Department of Clinical Health Psychology, Dundee, Scotland, UK.
Department of Clinical Health Psychology, Dundee, Scotland, UK.
J Plast Reconstr Aesthet Surg. 2021 Sep;74(9):2283-2289. doi: 10.1016/j.bjps.2021.01.003. Epub 2021 Jan 31.
Few studies have explored psychological factors associated with body image dissatisfaction in individuals seeking aesthetic surgery on the NHS. In NHS Scotland, The Adult Exceptional Aesthetic Referral Protocol (AEARP) states that individuals are only eligible for consideration for surgery where there is significant psychological distress and physical criteria associated with perceived problem of appearance. The AEARP necessitates that individuals seeking aesthetic surgery on the NHS must have a psychological assessment. It is therefore crucial to identify psychological factors associated with body image dissatisfaction that may highlight contraindications for surgery or are amenable to psychological intervention.
A total of 311 consecutive patients seeking aesthetic surgery who were referred for psychological assessment under the AEARP completed a series of psychometric measures as part of routine clinical practice. Multiple mediation analyses using bootstrapped method was used to explore the relationship between interpersonal functioning, emotion regulation, perfectionism, and body image dissatisfaction.
Multiple mediation analysis indicated that emotion regulation partially mediates the relationship between interpersonal functioning and body image dissatisfaction in this clinical population.
This study indicates that interpersonal functioning and emotion regulation significantly relate to body image dissatisfaction in this patient group. Psychological assessment of patient suitability for aesthetic surgery should include assessment of interpersonal functioning and emotion regulation which may be amenable to psychological intervention and be of significant benefit to patients either pre- or post-operatively or instead of surgery.
很少有研究探讨过在 NHS 寻求美容手术的个体中与身体意象不满相关的心理因素。在苏格兰 NHS 中，《成人特殊美容转诊协议》（AEARP）规定，只有在存在明显心理困扰和与感知到的外貌问题相关的身体标准的情况下，个体才有资格考虑接受手术。AEARP 要求 NHS 寻求美容手术的个体必须进行心理评估。因此，确定与身体意象不满相关的心理因素至关重要，这些因素可能会突出手术的禁忌症或可通过心理干预来解决。
在 AEARP 下接受心理评估的 311 名连续寻求美容手术的患者作为研究对象，作为常规临床实践的一部分，他们完成了一系列心理计量学测量。使用 bootstrap 方法的多重中介分析用于探索人际功能、情绪调节、完美主义与身体意象不满之间的关系。
多重中介分析表明，在该临床人群中，情绪调节部分中介了人际功能与身体意象不满之间的关系。
这项研究表明，在该患者群体中，人际功能和情绪调节与身体意象不满显著相关。对患者进行美容手术适宜性的心理评估应包括对人际功能和情绪调节的评估，这些因素可能适用于心理干预，无论是在手术前、手术后还是代替手术，对患者都有重要的益处。
