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In contrast, only one BDD symptom significantly positively correlate with anxiety symptoms severity and two BDD symptoms with depressive symptoms severity were found amongst control participants.

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The main finding of our study was the lack of a significant prevalence of assessment scores suggestive of a diagnosis of BDD among the subjects admitted for minimally-invasive injectable cosmetic procedures. It is important to consider that all subjects with suggestive BDD were women.

Women, but not men, admitted for minimally-invasive injectable cosmetic procedures showed significant lower self-reported satisfaction with own appearance in comparison to subjects who received non- invasive beauty treatment, and also reported significantly higher level of BDD disorder symptoms severity and anxiety and depressive symptoms severity.

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Overall, higher severity of BDD symptoms among subjects admitted for minimallyinvasive injectable cosmetic procedures showed significant relations with higher level of anxiety and depression. Our idea to evaluate the subjects admitted to minimally invasive cosmetic procedures evolved from data showing that minimally-invasive cosmetic procedures are becoming more popular every year, enhanced by the fact more people are able to afford them than previously [20].

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After our literature review was conducted, we identified a lack of data looking at the psychology behind the seeking of these minimally-invasive procedures and the relationship with certain get free chia coin symptoms and disorders.

To our knowledge, there are no studies investigating body image disturbances in patients specifically attending for minimally-invasive procedures and this notable gap in the research literature may not only leave Vol. Despite BDD being a classified mental disorder, patients suffering from this condition usually seek non-psychiatric treatment. As such it is highly probable that BDD is often encountered primarily by dermatologists, aesthetic practitioners and plastic surgeons rather than mental health specialists and indeed a number of studies have investigated the rates of body dysmorphic disorder in patients attending cosmetic surgeons, with rates between 7 percent and 15 percent being reported [].

S study by Phillips and colleagues [24] assessed the non-psychiatric medical and surgical treatment sought and received by individuals with diagnosis of BDD. Such treatment was sought by These treatments rarely improved the symptoms of the disorder, indicating that majority of patients with the disorder who receive nonpsychiatric treatment tend to respond poorly.

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Studies from psychiatric literature suggest patients with body dysmorphic disorder usually have a poor psychosocial outcome following cosmetic procedures and that on occasion a small minority of patients with the disorder may even become violent toward the treating surgeon or practitioner [24, 25]. Phillips et al. The get free chia coin of Phillips et al. It is interesting to mention that the scores of affective symptoms and scores of BDD symptoms severity significantly decreased after prescribing of antidepressant fluvoxamine, showing the effect of psychiatric treatment on BDD.

Another study by Phillips et al.

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It highlighted the difficulties in recognizing and diagnosing BDD in depressed patients due to underlying embarrassment and shame. CBT could also be a choice of therapy as it focuses on changing problematic thoughts and behaviours however most patients require once a week or more frequent sessions for about half a year in order to achieve results [29, 30].

In our study all subjects namely women who received minimally-invasive cosmetic procedures and presumably suffer from body dysmorphic disorder exhibited significant severity of anxiety symptoms. Furthermore, half of them experienced significant depressive symptoms suggesting overall that female gender could be a higher risk factor for BDD. This finding reaffirms the need for psychiatric input and treatment interventions in patients with a suggestive diagnosis of BDD.

In terms of limitations of our research, subjective valuation can pose a challenge. This results from patients being tempted to conceal their concerns regarding their appearance or body image.

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Furthermore the stigmatizing attitude towards psychiatric symptoms in the questionnaires was very obvious as many respondents asked if these questionnaires were capable of providing a psychiatric diagnosis for them.

Taking these limitations into consideration, our research data focussed on the severity of psychiatric symptoms in patients seeking nonsurgical, minimally-invasive injectable cosmetic procedures is nevertheless the first of its kind. We would propose that further research is needed to assist aesthetic practitioners and aesthetic dermatologists in order to identify those individuals with higher risk for a poor outcome with minimally invasive procedures. It is also very important to be able to offer the appropriate help for those in need in order to address their mental health issues.

Another relevant point for future research is the development of a short screening questionnaire designed especially for those seeking minimally invasive procedures that will assist aesthetic practitioners in selecting individuals who are likely to have a good outcome in psychological terms and direct those in need towards specialist mental health services.

The study determined only one third of subjects, especially women, admitted get free chia coin minimally-invasive injectable cosmetic procedures were satisfied with their own appearance, this proportion was significantly lower in comparison to half of controls.

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All women with suggestive BDD have exhibited significant severity of anxiety and half of them significant severity of depressive symptoms. We want to thank dr.

Also we want to thank all the subjects who participated in this study.

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Evolution, appearance, and occupational success. Evol Psychol ; The hospital anxiety and depression scale. Acta Psychiatr Scand ; Evaluating aesthetic experience through personal-appearance styles: a behavioral and electrophysiological study.

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PloS one ;9:e Burkauskas J, Bunevicius R. HAD skale: depresijos ir nerimo sutrikimu vertinimo instrumentas. Biological psychiatry and psychopharmacology ; Integrating selfcontrol with physical attractiveness and cognitive ability to examine pathways to career success.

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J Occup Organ Psychol ; Hospital Anxiety and Depression HAD scale: factor structure, item analyses and internal consistency in a large population. Br J Psychiatry ; American Society of Plastic Surgeons. The psychology of cosmetic surgery: A review and reconceptualization.

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Clin Psychol Rev ; Body image dissatisfaction and body dysmorphic disorder in cosmetic surgery patients. Plast Reconstr Surg ; Demographic features of patients seeking cosmetic surgery. Psychiatry Clin Neurosci ; Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder.

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Psychosomatics ; Gender differences in body dysmorphic disorder. J Nerv Ment Dis ; Depression, anxiety, anger, and somatic symptoms in patients with body dysmorphic disorder. The Psychiatric Quarterly ;75 4 Phillips KA.

Body dysmorphic disorder and depression: theoretical considerations and treatment strategies.

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The Psychiatric Quarterly ;70 4 Phillips KA, Najjar F. An open-label study of citalopram in body dysmorphic disorder. Get free chia coin Clin Psychiatry ; What Physicians need to know about body dysmorphic disorder. Med Health R I ; Allen A. Cognitive-behavioural treatment of body dysmorphic disorder. Prim Psychiatr ; Pruzinsky T, Edgerton MT. Body Images: Development, Deviance, and Change.

New York: Guilford Press;pp. Psychological investigation in cosmetic surgery: A look back and a look ahead.

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Sarwer DB. The obsessive cosmetic surgery patient: A consideration of body image dissatisfaction and body 1 dvejetainis variantas disorder. Plast Surg Nurs ; Personality characteristics of the cosmetically insatiable patient.

Psychother Psychosom ; The insatiable cosmetic surgery patient. Correlates of dysmorphic concern in people seeking cosmetic enhancement. Get free chia coin NZ J Psychiatry ; Body dysmorphic disorder in outpatients with major depression. J Affect Disord ; American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders.

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Psychopathology symptoms in a sample of female cosmetic surgery patients. Psychological Considerations in Cosmetic Breast Augmentation.

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Body dysmorphic disorder in patients with anxiety disorders and major depression: a comorbidity study. Psychiatry ; Obsessive-compulsive disorder and body dysmorphic disorder: treatment CG J Plast Reconstr Aesthet Surg ; Received 20 Mayaccepted 10 June Straipsnis gautaspriimtas T. It is well-established that medical students experience high levels of stress during their training.