Journal of Surgery and Trauma

en Social Support, Self-Acceptance, and Body Image Concern in Women with and Without Cosmetic Procedures: A Comparative Cross-Sectional Study جراحی عمومی General Surgery پژوهشي Research 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. Materials and 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.. Key words: Body Image, Cosmetic Surgical Procedures, Social Support Body Image, Cosmetic Surgical Procedures, Social Support 0 0 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-556-1&slc_lang=en&sid=1 Seyedeh Motahareh Taghavi Nia motaharehtaghaviniya@gmail.com 100319475328460012730 100319475328460012730 No Birjand University of Medical Sciences, Birjand, Iran; Psychologist. Seyed Mostafa Mohsenizadeh MohsenizadehM@bums.ac.ir 100319475328460012731 100319475328460012731 No Department of Nursing, Qaen Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran; Assistant Professor of Nursing. Zahra Amouzeshi amouzeshiz9039@gmail.com 100319475328460012732 100319475328460012732 No Department of Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran; Assistant Professor of Medical Education. Elham Ramezani elhamramezani0135@gmail.com 100319475328460012733 0009-0001-1740-9617 No Department of Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran Abbas Javadi javadi56@yahoo.com 100319475328460012734 100319475328460012734 Yes Department of Health Promotion and Education, School of Health, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.