Development of a Preoperative Psychological Screening Tool: Piloting the Cosmetic Readiness Questionnaire (Pilot-CRQ).

IF 3 2区医学 Q1 SURGERY

Aesthetic Surgery Journal Pub Date : 2025-01-16 DOI:10.1093/asj/sjae187

Toni D Pikoos, Ben Buchanan, David Hegarty, Susan L Rossell

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引用次数: 0

Abstract

Background: Patients with psychological risk factors such as body dysmorphic disorder (BDD) and unmanaged mental health concerns are considered at higher risk for dissatisfaction with aesthetic procedures. Identifying these risks before a procedure may decrease the chance of adverse outcomes for patients and practitioners.

Objectives: In this study we aimed to develop a comprehensive psychological screening tool to assess patient's psychological suitability for surgical and nonsurgical aesthetic procedures.

Methods: Items for the Pilot Cosmetic Readiness Questionnaire (CRQ) were developed by psychologists (n = 3) and then reviewed by plastic surgeons (n = 2) and nonsurgical cosmetic doctors (n = 3). Patient interviews (n = 15) and piloting of the questionnaire (n = 69) provided data regarding the scale's initial psychometric properties.

Results: Results supported the reliability and validity of the Pilot-CRQ's subscales of Body Dysmorphia, Psychological Distress, Self-Criticism, Perfectionism, and Lack of Openness. Lack of Openness was a validity scale that examined the degree that respondents might be underreporting symptoms. The CRQ predicted individuals with a BDD diagnosis, as rated by a blinded expert clinical psychologist, with high sensitivity and specificity.

Conclusions: These results provide support for the Pilot-CRQ identifying people with BDD and psychological factors related to aesthetic treatment outcomes and provide a strong basis for employing the CRQ in clinical contexts and in future research.

Level of evidence: 2 (diagnostic):

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开发术前心理筛查工具：美容准备度问卷试行（Pilot-CRQ）。

背景：有身体畸形障碍（BDD）等心理风险因素和未处理的心理健康问题的患者被认为对美容手术不满意的风险较高。在手术前识别这些风险可降低患者和从业人员出现不良后果的几率：本研究旨在开发一种全面的心理筛查工具，以评估患者在接受手术和非手术美容程序时的心理适应性：方法：心理学家（3人）制定了 "试验性美容准备度问卷"（CRQ）的项目，然后由整形外科医生（2人）和非手术美容医生（3人）进行了审查。患者访谈（n = 15）和问卷试用（n = 69）提供了数据，以检验量表的初始心理测量特性：结果：试验问卷的 "身体畸形"、"心理困扰"、"自我批评"、"完美主义 "和 "缺乏开放性 "等子量表的信度和效度都得到了证实。缺乏开放性 "是一个效度量表，用于检测受访者对症状的低报程度。CRQ 可以预测由盲法临床心理学家专家评定的 BDD 诊断个体，具有很高的灵敏度和特异性：这些结果为试验性 CRQ 识别 BDD 患者以及与美学治疗效果相关的心理因素提供了支持，并为在临床和未来研究中使用 CRQ 提供了坚实的基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aesthetic Surgery Journal SURGERY-

CiteScore

6.20

自引率

20.70%

发文量

309

审稿时长

6-12 weeks

期刊介绍： Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.