Mete Utku, Demir Uygar Levent, Güllülü Rümeysa Ayşe, Eker Salih Saygin, Duman Fatih, Altun Nadir
Department of Otolaryngology-Head and Neck Surgery, Bursa Uludag University Hospital, Görükle Center Campus, Nilüfer, 16059, Bursa, Turkey.
Department of Psychiatry, Bursa Uludag University Hospital, Görükle Center Campus, Nilüfer, 16059, Bursa, Turkey.
Aesthetic Plast Surg. 2024 Dec;48(24):5299-5305. doi: 10.1007/s00266-024-04019-9. Epub 2024 May 28.
This study investigates differences in personality characteristics, including perfectionism, ruminative thinking style, and self-compassion, between individuals who have undergone rhinoplasty and a control group without any history of cosmetic surgery.
The study included 33 adult patients who underwent rhinoplasty between 2021 and 2023 at Bursa Uludağ University Faculty of Medicine Hospital and 33 adult patients who visited our centre for other complaints as a control group. The rhinoplasty group consisted of primary surgical patients with functional and cosmetic concerns, excluding those who sought revision surgery or had only functional problems. The control group consisted of individuals with no prior cosmetic surgery history and no expectations of aesthetic interventions. Psychiatric analysis was performed using Frost multidimensional perfectionism scale, ruminative thinking style questionnaire, and self-compassion scale.
This research revealed that individuals who had rhinoplasty scored higher in perfectionism 109.3 (±23.3) and ruminative thinking 87.9 (±22) compared to those who did not undergo surgery 94.15 (±22.2) and 77.7 (±23), respectively. Additionally, the rhinoplasty group had lower self-compassion scores, 80.4 (±17.3), than the control group, 86.1 (±11.2). Statistically significant differences were observed in perfectionism between the groups (p = 0.009). In rhinoplasty patients, a notably positive correlation was found between perfectionism and ruminative thinking scores (r = 0.482; p = 0.005), while a moderately significant negative correlation was observed between self-compassion and ruminative thinking scores (r = - 0.465; p = 0.006).
Individuals who undergo rhinoplasty generally show increased levels of perfectionism and are more prone to ruminative thinking. They also demonstrate reduced self-compassion compared to non-surgical control groups. Cosmetic surgeons should be aware of these psychological trends and consider using appropriate scales during pre-surgery consultations and follow-up visits. Adopting this informed approach can improve the surgeon-patient relationship and help overcome communication challenges.
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本研究调查接受隆鼻手术的个体与无任何整容手术史的对照组在人格特征（包括完美主义、反刍思维方式和自我同情）方面的差异。
该研究纳入了2021年至2023年期间在布尔萨乌鲁达大学医学院医院接受隆鼻手术的33名成年患者，以及作为对照组因其他主诉前来本中心就诊的33名成年患者。隆鼻组包括有功能和美容需求的初次手术患者，排除那些寻求修复手术或仅有功能问题的患者。对照组由无既往整容手术史且无美学干预期望的个体组成。使用弗罗斯特多维完美主义量表、反刍思维方式问卷和自我同情量表进行心理分析。
本研究显示，接受隆鼻手术的个体在完美主义方面的得分（109.3±23.3）高于未接受手术的个体（94.15±22.2），在反刍思维方面的得分（87.9±22）也高于未接受手术的个体（77.7±23）。此外，隆鼻组的自我同情得分（80.4±17.3）低于对照组（86.1±11.2）。两组之间在完美主义方面存在统计学上的显著差异（p = 0.009）。在隆鼻患者中，完美主义得分与反刍思维得分之间存在显著正相关（r = 0.482；p = 0.005），而自我同情得分与反刍思维得分之间存在中度显著负相关（r = -0.465；p = 0.006）。
接受隆鼻手术的个体通常表现出更高水平的完美主义，更容易出现反刍思维。与非手术对照组相比，他们的自我同情也有所降低。整形外科医生应了解这些心理趋势，并在术前咨询和随访中考虑使用适当的量表。采用这种明智的方法可以改善医患关系，并有助于克服沟通挑战。
证据水平III：本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
