Body Image and Personality in Aesthetic Plastic Surgery: A Case-Control Study

Abstract

Introduction: The amount of research on the relationship between plastic surgery and psychological features, such as personality disorders and indexes of body image dissatisfaction, has increased significantly in the last years. Aim: The aim of the present study was to examine these psychological features among Italian patients who underwent aesthetic plastic surgery, testing the mediating role of the mass media influence on the relationship between them and the choice of aesthetic plastic surgery. The Personality Diagnostic Questionnaire 4+ (PDQ-4+) and the Body Uneasiness Test (BUT) were administered to patients who underwent aesthetic plastic surgery (N = 111) and participants who had no history of aesthetic plastic surgical procedures (N = 149). Results: Results showed that aesthetic patients reported higher indexes of body image disturbance than controls. No significant differences between aesthetic participants and controls were found in all three cluster B personality disorders. Moreover, the effect of body image dissatisfaction on the choice to undergo aesthetic plastic surgery was partially mediated by the influence of mass media. Conclusions: In conclusion, the present study confirmed the importance of body dissatisfaction as a predictor of the choice to undergo aesthetic surgery and highlighted the influence of media messages regarding physical appearance.

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Mattei, V. , Bagliacca, E. , Lavezzari, L. , Pierro, R. , Carnelli, L. , Zucchi, P. , Preis, F. and Sarno, L. (2015) Body Image and Personality in Aesthetic Plastic Surgery: A Case-Control Study. Open Journal of Medical Psychology, 4, 35-44. doi: 10.4236/ojmp.2015.42004.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] American Society for Plastic Surgery (ASAPS) (2014) Cosmetic Surgery National Data Bank. Statistics. 2013 Statistics, New York.
[2] Italian Association for Aesthetic Plastic Surgery (AICPE) (2014) Cosmetic Surgery National Data Bank. Statistics. 2013 Statistics.
[3] Sarwer, D.B. and Crerand, C.E. (2004) Body Image and Cosmetic Medical Treatments. Body Image, 1, 99-111.
http://dx.doi.org/10.1016/S1740-1445(03)00003-2
[4] Sarwer, D.B., Magee, L. and Clark, V.L. (2003) Physical Appearance and Cosmetic Medical Treatments: Physiological and Sociocultural Influences. Journal of Cosmetic Dermatology, 2, 29-39.
http://dx.doi.org/10.1111/j.1473-2130.2003.00003.x
[5] Sarwer, D.B., Grossbart, T.A. and Didie E.R. (2003) Beauty and Society. In: Kaminer, M.S., Dover, J.S. and Arndt, A., Eds., Atlas of Cosmetic Surgery. Saunders, Philadelphia, 48-59.
[6] Di Mattei, V.E., Pagani Bagliacca, E., Ambrosi, A., et al. (2014) The Impact of Cosmetic Plastic Surgery on Body Image and Psychological Well-Being: A Preliminary Study. International Journal of Psychological Research & Therapeutics, 1, 103.
[7] Henderson-King, D. and Henderson-King, E. (2005) Acceptance of Cosmetic Surgery: Scale Development and Validation. Body Image, 2, 137-149.
http://dx.doi.org/10.1016/j.bodyim.2005.03.003
[8] Bolton, M.A., Pruzinsky, T., Cash, T.F., et al. (2003) Measuring Outcomes in Plastic Surgery: Body Image and Quality of Life in Abdominoplasty Patients. Plastic & Reconstructive Surgery, 112, 619-625.
http://dx.doi.org/10.1097/01.PRS.0000070972.57000.08
[9] Didie, E.R. and Sarwer, D.B. (2003) Factors That Influence the Decision to Undergo Cosmetic Breast Augmentation Surgery. Journal of Women’s Health, 12, 241-253.
http://dx.doi.org/10.1089/154099903321667582
[10] Sarwer, D.B., LaRossa, D., Bartlett, S.P., et al. (2003) Body Image Concerns of Breast Augmentation Patients. Plastic & Reconstructive Surgery, 112, 83-90.
http://dx.doi.org/10.1097/01.PRS.0000066005.07796.51
[11] Sarwer, D.B., Whitaker, L.A., Wadden, T.A. and Pertschuk, M.J. (1997) Body Image Dissatisfaction in Women Seeking Rhytidectomy or Blepharoplasty. Aesthetic Surgery Journal, 17, 230-234.
http://dx.doi.org/10.1016/S1090-820X(97)80004-0
[12] Sarwer, D.B., Cash, T.F., Magee, L., Williams, E.F., Thompson, J.K., Roehrig, M., et al. (2005) Female College Students and Cosmetic Surgery: An Investigation of Experiences, Attitudes, and Body Image. Plastic and Reconstructive Surgery, 115, 931-938.
http://dx.doi.org/10.1097/01.PRS.0000153204.37065.D3
[13] Sarwer, D.B., Wadden, T.A., Pertschuk, M.J. and Whitaker, L.A. (1998) The Psychology of Cosmetic Surgery: A Review and Reconceptualization. Clinical Psychology Review, 18, 1-22.
http://dx.doi.org/10.1016/S0272-7358(97)00047-0
[14] Von Soest, T., Kvalem, I.L., Skolleborg, K.C. and Roald, H.E. (2006) Psychosocial Factors Predicting the Motivation to Undergo Cosmetic Surgery. Plastic and Reconstructive Surgery, 117, 51-62.
http://dx.doi.org/10.1097/01.prs.0000194902.89912.f1
[15] Castle, D.J. and Phillips, K.A. (2002) Disorders of Body Image. Wrightson Biomedical Publishing, Philadelphia.
[16] Mallick, F., Howard, J. and Koo, J. (2008) Understanding the Psychology of the Cosmetic Patients. Dermatologic Therapy, 21, 47-53.
http://dx.doi.org/10.1111/j.1529-8019.2008.00169.x
[17] American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders. 5th Edition, Washington DC.
[18] Sarwer, D.B. and Crerand, C.E. (2008) Body Dysmorphic Disorder and Appearance Enhancing Medical Treatments. Body Image, 5, 50-58.
http://dx.doi.org/10.1016/j.bodyim.2007.08.003
[19] Gunstad, J. and Phillip, K.A. (2003) Axis I Comorbidity in Body Dysmorphic Disorder. Comprehensive Psychiatry, 44, 270-276.
http://dx.doi.org/10.1016/S0010-440X(03)00088-9
[20] Biby, E.L. (1998) The Relationship between Body Dysmorphic Disorder and Depression, Self-Esteem, Somatization, and Obsessive-Compulsive Disorder. Journal of Clinical Psychology, 54, 489-499.
http://dx.doi.org/10.1002/(SICI)1097-4679(199806)54:4<489::
AID-JCLP10>3.0.CO;2-B
[21] Castle, D.J., Honigman, R.J. and Phillips, K.A. (2002) Does Cosmetic Surgery Improve Wellbeing? Medical Journal of Australia, 176, 601-604.
[22] Katharine, A. and Phillips, M.D. (2006) The Presentation of Body Dysmorphic Disorder in Medical Settings. Primary Psychiatry, 13, 51-59.
[23] Markey, C.N. (2006) Culture and the Development of Eating Disorders: A Tripartite Model. Eating Disorders, 12, 139-156.
http://dx.doi.org/10.1080/10640260490445041
[24] Lev-Ari, L., Baumgarten-Katz, I. and Zohar, A. (2014) Mirror, Mirror on the Wall: How Women Learn Body Dissatisfaction. Eating Behaviors, 15, 397-402.
http://dx.doi.org/10.1016/j.eatbeh.2014.04.015
[25] Block, A.R. and Sarwer, D.B. (2013) Presurgical Psychological Screening: Understanding Patients, Improving Outcomes. American Psychological Association, Washington DC.
http://dx.doi.org/10.1037/14035-000
[26] Anschutz, D., Engels, R.C.M.E. and Van Strien, T. (2012) Increased Body Satisfaction after Exposure to Thin Ideal Children’s Television in Young Girls Showing Thin Ideal Internalization. Psychology & Health, 27, 603-617.
http://dx.doi.org/10.1080/08870446.2011.613470
[27] Anschutz, D.J., Spruijt-Metz, D., Van Strien, T. and Engels, R.C.M.E. (2011) The Direct Effect of Thin Ideal Focused Adult Television on Young Girls’ Ideal Body Figure. Body Image, 8, 26-33.
http://dx.doi.org/10.1016/j.bodyim.2010.11.003
[28] Calado, M., Lameiras, M., Sepulveda, A.R., Rodriguez, Y. and Carrera, M.V. (2011) The Association between Exposure to Mass Media and Body Dissatisfaction among Spanish Adolescents. Women’s Health Issues, 21, 390-399.
http://dx.doi.org/10.1016/j.whi.2011.02.013
[29] Henderson-King, D., Henderson-King, E. and Hoffman, L. (2001) Media Images and Women’s Self Evaluations: Social Context and Importance of Attractiveness as Moderators. Personality and Social Psychology Bulletin, 27, 1407-1416.
http://dx.doi.org/10.1177/01461672012711002
[30] Lew, A., Mann, T., Myers, H., Taylor, S. and Bower, J. (2007) Thin Ideal Media and Women’s Body Dissatisfaction: Prevention Using Downward Social Comparison on Non-Appearance Dimensions. Sex Roles, 57, 543-556.
http://dx.doi.org/10.1007/s11199-007-9274-5
[31] Belli, H., Belli, S., Ural, C., Akbudak, M., Oktay, M.F., Akyuz Cim, E.F., et al. (2013) Psychopathology and Psychiatric Co-Morbidities in Patients Seeking Rhinoplasty for Cosmetic Reasons. West Indian Medical Journal, 62, 481-486.
[32] Ishigooka, J., Iwao, M., Suzuki, M., Fukuyama, Y., Murasaki, M. and Miura, S. (1998) Demographic Features of Patients Seeking Cosmetic Surgery. Psychiatry and Clinical Neurosciences, 52, 283-287.
http://dx.doi.org/10.1046/j.1440-1819.1998.00388.x
[33] Huang, Y., Kotov, R., De Girolamo, G., Preti, A., Angermeyer, M., Benjet, C., et al. (2009) DSM-IV Personality Disorders in the WHO World Mental Health Surveys. The British Journal of Psychiatry, 195, 46-53.
http://dx.doi.org/10.1192/bjp.bp.108.058552
[34] Hyler, S.E. (1994) PDQ-4+ Personality Diagnostic Questionnaire-4+. New York State Psychiatric Institute, New York.
[35] Fossati, A., Maffei, C., Bagnato, M., Donati, D., Donini, M., Fiorilli, M., et al. (1998) Criterion Validity of the Personality Diagnostic Questionnaire 4+ (PDQ4+) in a Mixed Psychiatric Sample. Journal of Personality Disorders, 2, 172-178.
http://dx.doi.org/10.1521/pedi.1998.12.2.172
[36] American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. 4th Edition, Washington DC.
[37] Cuzzolaro, M., Vetrone, G., Marano, G. and Garfinkel, P.E. (2006) The Body Uneasiness Test (BUT): Development and Validation of a New Body Image Assessment Scale. Eating and Weight Disorders, 11, 1-13.
http://dx.doi.org/10.1007/BF03327738
[38] Marano, G., Cuzzolaro, M., Vetrone, G., Garfinkel, P.E., Temperilli, F., Spera, G., et al. (2007) Validating the Body Uneasiness Test (BUT) in Obese Patients. Eating and Weight Disorders, 12, 70-82.
http://dx.doi.org/10.1007/BF03327581
[39] SPSS Inc. (2009) PASW Statistics for Windows. Version 18.0, SPSS Inc., Chicago.
[40] Pruzinsky, T. (1993) Psychological Factors in Cosmetic Plastic Surgery: Recent Developments in Patient Care. Plastic Surgical Nursing, 13, 64-69.
http://dx.doi.org/10.1097/00006527-199301320-00003
[41] Napoleon, A. (1993) The Presentation of Personalities in Plastic Surgery. Annals of Plastic Surgery, 31, 193-208.
http://dx.doi.org/10.1097/00000637-199309000-00001
[42] Bellino, S., Paradiso, E., Zizza, M., et al. (2004) Body Dysmorphic Disorder: A Critical Review. Italian Journal of Psychopathology, 10, 237-253.
[43] Shridharani, S.M., Magarakis, M., Manson, P.N. and Rodriguez, E.D. (2010) Psychology of Plastic and Reconstructive Surgery: A Systematic Clinical Review. Plastic and Reconstructive Surgery, 126, 2243-2251.
http://dx.doi.org/10.1097/PRS.0b013e3181f445ae
[44] Maffei, C. and Fossati, A. (1997) I disturbi di personalità: Prospettive della ricerca in psicologia clinica per la prassi medica generale. Ricerche di Psicologia, 1, 317-327.
[45] Bellino, S., Zizza, M., Paradiso, E., et al. (2003) Body Dysmorphic Disorder and Personality Disorders: A Clinical Investigation in Patients Seeking Cosmetic Surgery. Italian Journal of Psychopathology, 9, 149-156.
[46] Sarwer, D.B. (2007) The Psychological Aspects of Cosmetic Breast Augmentation. Plastic and Reconstructive Surgery, 120, 110S-117S.
http://dx.doi.org/10.1097/01.prs.0000286591.05612.72
[47] Sarwer, D.B., Crearand, C.E. and Gibbons, L.M. (2005) Body Dysmorphic Disorder. In: Nahai, F., Ed., The Art of Aesthetic Surgery, Quality Medical, St Louis, 33-57.
[48] Frederick, D.A., Lever, J. and Peplau, L.A. (2007) Interest in Cosmetic Surgery and Body Image: Views of Men and Women across the Lifespan. Plastic and Reconstructive Surgery, 120, 1407-1415.
http://dx.doi.org/10.1097/01.prs.0000279375.26157.64
[49] Simis, K.J., Verhulst, F.C. and Koot, H.M. (2001) Body Image, Psychosocial Functioning, and Personality: How Different Are Adolescents and Young Adults Applying for Plastic Surgery? Journal of Child Psychology and Psychiatry, 42, 669-678.
http://dx.doi.org/10.1111/1469-7610.00762
[50] Markey, C. and Markey, P. (2009) Correlates of Young Women’s Interest in Obtaining Cosmetic Surgery. Sex Roles, 61, 158-166.
http://dx.doi.org/10.1007/s11199-009-9625-5
[51] Cafri, G., Yamamiya, Y. and Brannick, M. (2005) The Influence of Sociocultural Factors on Body Image: A Meta-Analysis. Clinical Psychology: Science and Practice, 12, 421-433.
http://dx.doi.org/10.1093/clipsy.bpi053
[52] Delinsky, S.S. (2005) Cosmetic Surgery: A Common and Accepted form of Self-Improvement? Journal of Applied Social Psychology, 35, 2012-2028.
http://dx.doi.org/10.1111/j.1559-1816.2005.tb02207.x
[53] Wilberg, T., Dammen, T.F. and Riis, S. (2000) Comparing Personality Diagnostic Questionnaire-4+ with Longitudinal, Expert, All Data (LEAD) Standard Diagnoses in a Sample with a High Prevalence of Axis I and Axis II Disorders. Comprehensive Psychiatry, 41, 295-302.
http://dx.doi.org/10.1053/comp.2000.0410295
[54] Sykes, J.M. (2009) Managing the Psychological Aspects of Plastic Surgery Patients. Current Opinion in Otolaryngology & Head and Neck Surgery, 17, 321-325.
http://dx.doi.org/10.1097/MOO.0b013e32832da0f9

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