A descriptive study of the prevalence of depression, anxiety, body dysmorphic disorder among cosmetic surgery patients in a private tertiary hospital in Metro Manila from February to September 2011

OBJECTIVES: This study was conducted to determine the prevalence of anxiety, depression, and BDD among patients about to undergo cosmetic surgery in the Center for Wellness and Aesthetics from February to September 2011.METHODOLOGY: This descriptive study included 50 patients who were scheduled to undergo cosmetic surgery in the Aesthetic and Wellness Center. Patients who consented to participate, complete the Hospital Anxiety and Depression scale (HADS) and Body Image Disturbance Questionnaire (BIDQ). Those who scored >8 for HADS-A and HADS-D and 3 and above for BIDQ had a follow up diagnostic clinical interview based on the Diagnostic and Statistics Manual of Mental Disorders (DSM-IV) for diagnosis.RESULTS: Out of the 50% patients, 76% were female, majority were married (54%) and College graduate (68%). The most common surgical procedure is EVLT (Endovenous Laser Treatment), followed by rhinoplasty and blepharoplasty (16%). 18% of the patients had probable anxiety, 6% depression and 6% BDD. Upon further clinical interview, 2 (4%) were diagnosed with mild BDD, 2 (4%) had panic disorder without agoraphobia and 1 (2%) had generalized anxiety disorder. No patient was clinically depressed. The 3 patients who were positive in BIDQ were likewise positive in HADS-A.CONCLUSION: The prevalence of anxiety was high (18%) in the subject population. However, BDD was lower (4%) than expected in the cosmetic surgery subjects. A high proportion of the participants had significant body image concerns.

Trastornos de la alimentación en hombres: cuatro subtipos clínicos / Eating Disorders in Males: Four Clinical Subtypes

Introducción: los trastornos de la alimentación, inicialmente considerados como prioritariamente femeninos, se encuentran igualmente en hombres. Su presentación, comorbilidades y evolución, parecen ser bastante similares a las descritas en muestras femeninas. Métodos: este trabajo presenta una serie de 21 casos con distintos cuadros de trastornos de la conducta alimentaria (TCA) y fobia a la comida. Resultados: se identifican variables comunes que pueden ayudar a la caracterización de por lo menos cuatro subtipos clínicos, tendientes a facilitar la evaluación y la intervención. Se plantean cuatro subtipos clínicos: restrictivo, impulsivo, evitativo y secundario a otras psicopatologías. Conclusiones: se discuten las implicaciones de este planteamiento.

Introduction: Eating disorders have been considered as essentially feminine, but they appear in men as well. Their presentation, comorbidities and evolution seem to be very similar to the ones in women. Methods: 21 cases of eating disorders and food phobia are described. Results: Common variables are identified that could be helpful in the characterization of at least four clinical subtypes, in order to facilitate clinical evaluation and treatment. Four clinical subtypes are presented: restrictive, impulsive, avoidant and secondary to other psychopathology. Conclusion: the implications of this outline are discussed.