Background: Body dysmorphic disorder (BDD) is characterised by an obsessive preoccupation with a slight defect in appearance, and recognition is essential. Objective: To screen by a previously developed questionnaire the prevalence of BDD in an aesthetics clinic in Singapore. This questionnaire has a positive predictive value of 70% and a negative predictive value of 100%; patients answering that they were preoccupied with their appearance and having answered ‘yes’ in part A, answered 8 further questions (part B) grading the degree of distress (B4) and impairment (B5) of social functioning. Methods: The questionnaire was given to 396 patients: 198 attending Mandalay Aesthetics Clinic and 198 controls at a general outpatient clinic. The screen was considered suggestive of BDD if the patients: were preoccupied by their defect (question A) and qualified the degree of stress (question B4) or impairment of functioning (question B5) as moderate to severe. Results: 58.1% of patients undergoing cosmetic procedures answered ‘yes’ to question A (odds ratio = 18.21, 95% confidence interval = 9.87–33.59). 41.74 and 26.96% of those qualified the distress (question B4) and impairment (question B5) as moderate to severe. Conclusion: A calculated prevalence of 29.4% in an aesthetics centre warrants systematic screening for BDD.

Accessible online at: www.karger.com/drm James Ferguson, Dundee, United Kingdom Gerardo Ferrara, Benevento, Italy Joachim W. Fluhr, Jena, Germany Ola Forslund, Malmö, Sweden Thilo Gambichler, Bochum, Germany Marie-Jeanne P. Gerritsen, Nijmegen, The Netherlands Paolo Gisondi, Verona, Italy Aditya K. Gupta, London, Canada Antoine Hadengue, Genève, Switzerland M. Haedersdal, Copenhagen, Denmark Henning Hamm, Würzburg, Germany C.W. Hanke, Carmel, USA Rudolf Happle, Marburg, Germany Michael Hertl, Marburg, Germany Daniel Hohl, Lausanne, Switzerland Thomas Hunziker, Bern, Switzerland Gregor B.E. Jemec, Roskilde, Denmark Pascal Joly, Rouen, France Dennis Jullien, Lyon, France Jean Kanitakis, Lyon, France Behrooz Kasraee, Geneve, Switzerland Harald Kitller, Vienna, Austria C. Kowalewski, Warsaw, Poland Roger Kuffer, Paris, France Christine Labrèze, Bordeaux, France Jean-Marie Lachapelle, Brussels, Belgium Emmanuel Laffitte, Geneva, Switzerland Michael Landthaler, Regensburg, Germany Fréderique-Anne Le Gal, Genève, Switzerland Christine Léauté-Labrèze, Bordeaux, France Celeste Lebbe, Paris, France Dan Lipsker, Strasbourg, France Tommaso Lombardi, Geneva, Switzerland A.W. Lucky, Cincinnati, USA Joseph Malvehy, Barcelona, Spain Isabelle Masouyé, Genève, Switzerland Bruno Matard, Croissy Sur Seine, France Laurent Misery, Brest, France Silvia Moretti, Firenze, Italy Sei-ichiro Motegi, Maebashi, Japan U. Mrowietz, Kiel, Germany Luigi Naldi, Bergamo, Italy Bernard Noel, Lausanne, Switzerland Alberto Orfao, Salamanca, Spain M.C. Pasch, Nijmegen, The Netherlands Carle Paul, Toulouse, France Gérald E. Piérard, Liège, Belgium Paula Aguilera, Barcelona, Spain Giuseppe Argenziano, Naples, Italy B.S. Atiyeh, Beirut, Lebanon Martine Bagot, Créteil, France P. Bahadoran, Nice, France Sebastien Barbarot, Nantes, France Jens Malte Baron, Aachen, Germany Sylvie Bastuji-Garin, Créteil, France Christiane C. Bayerl, Wiesbaden, Germany J.C. Beani, Grenoble, France Carola Berking, Munich, Germany Philippe Bernard, Reims, France Maria Grazia Bernengo, Torino, Italy Paul L. Bigliardi, Lausanne, Switzerland Andreas J. Bircher, Basel, Switzerland Luca Borradori, Bern, Switzerland J.N. Bouwes Bavink, Leiden, The Netherlands Ralph-Peter Braun, Zurich, Switzerland Irwin M. Braverman, New Haven, USA Helmut Breuninger, Tübingen, Germany Magnus Bruze, Malmö, Sweden L. Bugatti, Jesi, Italy J.C. Bystryn, New York, USA Eric Caumes, Paris, France Lorenzo Cerroni, Graz, Austria Carlo Chizzolini, Genève, Switzerland Olivier Chosidow, Paris, France Arnon Cohen, Omer, Iceland Arnon D. Cohen, Hod Hasharon, Israel O. Cottencin, Lille, France Vicente Crespo, Malaga, Spain Bernard J. Cribier, Strasbourg, France Ophelia Dadzie, London, United Kingdom Esteban Dauden, Madrid, Spain Vincenzo de Giorgi, Firenze, Italy Pierre A. de Viragh, Zürich, Switzerland Pascal Del Giudice, Fréjus, France Olivier Dereure, Montpellier, France Magdalena A. Dohil, San Diego, USA Nicolas Dupin, Paris, France Alain Dupuy, Paris, France Madeleine Duvic, Houston, USA James T. Elder, Ann Arbor, USA Rüdiger Eming, Marburg, Germany Sabine Eming, Köln, Germany Odile Enjolras, Paris, France Ervin H. Epstein, Oakland, USA Gabriella Fabbrocini, Naples, Italy M.C.W. Feltkamp, Leiden, The Netherlands The Editor extends his gratitude and appreciation to the following reviewers whose comments and criticisms ensure the quality of the papers published in this journal.