대한치과교정학회지 (The korean journal of orthodontics)

  • 제53권1호
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  • Pages.3-15
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  • 2023
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  • 2234-7518(pISSN)
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  • 2005-372X(eISSN)
대한치과교정학회 (The Korean Association Of Orthodontists)
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Associations between body dysmorphic disorder (BDD) with the dental health component of the index of orthodontic treatment need (IOTN-DHC) and other BDD risk factors in orthodontic patients: A preliminary study

  • Farhad Sobouti (Dental Research Center, Mazandaran University of Medical Sciences) ;
  • Foruzan Elyasi (Sexual and Reproductive Health Research Center, Addiction Institute, Mazandaran University of Medical Sciences) ;
  • Reza Alizadeh Navaei (Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences) ;
  • Farbod Rayatnia (Student Research Committee, Faculty of Dentistry, Mazandaran University of Medical Sciences) ;
  • Nika Rezaei Kalantari (Private Practice) ;
  • Sepideh Dadgar (Dental Research Center, Mazandaran University of Medical Sciences) ;
  • Vahid Rakhshan (Department of Dental Anatomy, Dental School, Azad University of Medical Sciences)
  • 투고 : 2022.07.11
  • 심사 : 2022.08.29
  • 발행 : 2023.01.25
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초록

Objective: Body dysmorphic disorder (BDD) is a form of obsessive-compulsive disorder that may be negatively associated with the self-image. It might be associated with orthodontic treatment demand and outcome, and therefore is important. Thus, this study was conducted. Methods: The Yale-Brown Obsessive-Compulsive Scale modified for Body Dysmorphic Disorder (BDD-YBOCS) questionnaire was used in 699 orthodontic patients above 12 years of age (222 males, 477 females), at seven clinics in two cities (2020-2021). BDD diagnosis and severity were calculated based on the first 3 items and all 12 items of the questionnaire. The dental health component of the index of orthodontic treatment need (IOTN-DHC) was assessed by orthodontists. Multivariable and bivariable statistical analyses were performed on ordinal and dichotomized BDD diagnoses to assess potentially associated factors (IOTN-DHC, age, sex, marital status, education level, and previous orthodontic consultation) (α = 0.05). Results: IOTN-DHC scores 1-5 were seen in 13.0%, 39.9%, 29.8%, 12.4%, and 4.9% of patients. Age/sex/marital status/education were not associated with IOTN-DHC (p > 0.05). Based on 3-item questionnaire, 17.02% of patients had BDD (14.02% mild). Based on 12-item questionnaire, 2.86% had BDD. BDD was more prevalent or severer in females, married patients, patients with a previous history of orthodontic consultation, and patients with milder IOTN-DHCs (p < 0.05). Conclusions: IOTNDHC was negatively/slightly associated with BDD in orthodontic patients. Being female and married may increase BDD risk.

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과제정보

The authors wish to express their sincere gratitude to Mazandaran University of Medical Sciences for funding this study.

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