Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

Body Dysmorphic Symptoms Scale for patients seeking esthetic surgery: cross-cultural validation study

Author Ramos, Tatiana Dalpasquale Autor UNIFESP Google Scholar
Brito, Maria José Azevedo de Autor UNIFESP Google Scholar
Piccolo, Monica Sarto Autor UNIFESP Google Scholar
Rosella, Maria Fernanda Normanha da Silva Martins Autor UNIFESP Google Scholar
Sabino Neto, Miguel Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Abstract CONTEXT AND OBJECTIVE: Rhinoplasty is one of the most sought-after esthetic operations among individuals with body dysmorphic disorder. The aim of this study was to cross-culturally adapt and validate the Body Dysmorphic Symptoms Scale. DESIGN AND SETTING: Cross-cultural validation study conducted in a plastic surgery outpatient clinic of a public university hospital. METHODS: Between February 2014 and March 2015, 80 consecutive patients of both sexes seeking rhinoplasty were selected. Thirty of them participated in the phase of cultural adaptation of the instrument. Reproducibility was tested on 20 patients and construct validity was assessed on 50 patients, with correlation against the Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder. RESULTS: The Brazilian version of the instrument showed Cronbach's alpha of 0.805 and excellent interrater reproducibility (intraclass correlation coefficient, ICC = 0.873

P < 0.001) and intra-rater reproducibility (ICC = 0.939

P < 0.001). Significant differences in total scores were found between patients with and without symptoms (P < 0.001). A strong correlation (r = 0.841

P < 0.001) was observed between the Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder and the Body Dysmorphic Symptoms Scale. The area under the receiver operating characteristic curve was 0.981, thus showing good accuracy for discriminating between presence and absence of symptoms of body dysmorphic disorder. Forty-six percent of the patients had body dysmorphic symptoms and 54% had moderate to severe appearance-related obsessive-compulsive symptoms. CONCLUSIONS: The Brazilian version of the Body Dysmorphic Symptoms Scale is a reproducible instrument that presents face, content and construct validity.
Keywords Body dysmorphic disorders
Body image
Surgery, plastic
Psychiatry
Therapeutics
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Date 2016
Published in Sao Paulo Medical Journal. Sao Paulo, v. 134, n. 6, p. 480-490, 2016.
ISSN 1516-3180 (Sherpa/Romeo, impact factor)
Publisher Associacao Paulista Medicina
Extent 480-490
Origin http://dx.doi.org/10.1590/1516-3180.2016.0068160416
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000393227700003
SciELO ID S1516-31802016000600480 (statistics in SciELO)
URI https://repositorio.unifesp.br/handle/11600/56754

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