Prevalence of Psychiatric Disorders in Aesthetic Surgery.
Journal
Annals of plastic surgery
ISSN: 1536-3708
Titre abrégé: Ann Plast Surg
Pays: United States
ID NLM: 7805336
Informations de publication
Date de publication:
01 10 2023
01 10 2023
Historique:
medline:
18
9
2023
pubmed:
15
9
2023
entrez:
15
9
2023
Statut:
ppublish
Résumé
Our study aimed to characterize and objectify the prevalence of psychiatric disorders and the use of psychotropic drugs in patients interested in undergoing aesthetic surgery. The psychiatric profile of this population is particularly interesting and is related to self-perception and the general concept of beauty. We conducted an observational, retrospective, and bicenter study of 2092 patients seen in plastic surgery departments. Data on general characteristics, pathology, psychiatric history (PH), use of psychotropic drugs, addictions, surgical requests, and surgical complications were recorded and analyzed. Based on our inclusion criteria, we selected 524 patients. The prevalence of psychiatric disorders was 32.25%. The prevalence of depressive disorders (19.27%), anxiety disorders (8.21%), and sleep-wake cycle disorders (7.06%) should be noted. Comparing the population with psychiatric history (PH+) and without psychiatric history (PH-), significant differences were found in patient ethnicity, addictions (tobacco, 37.50% vs 15.00%; drugs, 3.26% vs 0.59%), and comorbidities. In the 66.86% (n = 113) of PH+ patients, the plastic surgeon did not record the presence of psychiatric disorders in the medical record. This study offers a broad view of the prevalence and characteristics of psychiatric disorders and the use of psychotropic drugs among patients who want to undergo aesthetic surgery. The prevalence of psychiatric problems in the study population is higher than in the general population (32.25% vs 15.02%). Our results suggest that plastic surgeons should be properly trained to manage these patients. A multidisciplinary approach involving plastic surgeons, psychiatrists, and psychologists is advocated.
Identifiants
pubmed: 37713148
doi: 10.1097/SAP.0000000000003682
pii: 00000637-202310000-00003
doi:
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
413-421Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of interest and sources of funding: none declared.
Références
Mendes VM, Diluiso G, Kamdem CJ, et al. Demographic study and description of the surgical demand in aesthetic surgery. Ann Plast Surg . 2023;91:206–210. doi:10.1097/SAP.0000000000003611.
doi: 10.1097/SAP.0000000000003611
ISAPS International Survey on Aesthetic/cosmetic procedures performed in 2019. Available at: https://www.isaps.org/it/discover/about-isaps/global-statistics/reports-and-press-releases/global-survey-2019-full-report-and-press-releases-english/ . Accessed November 22, 2022.
ISAPS International Survey on Aesthetic/Cosmetic Procedures Performed in 2010 (Revised – January 15, 2013). Available at: https://www.isaps.org/wp-content/uploads/2017/10/ISAPS-Results-Procedures-2010-1.pdf . Accessed November 22, 2022.
Publication du conseil superieur de la sante N° 8892. Cosmétologie – aspects psychologiques. 2014;30. Available at: https://www.health.belgium.be/sites/default/files/uploads/fields/fpshealth_theme_file/19103848/Cosm%C3%A9tologie%20%E2%80%93%20aspects%20psychologiques%20%28d%C3%A9cembre%202014%29%20%28CSS%208892%29%20.pdf . Accessed November 23, 2022.
Jang B, Bhavsar DR. The prevalence of psychiatric disorders among elective plastic surgery patients. Eplasty . 2019;19:e6 Published March 18, 2019.
Institute for Health Metrics and Evaluation (IHME). Findings from the Global Burden of Disease Study 2017. Seattle, WA: IHME; 2018. Available at: https://www.healthdata.org/sites/default/files/files/policy_report/2019/GBD_2017_Booklet.pdf . Accessed November 23, 2022.
Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Ricour C. Organisation des soins de santé mentale pour les adultes en Belgique — Synthèse. Health Services Research (HSR). Bruxelles, Belgium: Centre Fédéral d'Expertise des Soins de Santé (KCE). 2019. KCE Reports 318Bs. D/2019/10.273/49.
Naraghi M, Atari M. Development and validation of the expectations of aesthetic rhinoplasty scale. Arch Plast Surg . 2016;43:365–370.
Higgins S, Wysong A. Cosmetic surgery and body dysmorphic disorder — an update. Int J Womens Dermatol . 2018;4:43–48.
Bouman TK, Mulkens S, van der Lei B. Cosmetic professionals' awareness of body dysmorphic disorder. Plast Reconstr Surg . 2017;139:336–342.
von Soest T, Kvalem IL, Roald HE, et al. The effects of cosmetic surgery on body image, self-esteem, and psychological problems. J Plast Reconstr Aesthet Surg . 2009;62:1238–1244.
Margraf J, Meyer AH, Lavallee KL. Well-being from the knife? Psychological effects of aesthetic surgery. Clin Psychol Sci . 2013;1:239–252.
Honigman RJ, Phillips KA, Castle DJ. A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg . 2004;113:1229–1237.
Sarwer DB, Brown GK, Evans DL. Cosmetic breast augmentation and suicide. Am J Psychiatry . 2007;164:1006–1013.
Lipworth L, Nyren O, Ye W, et al. Excess mortality from suicide and other external causes of death among women with cosmetic breast implants. Ann Plast Surg . 2007;59:119–123 discussion 124-5.
Sarwer DB. The psychological aspects of cosmetic breast augmentation. Plast Reconstr Surg . 2007;120(7 Suppl 1):110S–117S.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders . 5th ed. Washington, DC: American Psychiatric Association; 2013.
Luppino FS, de Wit LM, Bouvy PF, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry . 2010;67:220–229.
Simon GE, Von Korff M, Saunders K, et al. Association between obesity and psychiatric disorders in the US adult population. Arch Gen Psychiatry . 2006;63:824–830.
Shelton RC, Miller AH. Inflammation in depression: is adiposity a cause? Dialogues Clin Neurosci . 2011;13:41–53.
Bijl RV, Ravelli A, van Zessen G. Prevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol . 1998;33:587–595.
Lépine JP, Gasquet I, Kovess V, et al. Prévalence et comorbidité des troubles psychiatriques dans la population générale française : résultats de l'étude épidémiologique ESEMeD/MHEDEA 2000/ (ESEMeD) [Prevalence and comorbidity of psychiatric disorders in the French general population]. Encephale . 2005;31:182–194. doi:10.1016/s0013-7006(05)82385-1.
doi: 10.1016/s0013-7006(05)82385-1
Guide d'exercice du collège des médecins du Québec. La rédaction et la tenue des dossiers par le médecin en milieu extrahospitalier. 2013;56. Available at: https://numerique.banq.qc.ca/patrimoine/details/52327/2434513 . Accessed November 27, 2022.
Louwagie P, Neyt M, Dossche D, Camberlin C, ten Geuzendam B, Van den Heede K, Van Brabandt H. Efficacité, sécurité et coût-efficacité de La chirurgie de l'obésité — Synthèse. Health Technology Assessment (HTA). Bruxelles, Belgium: Centre Fédéral d'Expertise des Soins de Santé (KCE). 2019. KCE Reports 316Bs. D/2019/10.273/42.
Wildgoose P, Scott A, Pusic AL, et al. Psychological screening measures for cosmetic plastic surgery patients: a systematic review. Aesthet Surg J . 2013;33:152–159.