RESUMO
Adverse psychological outcomes are more prevalent among patients undergoing elective, appearance-altering surgery than are physical complications. Patients may experience depression, posttraumatic stress disorder, or an exacerbation of preexisting symptoms related to body dysmorphic disorder. Some have directed anger against themselves or against the operating surgeon with suicide, litigation, harassment, and homicide, all well documented. Although there are well-established protocols to conduct medical and anesthetic risk stratification, such protocols do not exist for psychological risk assessment (PRA). The literature related to this is reviewed, the need for PRA is discussed, and an approach to PRA for dentists and surgeons is proposed.
Assuntos
Entrevista Psicológica , Procedimentos Cirúrgicos Bucais/psicologia , Procedimentos de Cirurgia Plástica/psicologia , Cuidados Pré-Operatórios , Medição de Risco , Imagem Corporal , Humanos , Sistemas Computadorizados de Registros Médicos , Satisfação do Paciente , Complicações Pós-Operatórias/psicologiaRESUMO
The practice of psychological risk assessment (PRA) is an indispensable component of the screening process for patients seeking elective appearance-altering procedures (AAPs). Despite the need for more literature in PRA, some risk factors for psychological adverse outcomes have been established. Among these risk factors are personality disorders. This article provides some background regarding psychological risk factors associated with personality disorders for patients seeking AAPs and a brief introduction to personality disorders for the surgeons to be better prepared to identify these conditions while conducting a PRA.
