Akademik Veri Yönetim Sistemi
Klinik Psikiyatri Dergisi, cilt.27, sa.3, ss.223-229, 2024 (ESCI)
Objective: Body dysmorphic disorder (BDD) is prevalent in patients seeking for rhinoplasty. Yet, psychological assessment of rhinoplasty patients is often dismissed in clinical practice. Findings on depression and anxiety, the two conditions that are highly comorbid with BDD, as well as possible associations between depression and self-esteem are however mixed in the very same group. This study aimed to test a model that explains the relationship between BDD and depression symptoms mediated by self-esteem and symptoms of anxiety. Method: 50 rhinoplasty-planned patients and 42 healthy participants were recruited (Age range: 18-54 years, M=28). Demographic information, scores of BDD, depression and anxiety symptoms and self-esteem were collected. Results: Study groups did not differ significantly in terms of age, gender, level of education/income, marital/work status and history of psychiatric treatment. BDD symptom scores, on the other hand, were significantly higher in the rhinoplasty group compared to control group (p<.001). Symptom scores of BDD, depression and anxiety were correlated significantly in both study groups (p<.001-.05). The mediation model tested showed that self-esteem and anxiety symptoms significantly mediated the relationship between BDD and the depressive symptoms. Discussion: The model holds promise not only for explaining the mixed results of anxiety and depression in rhinoplasty patients but also for drawing inferences about the role of self-esteem and anxiety on the relationship between BDD and depression