2017-18 HSC Section 4 Green Book

Research Original Investigation

Body Dysmorphic Disorder in Facial Plastic Surgery Clinics

compared with validated screening instruments such as the BDDQ. Routine implementation of validated screening instru- ments into the clinical workflowof facial plastic andoculoplas- tic surgery practices may result in improved patient care.

is a validated, 100% sensitive, and efficient method to screen for patientswithBDD. Patientswhoscreenpositiveby theBDDQ appear to have lower baseline satisfaction with their facial ap- pearance. Surgeons have a poor ability to screen for BDDwhen

ARTICLE INFORMATION Accepted for Publication: August 29, 2016. Published Online: December 8, 2016. doi: 10.1001/jamafacial.2016.1535 Author Contributions: All authors had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Concept and design: A. Joseph, L. Ishii, S. Joseph, Byrne, Boahene, Douglas, M. Ishii. Acquisition, analysis, or interpretation of data: A. Joseph, L. Ishii, S. Joseph, Smith, Su, Bater, Boahene, Papel, Kontis, Douglas, Nelson, M. Ishii. Drafting of the manuscript: A. Joseph, L. Ishii, S. Joseph, M. Ishii. Critical revision of the manuscript for important intellectual content: All Authors. Statistical analysis: A. Joseph, L. Ishii, M. Ishii. Obtained funding: Douglas, L. Ishii, M. Ishii. Administrative, technical, or material support: L. Ishii, S. Joseph, Smith, Su, Bater, Byrne, Papel, Nelson, M. Ishii. Study supervision: L. Ishii, S. Joseph, Byrne, Boahene, Douglas, M. Ishii. Conflict of Interest Disclosures: None reported. Additional Contributions: The authors wish to thank Sadeepa Munasinghe, BS, and Joseph Joshua, MD, for their assistance with data acquisition throughout this project; they were not compensated for their contributions. REFERENCES 1 . American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®) . 5th ed. Washington, DC: American Psychiatric Publishing; 2013. 2 . Phillips KA, Grant J, Siniscalchi J, Albertini RS. Surgical and nonpsychiatric medical treatment of 3 . Phillips KA. The Broken Mirror: Understanding and Treating Body Dysmorphic Disorder . New York, NY: Oxford University Press; 2005. 4 . Cunningham SJ, Bryant CJ, Manisali M, Hunt NP, Feinmann C. Dysmorphophobia: recent patients with body dysmorphic disorder. Psychosomatics . 2001;42(6):504-510 .

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JAMA Facial Plastic Surgery Published online December 8, 2016 (Reprinted)

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