The Cosmetic Readiness Questionnaire (CRQ): Validation of a Pre-Operative Psychological Screening Tool for Aesthetic Procedures.

IF 3 2区 医学 Q1 SURGERY Aesthetic Surgery Journal Pub Date : 2024-10-08 DOI:10.1093/asj/sjae207
Toni D Pikoos, Ben Buchanan, David Hegarty, Susan L Rossell
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Abstract

Background: Several psychological risk factors are associated with patient dissatisfaction with aesthetic procedures, such as body dysmorphic disorder (BDD), unmanaged mental health concerns or unrealistic expectations. Identifying these risks via preoperative screening may protect patients from adverse psychological outcomes and provide reputational or legal protection for practitioners.

Objectives: This study aimed to further develop and validate the Cosmetic Readiness Questionnaire (CRQ), a comprehensive psychological screening tool to assess patient suitability for surgical and non-surgical aesthetic procedures.

Methods: The CRQ was validated across two studies in clinical contexts, examining structural and construct validity in a sample of 8031 individuals who completed the CRQ as part of routine clinical care. In a further sample (n = 574), criterion validity was explored through the relationship between the CRQ and dissatisfaction with past aesthetic treatments. Risk category cut-off scores were developed.

Results: Results supported the reliability and validity of a five-factor CRQ which measures Body Dysmorphia, Psychological Distress, Self-Criticism, Unrealistic Expectations and Lack of Openness. High scorers on the CRQ were 78% more likely to report dissatisfaction with a past cosmetic procedure than low scorers.

Conclusions: The CRQ is a comprehensive and valid screening measure to identify patients who may require further psychological assessment or additional support prior to aesthetic treatment. Instructions are provided on how to implement the CRQ in clinical practice.

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美容准备度问卷(CRQ):美容手术术前心理筛查工具的验证。
背景:一些心理风险因素与患者对美容手术的不满有关,如身体畸形障碍(BDD)、未处理的心理健康问题或不切实际的期望。通过术前筛查识别这些风险可保护患者免受不良心理后果的影响,并为从业人员提供声誉或法律保护:本研究旨在进一步开发和验证 "美容准备度问卷"(CRQ),这是一种全面的心理筛查工具,用于评估患者是否适合接受手术和非手术美容治疗:方法:在两项临床研究中对CRQ进行了验证,对8031名在常规临床护理中完成CRQ的样本进行了结构和构造效度检查。在另一个样本(n = 574)中,通过 CRQ 与对过去美容治疗的不满意度之间的关系探讨了标准效度。结果:结果:研究结果支持五因素 CRQ 的可靠性和有效性,该五因素 CRQ 可测量身体畸形、心理压力、自我批评、不切实际的期望和缺乏开放性。与低分者相比,CRQ 高分者对过去的美容手术表示不满意的可能性要高出 78%:CRQ 是一种全面有效的筛查方法,可用于识别美容治疗前可能需要进一步心理评估或额外支持的患者。本文还提供了如何在临床实践中使用 CRQ 的说明。
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来源期刊
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.
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