Eating disorders: A neglected group of mental disorders in patients requesting aesthetic surgery.

Anorexia Nervosa / diagnosis Bulimia / diagnosis Diagnostic and Statistical Manual of Mental Disorders Feeding and Eating Disorders / epidemiology Female Humans Male Surgery, Plastic
Aesthetic surgery Anorexia nervosa Binge eating disorder Body dysmorphic disorder Bulimia nervosa Eating disorders

Journal

Journal of plastic, reconstructive & aesthetic surgery : JPRAS
ISSN: 1878-0539
Titre abrégé: J Plast Reconstr Aesthet Surg
Pays: Netherlands
ID NLM: 101264239

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 18 11 2020
revised: 03 04 2021
accepted: 27 09 2021
pubmed: 21 11 2021
medline: 13 4 2022
entrez: 20 11 2021
Statut: ppublish

Résumé

There is a lack of data concerning the prevalence of eating disorders in patients requesting aesthetic surgery in spite of a large body of literature on the psychopathology of these patients. This may mostly be due to insufficient diagnostic assessment instruments. Therefore, the aim of this study was to determine the prevalence of eating disorders and their comorbidities in patients undergoing aesthetic surgery. The assessment of prevalence of the eating disorders as anorexia nervosa, bulimia nervosa and binge eating disorder as well as other mental disorders was performed with the Structured Clinical Interview for DSM-IV mental disorders (SCID), axis 1. 212 patients (198 females, 14 males), requesting different types of aesthetic surgery, were included in this study. Eating disorders had a current prevalence of 8.0% (17/212) and a lifetime prevalence of 11.3% (24/212). Anorexia nervosa was predominantly found in patients with breast augmentation [current: 7.4% (2/27); lifetime: 11.1% (3/27)] and rhinoplasty [6.3 (1/16); 12.6% (2/16)]. Bulimia nervosa dominated in patients with liposuction [10% (3/30); 13.3% (4/30)] and binge eating disorder in patients with abdominoplasty [current/lifetime: 10.8% (4/37)]. Levels of significance (p ≤ 0.002) were reached for prevalence of the eating disorders in above mentioned types of surgery, when compared to prevalence data of the general population (two proportion Z test for SPSS). Eating disorders are distributed according to a certain pattern in the different types of aesthetic surgery. Interestingly, the current prevalence of eating disorders (17/212) was comparable to that of body dysmorphic disorder (26/212).

Sections du résumé

BACKGROUND BACKGROUND
There is a lack of data concerning the prevalence of eating disorders in patients requesting aesthetic surgery in spite of a large body of literature on the psychopathology of these patients. This may mostly be due to insufficient diagnostic assessment instruments. Therefore, the aim of this study was to determine the prevalence of eating disorders and their comorbidities in patients undergoing aesthetic surgery.
METHODS METHODS
The assessment of prevalence of the eating disorders as anorexia nervosa, bulimia nervosa and binge eating disorder as well as other mental disorders was performed with the Structured Clinical Interview for DSM-IV mental disorders (SCID), axis 1.
RESULTS RESULTS
212 patients (198 females, 14 males), requesting different types of aesthetic surgery, were included in this study. Eating disorders had a current prevalence of 8.0% (17/212) and a lifetime prevalence of 11.3% (24/212). Anorexia nervosa was predominantly found in patients with breast augmentation [current: 7.4% (2/27); lifetime: 11.1% (3/27)] and rhinoplasty [6.3 (1/16); 12.6% (2/16)]. Bulimia nervosa dominated in patients with liposuction [10% (3/30); 13.3% (4/30)] and binge eating disorder in patients with abdominoplasty [current/lifetime: 10.8% (4/37)]. Levels of significance (p ≤ 0.002) were reached for prevalence of the eating disorders in above mentioned types of surgery, when compared to prevalence data of the general population (two proportion Z test for SPSS).
CONCLUSION CONCLUSIONS
Eating disorders are distributed according to a certain pattern in the different types of aesthetic surgery. Interestingly, the current prevalence of eating disorders (17/212) was comparable to that of body dysmorphic disorder (26/212).

Identifiants

DOI: 10.1016/j.bjps.2021.09.080 PMID: 34799292
pubmed: 34799292
pii: S1748-6815(21)00489-7
doi: 10.1016/j.bjps.2021.09.080
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

840-849

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Auteurs

Reinhilde Zimmer (R)

Department of Psychiatry and Psychotherapy, University Hospital rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany. Electronic address: reinhilde.zimmer@t-online.de.

Insa Methfessel (I)

Department of Psychiatry and Psychotherapy, University Hospital rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany.

Linn Heiss (L)

Department of Psychiatry and Psychotherapy, University Hospital rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany; Department of Plastic Surgery and Hand Surgery, University Hospital rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany.

Laslo Kovacs (L)

Department of Plastic Surgery and Hand Surgery, University Hospital rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany.

Nikolaos A Papadopulos (NA)

Department of Plastic Surgery and Hand Surgery, University Hospital rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany; Department of Plastic Surgery and Burns, Alexandroupoli University Hospital, Democritus University of Thrace, GR-68100 Alexandroupoli, Greece; School of Medicine, National and Kapodistrian University of Athens, GR-115 27 Athen Greece.

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Classifications MeSH

questionsmedicales.fr › Troubles mentaux › Troubles de l'alimentation › Anorexie mentale › Eating disorders: A neglected group of mental...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes digestifs › Hyperphagie › Boulimie › Eating disorders: A neglected group of mental...
questionsmedicales.fr › Sciences de l'information › Sources d'information › Services d'information › Documentation › Vocabulaire contrôlé › Diagnostic and stastistical manual of mental disorders (USA) › Eating disorders: A neglected group of mental...
questionsmedicales.fr › Troubles mentaux › Troubles de l'alimentation › Eating disorders: A neglected group of mental...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Eating disorders: A neglected group of mental...
questionsmedicales.fr › Professions de santé › Médecine › Spécialités chirurgicales › Chirurgie plastique › Eating disorders: A neglected group of mental...