Body Dysmorphic Disorder di Layanan Estetik: Prevalensi, Problematika, dan Deteksi Dini
DOI:
https://doi.org/10.36452/jkdoktmeditek.v28i1.2236Keywords:
body dysmorphic disorder, estetik, psikiatri, skriningAbstract
Body Dysmorphic Disorder (BDD) merupakan salah satu gangguan jiwa dengan prevalensi yang bermakna namun seringkali tidak terdiagnosis. Orang dengan BDD sering datang ke layanan estetik untuk merubah penampilan mereka melalui tindakan operasi. Hingga saat ini belum ada data atau literatur mengenai BDD di layanan estetik di Indonesia. Tujuan tulisan ini adalah membahas mengenai prevalensi BDD di layanan estetik, problematika yang dihadapi oleh dokter layanan estetik, dan deteksi dini BDD di layanan estetik. Metode penelusuran dengan pencarian pustaka yang relevan secara online. Prevalensi BDD di layanan estetik lebih besar daripada populasi umum karena mayoritas orang dengan BDD mencari pengobatan ke layanan non-psikiatri seperti klinik bedah plastik estetik dan dermatologi. Di sisi lain, kesadaran dokter layanan estetik terhadap klien dengan BDD masih rendah dan masih terdapat perbedaan pendapat mengenai BDD sebagai kontraindikasi tindakan operasi. Tindakan operasi pada klien dengan BDD berpotensi memperburuk BDD dan menyebabkan ancaman terhadap dokter yang menangani, seperti gugatan legal bahkan pembunuhan. Deteksi dini BDD di layanan estetik dapat dilakukan dengan alat skrining BDD dan dilanjutkan dengan rujukan ke layanan psikiatri. Kesadaran dan deteksi dini BDD di layanan estetik krusial agar orang dengan BDD mendapatkan penanganan psikiatri yang dibutuhkan dan risiko masalah legal bagi dokter yang menangani dapat dikurangi.
References
American Psychiatric Association. Diagnostic and statistical manual of mental disorders [Internet]. 5th ed. 2013. Tersedia pada: https://doi.org/10.1176/appi.books.9780890425596
Grant JE, Phillips KA. Recognizing and treating body dysmorphic disorder. Annals of Clinical Psychiatry. 2005;17(4):205–10.
Rief W, Buhlmann U, Wilhelm S, Borkenhagen A, Brähler E. The prevalence of body dysmorphic disorder: a population-based survey. Psychol Med. 2006;36(6):877–85.
Koran LM, Abujaoude E, Large MD, Serpe RT. The Prevalence of body dysmorphic disorder in the United States Adult Population. CNS spectr. 2008;13(4):316–22.
Schieber K, Kollei I, de Zwaan M, Martin A. Classification of body dysmorphic disorder — What is the advantage of the new DSM-5 criteria? Journal of Psychosomatic Research. 2015;78(3):223–7.
Veale D, Gledhill LJ, Christodoulou P, Hodsoll J. Body dysmorphic disorder in different settings: A systematic review and estimated weighted prevalence. Body Image. 2016;18:168–86.
Prevalence of BDD [Internet]. BDD. [dikutip 16 Agustus 2021]. Tersedia pada: https://bdd.iocdf.org/professionals/prevalence/
Body dysmorphic disorder (BDD) | anxiety and depression association of America, ADAA [Internet]. [dikutip 16 Agustus 2021]. Tersedia pada: https://adaa.org/understanding-anxiety/body-dysmorphic-disorder
Buhlmann U, Glaesmer H, Mewes R, Fama JM, Wilhelm S, Brähler E, dkk. Updates on the prevalence of body dysmorphic disorder: A population-based survey. Psychiatry Research. 2010;178(1):171–5.
Faravelli C, Salvatori S, Galassi F, Aiazzi L, Drei C, Cabras P. Epidemiology of somatoform disorders: a community survey in Florence. Soc Psychiatry Psychiatr Epidemiol. 1997;32(1):24–9.
Otto MW, Wilhelm S, Cohen LS, Harlow BL. Prevalence of body dysmorphic disorder in a community sample of women. AJP. 2001;158(12):2061–3.
Fawcett E, Power H, Fawcett J. Women are at greater risk of OCD than men: A meta-analytic review of OCD prevalence worldwide. J Clin Psychiatry. 2020;81(4).
Rosen J, Reiter J. Development of the body dysmorphic disorder examination. Behav Res Ther. 1996;34(9):755–66.
Hay SI, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, dkk. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: A systematic analysis for the global burden of disease study 2016. The Lancet. 2017;390(10100):1260–344.
Phillips K. The Broken Mirror: Understanding and treating body dysmorphic disorder. 2nd ed. New York: NY: Oxford University Press; 2005.
Sarwer DB, Spitzer JC. Body image dysmorphic disorder in persons who undergo aesthetic medical treatments. Aesthetic Surgery Journal. 2012;32(8):999–1009.
Himanshu, Kaur A, Kaur A, Singla G. Rising dysmorphia among adolescents : A cause for concern. J Family Med Prim Care. 2020;9(2):567.
Fardouly J, Diedrichs PC, Vartanian LR, Halliwell E. Social comparisons on social media: The impact of facebook on young women’s body image concerns and mood. Body Image. 2015;13:38–45.
Ryding FC, Kuss DJ. The use of social networking sites, body image dissatisfaction, and body dysmorphic disorder: A systematic review of psychological research. Psychology of Popular Media. 2020;9(4):412–35.
Body Dysmorphic Disorder and the Impact of COVID-19 and Quarantine [Internet]. [dikutip 16 Agustus 2021]. Tersedia pada: https://adaa.org/learn-from-us/from-the-experts/blog-posts/professional/body-dysmorphic-disorder-and-impact-covid-19
Rice SM, Graber E, Kourosh AS. A pandemic of dysmorphia: “zooming” into the perception of our appearance. Facial Plastic Surgery & Aesthetic Medicine. 2020;22(6):401–2.
Adebayo KO, Gureje O, Nuhu TF. Body dysmorphic disorder in a Nigerian boy presenting as depression: A case report and literature review. Int J Psychiatry Med. 2012;44(4):367–72.
Sündermann O, Wheatley J, Veale D. ‘If you have good skin, you are god. If you have bad skin, you are a piece of rubbish’. Mastery of shame and anger in treatment-resistant body dysmorphic disorder: a single case study. tCBT. 2016;9:e13.
Van der Meer J, van Rood YR, van der Wee NJ, den Hollander-Gijsman M, van Noorden MS, Giltay EJ, dkk. Prevalence, demographic and clinical characteristics of body dysmorphic disorder among psychiatric outpatients with mood, anxiety or somatoform disorders. Nordic Journal of Psychiatry. 2012;66(4):232–8.
Bouman TK, Mulkens S, van der Lei B. Cosmetic professionals’ awareness of body dysmorphic disorder. Plastic and Reconstructive Surgery. 2017;139(2):336–42.
Phillips KA, Grant J, Siniscalchi J, Albertini RS. Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder. Psychosomatics. 2001;42(6):504–10.
Crerand CE, Phillips KA, Menard W, Fay C. Nonpsychiatric medical treatment of body dysmorphic disorder. Psychosomatics. 2005;46(6):549–55.
Phillips K, McElroy S, Keck Jr P, Pope Jr H, Hudson J. Body dysmorphic disorder: 30 cases of imagined ugliness. Am J Psychiatry. 1993;(150):302–8.
Dey JK, Ishii M, Phillis M, Byrne PJ, Boahene KDO, Ishii LE. Body dysmorphic disorder in a facial plastic and reconstructive surgery clinic: measuring prevalence, assessing comorbidities, and validating a feasible screening instrument. JAMA Facial Plast Surg. 2015;17(2):137–43.
Ribeiro RVE. Prevalence of body dysmorphic disorder in plastic surgery and dermatology patients: a systematic review with meta-analysis. Aesth Plast Surg. 2017;41(4):964–70.
Vindigni V, Pavan C, Semenzin M, Gran S, Gambaro F, Marini M, dkk. The importance of recognizing body dysmorphic disorder in cosmetic surgery patients: do our patients need a preoperative psychiatric evaluation? European Journal of Plastic Surgery. 2002;25(6):305–8.
Bowyer L, Krebs G, Mataix-Cols D, Veale D, Monzani B. A critical review of cosmetic treatment outcomes in body dysmorphic disorder. Body Image. 2016;19:1–8.
McLaughlin JK, Wise TN, Lipworth L. Increased risk of suicide among patients with breast implants: do the epidemiologic data support psychiatric consultation? psychosomatics. 2004;45(4):277–80.
Crerand CE, Menard W, Phillips KA. Surgical and minimally invasive cosmetic procedures among persons with body dysmorphic disorder. Annals of Plastic Surgery. 2010;65(1):11–6.
Bulut O, Wallner F, Oladokun D, Plinkert P, Baumann I, Hohenberger R. Patients screening positive for body dysmorphic disorder show no significant health-related quality of life gain after functional septorhinoplasty at a tertiary referral center. Facial plast Surg. 2018;34(03):318–24.
Sarwer D. Awareness and identification of body dysmorphic disorder by aesthetic surgeons: Results of a survey of american society for aesthetic plastic surgery members. Aesthetic Surgery Journal. 2002;22(6):531–5.
Doheny K, Pt A. Cosmetic surgeries don’t always end in a smile. Los Angeles Time. 1998;1.
Foster D. Looks Could Kill as Face-Lift Patient Gets a Gun : Plastic surgery: Suburban seattle woman shoots her surgeon and herself after complaining of constant pain. The doctor’s staff says her problems were psychological, not physical. [Internet]. Los Angeles Times. 1991 [dikutip 16 Agustus 2021]. Tersedia pada: https://www.latimes.com/archives/la-xpm-1991-05-05-mn-1991-story.html
Chinese man sentenced to death over knife murder of doctor at hospital where he had botched nose job | Daily Mail Online [Internet]. [dikutip 16 Agustus 2021]. Tersedia pada: https://www.dailymail.co.uk/news/article-2546928/Chinese-man-sentenced-death-knife-murder-doctor-hospital-botched-nose-job.html
Gorney M. Recognition and Management of the Patient Unsuitable for Aesthetic Surgery: Plastic and Reconstructive Surgery. 2010;126(6):2268–2071.
Sarwer DB, Spitzer JC, Sobanko JF, Beer KR. Identification and management of mental health issues by dermatologic surgeons: A Survey of American Society for dermatologic surgery members. Dermatologic Surgery. 2015;41(3):352–7.
Joseph AW, Ishii L, Joseph SS, Smith JI, Su P, Bater K, dkk. Prevalence of body dysmorphic disorder and surgeon diagnostic accuracy in facial plastic and oculoplastic surgery clinics. JAMA Facial Plast Surg. 2017;19(4):269–74.
Sarwer DB, Zanville HA, LaRossa D, Bartlett SP, Chang B, Low DW, dkk. Mental health histories and psychiatric medication usage among persons who sought cosmetic surgery. Plastic and Reconstructive Surgery. 2004;114(7):1927–33.
Sarwer DB. Psychological assessment of cosmetic surgery patients. Dalam: Psychological aspects of reconstructive and plastic surgery: clinical, empirical and ethical perspectives. Philadelphia: Lippincott Williams & Wilkins; 2006. hlm. 267–83.
Sweis IE, Spitz J, Barry DR, Cohen M. A Review of body dysmorphic disorder in aesthetic surgery patients and the legal implications. Aesth Plast Surg. Agustus 2017;41(4):949–54.
Osorio F, Loureiro S, Hallak J, JP Machado-de-sousa, Ushirohira J, Baes C. Clinical validity and intrarater and test-retest reliability of the structured clinical interview for dsm-5 - Clinical Version (SCID-5-CV). Psychiatry and Clinical Neurosciences. 2019;73:754–60.
Rosen J, Reiter J. Body dysmorphic disorder examination: self report: BDDE-SR. Burlington VT: Psychology Departement, University of Vermont; 1995.
Wilhelm S, Greenberg JL, Rosenfield E, Kasarskis I, Blashill AJ. The body dysmorphic disorder symptom scale: development and preliminary validation of a self-report scale of symptom specific dysfunction. Body Image. Juni 2016;17:82–7.
Busner J, Targum S. The Clinical global impressions scale: applying a research tool in clinical practice. Psychiatry. 2007;29–37.
Dufresne RG, Phillips KA, Vittorio CC, Wilkel CS. A Screening questionnaire for body dysmorphic disorder in a cosmetic dermatologic surgery practice. Dermatol Surg. 2001;6.
Oosthuizen P, Lambert T, Castle DJ. Dysmorphic concern: prevalence and associations with clinical variables. Australian and New Zealand Journal of Psychiatry. 1998;32:129–32.
Phillips K, Hollander E, Rasmussen S, Aronowitz B, DeCaria C, Goodman W. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacol Bull. 1997;33(1):17–22.
Higgins S, Wysong A. Cosmetic surgery and body dysmorphic disorder – an update. International Journal of Women’s Dermatology. Maret 2018;4(1):43–8.
Phillips KA, Dufresne RG, Wilkel CS, Vittorio CC. Rate of body dysmorphic disorder in dermatology patients. Journal of the American Academy of Dermatology. 2000;42(3):436–41.
Danesh M, Beroukhim K, Bs CN, Levin E, Koo J. Body dysmorphic disorder screening tools for the dermatologist: Systematic review. Practical dermatology. Februari 2015;4.
Phillips KA, Albertini RS, Rasmussen SA. A Randomized placebo-controlled trial of fluoxetine in body dysmorphic disorder. Arch Gen Psychiatry. 2002;59(4):381.
Hollander E, Allen A, Kwon J, Aronowitz B, Schmeidler J, Wong C, dkk. Clomipramine vs desipramine crossover trial in body dysmorphic disorder: Selective efficacy of a serotonin reuptake inhibitor in imagined ugliness. Arch Gen Psychiatry. 1999;56(11):1033.
Ipser JC, Sander C, Stein DJ. Pharmacotherapy and psychotherapy for body dysmorphic disorder. Cochrane Common Mental Disorders Group, editor. Cochrane Database of Systematic Reviews [Internet]. 21 Januari 2009 [dikutip 12 Agustus 2021]; Tersedia pada: https://doi.wiley.com/10.1002/14651858.CD005332.pub2
Phillips KA, Keshaviah A, Dougherty DD, Stout RL, Menard W, Wilhelm S. Pharmacotherapy relapse prevention in body dysmorphic disorder: A double-blind, placebo-controlled trial. AJP. 2016;173(9):887–95.
Fang A, Porth R, Phillips KA, Wilhelm S. Personality as a predictor of treatment response to escitalopram in adults with body dysmorphic disorder: Journal of Psychiatric Practice. 2019;25(5):347–57.
Enander J, Andersson E, Mataix-Cols D, Lichtenstein L, Alström K, Andersson G, dkk. Therapist guided internet based cognitive behavioural therapy for body dysmorphic disorder: single blind randomised controlled trial. BMJ. 2016;i241.
Fang A, Steketee G, Keshaviah A, Didie E, Phillips KA, Wilhelm S. Mechanisms of change in cognitive behavioral therapy for body dysmorphic disorder. Cogn Ther Res. 2020;44(3):596–610.
Gentile AJ, La Lima C, Flygare O, Enander J, Wilhelm S, Mataix-Cols D, dkk. Internet-based, therapist-guided, cognitive–behavioural therapy for body dysmorphic disorder with global eligibility for inclusion: an uncontrolled pilot study. BMJ Open. 2019;9(3):e024693.
Enander J, Ljótsson B, Anderhell L, Runeborg M, Flygare O, Cottman O, dkk. Long-term outcome of therapist-guided internet-based cognitive behavioural therapy for body dysmorphic disorder (BDD-NET): a naturalistic 2-year follow-up after a randomised controlled trial. BMJ Open. 2019;9(1):e024307.
Wilhelm S, Phillips KA, Fama JM, Greenberg JL, Steketee G. Modular cognitive–behavioral therapy for body dysmorphic disorder. Behavior Therapy. 2011;42(4):624–33.
Hartmann AS, Schmidt M, Staufenbiel T, Ebert DD, Martin A, Schoenenberg K. Imagin youth—a therapist-guided internet-based cognitive-behavioral program for adolescents and young adults with body dysmorphic disorder: Study protocol for a two-arm randomized controlled trial. Front Psychiatry. 2021;12:682965.
Marques L, Weingarden HM, LeBlanc NJ, Siev J, Wilhelm S. The relationship between perceived social support and severity of body dysmorphic disorder symptoms: the role of gender. Braz J Psychiatry. 2011;33(3):238-44.
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