Google Scholar 

  15. Monzani B, Rijsdijk F, Anson M, Iervolino AC, Cherkas L, Spector T et al (2012) A twin study of body dysmorphic concerns. Psychol Med 42:1949–1955

    Article  CAS  PubMed  Google Scholar 

  16. Enander J, Ivanov VZ, Mataix-Cols D, Kuja-Halkola R, Ljótsson B, Lundström S et al (2018) Prevalence and heritability of body dysmorphic symptoms in adolescents and young adults: a population-based nationwide twin study. Psychol Med 48:2740–2747

    Article  PubMed  PubMed Central  Google Scholar 

  17. AlShahwan MA (2020) Prevalence and characteristics of body dysmorphic disorder in Arab dermatology patients. Saudi Med J 41:73–78

    Article  PubMed  PubMed Central  Google Scholar 

  18. Veale D, Gledhill LJ, Christodoulou P, Hodsoll J (2016) Body dysmorphic disorder in different settings: a systematic review and estimated weighted prevalence. Body Image 18:168–186

    Article  PubMed  Google Scholar 

  19. Pereira IN, Chattopadhyay R, Fitzpatrick S, Nguyen S, Hassan H (2023) Evidence-based review: screening body dysmorphic disorder in aesthetic clinical settings. J Cosmet Dermatol 22:1951–1966

    Article  PubMed  Google Scholar 

  20. Sindi SA, Alghamdi M, Sindi EE, Bondagji MF, Baashar DS, Malibary JA et al (2023) The prevalence and characteristics of body dysmorphic disorder among adults in Makkah City, Saudi Arabia. A cross-sectional study. Cureus. 15:e35316

    PubMed  PubMed Central  Google Scholar 

  21. Calderón P, Zemelman V, Sanhueza P, Castrillón M, Matamala J, Szot J (2009) Prevalence of body dysmorphic disorder in Chilean dermatological patients. J Eur Acad Dermatol Venereol 23:1328

    Article  PubMed  Google Scholar 

  22. Morita MM, Merlotto MR, Dantas CL, Olivetti FH, Miot HA (2021) Prevalence and factors associated with body dysmorphic disorder in women under dermatological care at a Brazilian public institution. An Bras Dermatol 96:40–46

    Article  PubMed  Google Scholar 

  23. Alsaidan MS, Altayar NS, Alshmmari SH, Alshammari MM, Alqahtani FT, Mohajer KA (2020) The prevalence and determinants of body dysmorphic disorder among young social media users: a cross-sectional study. Dermatol Rep 12:8774

    Article  Google Scholar 

  24. We Are Social (2023) Digital 2023 global overview report. Available from: https://wearesocial.com/us/blog/2023/01/the-changing-world-of-digital-in-2023/

  25. Bartels SM, Martinez-Camblor P, Naslund JA, Suárez-Obando F, Torrey WC, Cubillos L et al (2021) A characterisation of social media users within the primary care system in Colombia and predictors of their social media use to understand their health. Rev Colomb Psiquiatr (Engl Ed). 50:42–51

    PubMed  PubMed Central  Google Scholar 

  26. Sharma GK, Asaria J (2021) The impact of COVID-19 on patient interest in facial plastic surgery. Plast Reconstr Surg Glob Open 9:e3890

    Article  PubMed  PubMed Central  Google Scholar 

  27. Joseph AW, Ishii L, Joseph SS, Smith JI, Su P, Bater K et al (2017) Prevalence of body dysmorphic disorder and surgeon diagnostic accuracy in facial plastic and oculoplastic surgery clinics. JAMA Facial Plast Surg 19:269–274

    Article  PubMed  PubMed Central  Google Scholar 

  28. Senín-Calderón C, Valdés-Díaz M, Benítez-Hernández MM, Núñez-Gaitán MC, Perona-Garcelán S, Martínez-Cervantes R et al (2017) Validation of Spanish language evaluation instruments for body dysmorphic disorder and the dysmorphic concern construct. Front Psychol 8:1107

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jorge Villafranca.

Ethics declarations

Conflict of interest

None declared.

Patient consent

Not applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Villafranca, J., Diaz, G., Rengifo, J. et al. Prevalence of Body Dysmorphic Disorder in Private Aesthetic Clinical Settings in Four Latin American Countries: A Cross-Sectional Study. Aesth Plast Surg (2024). https://doi.org/10.1007/s00266-024-04185-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s00266-024-04185-w

Keywords

Navigation