Theses and Dissertations at Montana State University (MSU)
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Item Body dysmorphia disorder screening in medical aesthetic practice(Montana State University - Bozeman, College of Nursing, 2022) Berg, Sarah Marie; Chairperson, Graduate Committee: Lisa SluderBackground: Body dysmorphic disorder (BDD) is a concerning obsessive compulsive disorder and mental illness in which patients focus or are emotionally distraught with one or more physical flaws that most others do not observe with the same perspective. This illness is being seen at an increasing rate among patients seeking cosmetic medical treatments such as neuromodulator and dermal filler treatments. Currently, there lacks a standard of practice, including a screening process assessing for signs of this disorder. Across the literature, it has been shown that patients with undetected BDD symptoms treated with minimally invasive cosmetic treatments carry a high tendency of dissatisfaction with treatment results and pose a threat to themselves and the treating medical provider. Objectives: To implement a quality improvement project using an established BDD screening protocol within a medical aesthetic practice where minimally invasive cosmetic treatments are performed. A goal of a total of 200 screenings is to be collected by two medically licensed providers at two clinic sites. Methods: Initial screening of patient motivators for treatment, including three cryptic negative motivators. Upon selection of any of the negative motivators, automatic screening was performed using the Cosmetic Procedure Screening Questionnaire for Body Dysmorphic Disorder (COPS). Results: A total of 55 cryptic screenings examining patient motivators were collected in a four-week timeline from February 1, 2022 to March 1, 2022. The findings of initial screening results revealed 10 patients, or 18.18%, who selected one or more of the three negative motivators for treatment to be flagged for the Cosmetic Procedure Screening Questionnaire for Body Dysmorphic Disorder (COPS). Conclusions: The use of screening tools such as patient motivators for treatment and the COPS questionnaire are useful for a medical aesthetic practice to see baseline assessment of BDD symptomatology and consideration of use for a standard of practice change.Item When does ostracism decrease self-regulation(Montana State University - Bozeman, College of Letters & Science, 2008) Carter, Brett Edward; Chairperson, Graduate Committee: Wesley C. LynchPrevious research in social psychology has suggested that ostracism has a negative impact on SE, and also can affect how much food individuals will consume. Moreover, research in the eating disorders literature shows a negative relationship between self-esteem and eating. As such, the present experiment was designed to merge these two lines of research to examine what causal role, if any, self-esteem plays in men's and women's food consumption. It was proposed that some individuals should show a lack of self regulation in terms of the type and amount of food eaten following ostracism. It was also predicted that this effect would have some possible moderators. To test this prediction, participants were randomly assigned to either an ostracism or inclusion condition within the computer game Cyberball. Results indicated that the ostracism manipulation did not result in the anticipated decrease in SE status nor did it cause any significant changes in eating behavior. Nevertheless, significant correlations between SE and body dissatisfaction (BD) were observed, as well as between BD and appearance based rejection sensitivity. There were also significant correlations between body mass index (BMI) and BD, as well as between SE and ARS in both genders. There was also a significant correlation between SE and BMI, but only for male participants. Exploratory analyses revealed that there may have been an unforeseen impact of experimenter gender on eating behavior post ostracism such that self presentation may have impacted the manner in which individuals responded to ostracism.