Personality, temperament and clinical scales in an Italian Plastic Surgery setting: what about body dysmorphic disorder?

Objective. Applications for aesthetic surgery may provide a good vantage point for assessing the psychiatric and personological aspects of subjects seeking cosmetic enhancement. Body dysmorphic disorder is relatively frequent (6-15%) among plastic surgery and dermatology patients. The aim of our study was to analyse the psychopathological profile, personality and temperament of 27 patients requesting aesthetic surgery procedures and compare them with 21 normal controls. Methods. The Mini International Neuropsychiatric Interview Plus 5.0 (MINIPLUS 5.0), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory, Y form (STAI), State-Trait Anger Expression Inventory (STAXI), Neo Five Factor Inventory (NEO-FFI), and Tridimensional Personality Questionnaire (TPQ) were used. Results. The dysmorphophobics in our sample (n=10) presented higher BDI, STAI and STAXI-state scores than the non-BDD patients (n=17) and controls (n=21); high rates of comorbidity, particularly with major depressive disorder, social phobia and obsessive-compulsive disorder; higher NEO-FFI scores for neuroticism and lower ones for extraversion, consciousness and openness to experience, compared with the control group. Significant differences in temperament were observed on the HA (Harm Avoidance) scale, with higher scores in the BDD than in the other two groups, particularly on the HA1 (anticipatory worry/uninhibited optimism) and HA4 (fatigability and asthenia/vigour) subscales. Conclusion. Our BDD patients were more depressed, more anxious and angrier with their present situation than controls. Although preliminary, our data are in keeping with the personality characteristics traditionally described in dysmorphophobic patients, considered to be sensitive, asthenic, shy, introverted, reserved and socially avoidant.