Volume 14, Issue 4 (9-2026)
J Surg Trauma 2026, 14(4): 215-223 |
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Taghavi Nia S M, Mohsenizadeh S M, Amouzeshi Z, Ramezani E, Javadi A. Social Support, Self-Acceptance, and Body Image Concern in Women with and Without Cosmetic Procedures: A Comparative Cross-Sectional Study. J Surg Trauma 2026; 14 (4) :215-223
URL: http://jsurgery.bums.ac.ir/article-1-552-en.html
URL: http://jsurgery.bums.ac.ir/article-1-552-en.html
Seyedeh Motahareh Taghavi Nia 
, Seyed Mostafa Mohsenizadeh 
, Zahra Amouzeshi , Elham Ramezani , Abbas Javadi *
, Seyed Mostafa Mohsenizadeh , Zahra Amouzeshi , Elham Ramezani , Abbas Javadi *
Department of Health Promotion and Education, School of Health, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Abstract: (472 Views)
Abstract
Introduction: Despite the increasing prevalence of cosmetic interventions worldwide, little is known about the distinct psychological profiles, particularly regarding self-acceptance and body image, that differentiate women who pursue such procedures from those who do not. The present study aimed to investigate differences in social support, unconditional self-acceptance, and body image concern between women with and without a history of cosmetic procedures.
Methods: This cross-sectional comparative study was conducted on 426 women attending cosmetic clinics in Birjand, Iran, including 188 with a history of cosmetic procedures and 238 without such history. Inclusion criteria were: age ≥18 years, no medical necessity for procedures, and willingness to participate. Participants with incomplete questionnaires were excluded. Participants were selected using convenience sampling. Data were collected using the Social Support Appraisals Scale (SS-A), the Unconditional Self-Acceptance Questionnaire, and the Body Image Concern Inventory (BICI). Data were analyzed using independent samples t-test, Pearson correlation coefficient, and SPSS (version 23).
Results: The majority of participants were aged 20-40 years (76.9% in the non-cosmetic group and 84.6% in the cosmetic group) and held master's degrees or higher (41.6% and 47.3%, respectively). Women with a history of cosmetic procedures reported significantly higher perceived social support compared to those without such history (p<0.05). No significant differences were observed in unconditional self-acceptance and overall body image concern between the two groups (p>0.05). However, women with cosmetic procedure history reported greater interference of appearance concerns with their social functioning compared to those without such history (p<0.05). Correlation analysis indicated a positive relationship between social support and self-acceptance (r=0.204; p<0.001), and negative relationships between social support and body image concern (r=-0.377, p<0.001), and between self-acceptance and body image concern (r=-0.538, p<0.001).
Conclusion: No significant association was found between a history of cosmetic procedures and deeper psychological constructs, such as self-acceptance or global body image concern. The findings suggest that psychosocial factors play a more fundamental role in shaping body image perception..
Introduction: Despite the increasing prevalence of cosmetic interventions worldwide, little is known about the distinct psychological profiles, particularly regarding self-acceptance and body image, that differentiate women who pursue such procedures from those who do not. The present study aimed to investigate differences in social support, unconditional self-acceptance, and body image concern between women with and without a history of cosmetic procedures.
Methods: This cross-sectional comparative study was conducted on 426 women attending cosmetic clinics in Birjand, Iran, including 188 with a history of cosmetic procedures and 238 without such history. Inclusion criteria were: age ≥18 years, no medical necessity for procedures, and willingness to participate. Participants with incomplete questionnaires were excluded. Participants were selected using convenience sampling. Data were collected using the Social Support Appraisals Scale (SS-A), the Unconditional Self-Acceptance Questionnaire, and the Body Image Concern Inventory (BICI). Data were analyzed using independent samples t-test, Pearson correlation coefficient, and SPSS (version 23).
Results: The majority of participants were aged 20-40 years (76.9% in the non-cosmetic group and 84.6% in the cosmetic group) and held master's degrees or higher (41.6% and 47.3%, respectively). Women with a history of cosmetic procedures reported significantly higher perceived social support compared to those without such history (p<0.05). No significant differences were observed in unconditional self-acceptance and overall body image concern between the two groups (p>0.05). However, women with cosmetic procedure history reported greater interference of appearance concerns with their social functioning compared to those without such history (p<0.05). Correlation analysis indicated a positive relationship between social support and self-acceptance (r=0.204; p<0.001), and negative relationships between social support and body image concern (r=-0.377, p<0.001), and between self-acceptance and body image concern (r=-0.538, p<0.001).
Conclusion: No significant association was found between a history of cosmetic procedures and deeper psychological constructs, such as self-acceptance or global body image concern. The findings suggest that psychosocial factors play a more fundamental role in shaping body image perception..
Type of Study: Research |
Subject:
General Surgery
Received: 2026/04/20 | Accepted: 2026/06/30 | ePublished ahead of print: 2026/07/14 | Published: 2026/09/1
Received: 2026/04/20 | Accepted: 2026/06/30 | ePublished ahead of print: 2026/07/14 | Published: 2026/09/1
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