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Psychological Features in a German Sample of Female Cosmetic Surgery Candidates

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Abstract

Background

Psychological processes are vitally important to understanding the rationale for cosmetic surgery. This study focused on three core psychological issues (self-esteem, body image, and psychopathology) in its investigation of patients undergoing cosmetic surgery preoperatively. Furthermore, it aimed to provide some data especially for a German sample of female cosmetic surgery patients concerning this subject.

Methods

A cross-sectional design was used to investigate and compare a sample of female cosmetic surgery candidates (n = 35) and a nonsurgical control group (n = 35) matched for central sociodemographic features (gender, region, confession) and controlled for age. These factors are known as covariates of body image. All psychological features were assessed by widely used self-report measures: the Rosenberg Self-Esteem Scale (RSES), the Evaluation of the Own Body Questionnaire (FBeK), and the Symptom Checklist 90 Revised (SCL 90-R).

Results

The results indicate no statistically significant differences between the two groups in any of the scores, except for the FBeK Accentuation of the Body subscale.

Conclusions

According to the findings, this lack of evidence for group differences in general psychosocial scales corresponds widely to findings of other empirical studies.

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References

  1. Alagöz MS, Basterzi AD, Uysal AC, Tüzer V, Ünlü RE, Sensöz Ö, Göka E (2004) The psychiatric view of patients of plastic surgery: Self-esteem, body image, eating attitude. Aesth Plast Surg 27:345–348

    Google Scholar 

  2. American Medical Association (AMA): H-475.992 Definitions of “cosmetic” and “reconstructive” surgery. Retrieved February 25, 2004 at http://www.ama-assn.org/apps/pf_new/pf_online?f_n=browse&doc=policyfiles/HnE/H-475.992.HTM

  3. American Psychiatric Association (APA) (1994) Diagnostic and statistical manual of mental disorders. 4th ed. APA, Washington

    Google Scholar 

  4. Borkenhagen A (2001) Gemachte Körper. Körper- und Selbsterleben von Frauen, die sich zu einer Schönheitsoperation entschieden haben. Psychother Soz 4:306–315

    Google Scholar 

  5. Borkenhagen A, Preis S, Brähler E (2004) Veränderungen von Körperbild und gesundheitsbezogener Lebensqualität im Verlauf einer Brustreduktionsplastik. Z Klin Psychol Psycho 52:252–264

    Google Scholar 

  6. Brähler E, Felder H, Florin I, Tuschen B (1992) Soziodemographischer Fragebogen (West- und Ostversion). Unveröffentlichtes Arbeitspapier, Leipzig

    Google Scholar 

  7. Brähler E, Strauß B, Hessel A, Schumacher J (2000) Normierung des Fragebogens zur Beurteilung des eigenen Körpers (FbeK) an einer repräsentativen Bevölkerungsstichprobe. Diagnostic 46:156–164

    Article  Google Scholar 

  8. Burk J, Zelen SL, Terino EO (1985) More than skin deep: a self-consistency approach to the psychology of cosmetic surgery. Plast Reconstr Surg 76:270–275

    Article  CAS  PubMed  Google Scholar 

  9. Cash TF (1996) Body image and cosmetic surgery: The psychology of physical appearance. Am J Cosmetic Surg 13:345–351

    Google Scholar 

  10. Cash TF (2001) Discussion: An investigation of changes in body image following cosmetic surgery. Plast Reconstr Surg 109:370–371

    Article  Google Scholar 

  11. Feingold A, Mazella R (1998) Gender differences in body image are increasing. Psychol Sci 30:190–195

    Article  Google Scholar 

  12. Ferring D, Filipp SH (1996) Messung des Selbstwertgefühls: Befunde zu Reliabiliät, Validität und Stabiliät der Rosenberg-Skala. Diagnostica 42:284–292

    Google Scholar 

  13. Franke GH (1995) SCL-90-R: Die SymptomCheckliste von Derogatis. Deutsche Version–Manual. Beltz Test, Göttingen

    Google Scholar 

  14. Grossbart TA, Sarwer DB (1999) Cosmetic surgery: Surgical tools—psychological goals. Seminars in Cutaneous Medicine and Surgery 18:101–111

    Article  CAS  PubMed  Google Scholar 

  15. Helfferich C (1998) Weibliche Körperkonzepte: Nebenergebnisse einer Studie zu Sexualität und Kontrazeption. In Schmidt G, Strauß B (eds) Sexualität und Spätmoderne. Enke, Stuttgart, pp. 71–86

    Google Scholar 

  16. Klassen A, Fitzpatrick R, Jenkinson C, Goodacre T (1996) Should breast reduction surgery be rationed? A comparison of the health status of patients before and after treatment. Br Med J 313:454–456

    CAS  Google Scholar 

  17. Klassen A, Jenkinson C, Fitzpatrick R, Goodacre T (1996) Patients’ health-related quality of life before and after aesthetic surgery. Br J Plast Surg 49:433–438

    Article  CAS  PubMed  Google Scholar 

  18. Mühlbauer W, Holm C, Wood DL (2001) The thersites complex in plastic surgical patients. Plast Reconstr Surg 107:319–326

    Article  PubMed  Google Scholar 

  19. Özgür F, Tuncali D, Gürsu KG (1998) Life satisfaction, self-esteem, and body image: a psychological evaluation of aesthetic and reconstructive surgery candidates. Aesth Plast Surg 22:412–419

    Article  Google Scholar 

  20. Pertschuk MJ, Sarwer DB, Wadden TA, Whitaker LA (1998) Body image dissatisfaction in male cosmetic surgery patients. Aesth Plast Surg 22:20–24

    Article  CAS  Google Scholar 

  21. Phillips KA (1996) The broken mirror: Understanding and treating body image disorder. Oxford University Press, New York, Oxford

    Google Scholar 

  22. Rohrich RJ (2000) The increasing popularity of cosmetic surgery procedures: A look at statistics in plastic surgery. Plast Reconstr Surg 106:1363–1365

    Article  CAS  PubMed  Google Scholar 

  23. Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, Princeton, NJ

    Google Scholar 

  24. Sarwer DB (1997) The “obsessive” cosmetic surgery patient: a consideration of body image dissatisfaction and body dysmorphic disorder. Plast Surg Nurs 17:193–197

    CAS  PubMed  Google Scholar 

  25. Sarwer DB, Cash TF, Magee L, Williams EF, Thompson JK, Roehrig M, Tantleff-Dunn S, Agliata AK, Wilfley DE, Amidon AD, Anderson DA, Romanofski M (2005) Female college students and cosmetic surgery: An investigation of experiences, attitudes, and body image. Plast Reconstr Surg 115: 931–938

    Article  CAS  PubMed  Google Scholar 

  26. Sarwer DB, Crerand CE (2002) Psychological issues in patient outcomes. Facial Plast Surg 18:125–133

    Article  PubMed  Google Scholar 

  27. Sarwer DB, Crerand CE (2004) Body image and cosmetic medical treatments. Body Image 1:99–111

    Article  PubMed  Google Scholar 

  28. Sarwer DB, Pertschuk MJ, Wadden TA, Whitaker LA (1998) Psychological investigations in cosmetic surgery: A look back and a look ahead. Plast Reconstr Surg 101:1136–1142

    Article  CAS  PubMed  Google Scholar 

  29. Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA (1998) Body image dissatisfaction and body dysmorphic disorder in 100 cosmetic surgery patients. Plast Reconstr Surg 101:1644–1649

    Article  CAS  PubMed  Google Scholar 

  30. Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA (1998) The psychology of cosmetic surgery: A review and reconceptualization. Clin Psychol Rev 18:1–22

    Article  CAS  PubMed  Google Scholar 

  31. Sarwer DB, Zanville HA, LaRossa D, Bartlett SP, Chang B, Low DW, Whitaker LA (2004) Mental health histories and psychiatric medication usage among persons who sought cosmetic surgery. Plast Reconstr Surg 114:1927–1933

    Article  PubMed  Google Scholar 

  32. Strauß B, Richter-Appelt H (1995) Fragebogen zur Beurteilung des eigenen Körpers (FbeK). Handanweisung, Hogrefe, Göttingen

    Google Scholar 

  33. Vargel S, Ulusahin A (2001) Psychopathology and body image in cosmetic surgery patients. Aesth Plast Surg 25:474–478

    Article  CAS  Google Scholar 

  34. Von Soest T, Kvalem IL, Skolleborg KC, Roald HE (2006) Psychosocial factors predicting the motivation to undergo cosmetic surgery. Plast Reconstr Surg 117:51–62

    Article  CAS  Google Scholar 

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Correspondence to Holger Mühlan.

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Mühlan, H., Eisenmann-Klein, M. & Schmidt, S. Psychological Features in a German Sample of Female Cosmetic Surgery Candidates. Aesth Plast Surg 31, 746–751 (2007). https://doi.org/10.1007/s00266-006-0211-8

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  • DOI: https://doi.org/10.1007/s00266-006-0211-8

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