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Incorporation of social media questions in body dysmorphic disorder scales: A proposed revision

      A structured interview and/or diagnostic tool such as the Structured Clinical Interview for DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition) is required for the diagnosis of body dysmorphic disorder (BDD)
      • Kuhn H
      • Cunha PR
      • Matthews NH
      • Kroumpouzos G.
      Body dysmorphic disorder in the cosmetic practice.
      ; however, in nonpsychiatric clinics, it may not be feasible to perform an ideally structured psychiatric examination of patients and interpret their symptoms.
      • Kuhn H
      • Mennella C
      • Magid M
      • Stamu-O'Brien C
      • Kroumpouzos G.
      Psychocutaneous disease: clinical perspectives.
      As a result, it is helpful to use appropriate screening tools. Among tools explicitly developed for BDD, the BDD Questionnaire-Dermatology Version, BDD Questionnaire-Aesthetic Surgery, Cosmetic Procedure Screening Questionnaire, and Body Dysmorphic Symptom Scale have been validated in cosmetic settings.
      • Dufresne RG
      • Phillips KA
      • Vittorio CC
      • Wilkel CS.
      A screening questionnaire for body dysmorphic disorder in a cosmetic dermatologic surgery practice.
      • Lekakis G
      • Picavet VA
      • Gabriëls L
      • Grietens J
      • Hellings PW.
      Body dysmorphic disorder in aesthetic rhinoplasty: validating a new screening tool.
      • Veale D
      • Ellison N
      • Werner TG
      • Dodhia R
      • Serfaty MA
      • Clarke A.
      Development of a cosmetic procedure screening questionnaire (COPS) for body dysmorphic disorder.
      • Picavet V
      • Gabriëls L
      • Jorissen M
      • Hellings PW.
      Screening tools for body dysmorphic disorder in a cosmetic surgery setting.
      We comment on the increasing impact of social media on BDD and propose a revision of BDD scales by incorporating items relevant to patients’ behaviors in social media.
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