Misici Ilaria, Micarelli Beatrice, Venturino Pierluca, Alessandrini Nicolò, Basso Luigi, Gallo Gaetano, Alessandrini Marco, Micarelli Alessandro
Unit of Neuroscience, Rehabilitation and Sensory Organs, UNITER ONLUS, Rome, Italy.
Clinical-Diagnostic Center Priamar, Savona, Italy.
Medicine (Baltimore). 2025 Apr 25;104(17):e42255. doi: 10.1097/MD.0000000000042255.
Debate about the psychological background and the impact on self-perception and social integration of cosmetic surgery and minimally invasive cosmetic procedures (MICPs), such as botulinum toxin (BoNT) and facial filler injections is still ongoing. The aim of the present study was to assess the psychological background and the impact on self-perception and social integration of cosmetic surgery and MICPs. By means of a survey procedure, a thorough battery of validated questionnaires (VQs) investigating sociodemographic backgrounds and changes in body perception (brown obsessive-compulsive scale modified for body dysmorphic disorder; body appreciation scale (BAS-2); and multidimensional body self relations questionnaire-body area satisfaction scale), anxiety and depression (depression anxiety stress scales, personality traits (rosenberg self-esteem scale [RSE]), social interaction (social interaction anxiety scale), quality of life (World Health Organization Quality of Life) and eating attitude (Eating Attitude Test) was administered in a cohort of women routinely undergoing MICPs (n = 37) and in a matched group of women who never underwent such procedures (n = 29), serving as control group (CG). When compared to CG, MICPs participants demonstrated significant (P < .05) lower social interaction anxiety scale (SIAS-6) scores (95% confidence Interval [CI]: 6.4-7.5 vs 7.47-8.94; Cohen d = 0.65) and higher scores along the RSE (95% CI: 32.99-35.6 vs 28.22-32.66; Cohen d = -0.74) and BAS-2 (95% CI: 38.72-42.73 vs 32.36-38.88; Cohen d = -0.66). MICPs participants demonstrated significant positive correlations between age and number of total sessions (R = 0.44; 95% CI = 0.02-0.09) in the last 2 years which further negatively (r = -0.45; 95% CI = -0.5 to -0.04) and positively (R = 0.54; 95% CI = 0.07-0.18) correlated with SIAS-6 and BAS-2, respectively. The present study highlighted that women undergoing aesthetic medicine treatments are burdened by less interpersonal problems and demonstrate greater self-esteem and better own body perception. However, the absence of pre/post intervention data limits the understanding of whether observed psychological differences are a consequence of MICPs or factors influencing their adoption.
关于整容手术和微创整容手术（MICP），如肉毒杆菌毒素（BoNT）和面部填充注射的心理背景及其对自我认知和社会融合的影响的争论仍在继续。本研究的目的是评估整容手术和微创整容手术的心理背景及其对自我认知和社会融合的影响。通过调查程序，对一组经常接受微创整容手术的女性（n = 37）和一组从未接受过此类手术的匹配女性（n = 29）作为对照组（CG），进行了一系列全面的经过验证的问卷（VQ）调查，这些问卷调查了社会人口学背景和身体认知的变化（针对身体变形障碍修改的布朗强迫症量表；身体欣赏量表（BAS-2）；以及多维度身体自我关系问卷 - 身体区域满意度量表）、焦虑和抑郁（抑郁焦虑压力量表）、人格特质（罗森伯格自尊量表[RSE]）、社会互动（社会互动焦虑量表）、生活质量（世界卫生组织生活质量）和饮食态度（饮食态度测试）。与对照组相比，接受微创整容手术的参与者在社会互动焦虑量表（SIAS-6）上的得分显著更低（P < 0.05）（95%置信区间[CI]：6.4 - 7.5对7.47 - 8.94；科恩d = 0.65），而在RSE（95% CI：32.99 - 35.6对28.22 - 32.66；科恩d = -0.74）和BAS-2（95% CI：38.72 - 42.73对32.36 - 38.88；科恩d = -0.66）上的得分更高。接受微创整容手术的参与者在过去两年中年龄与总疗程数之间存在显著正相关（R = 0.44；95% CI = 0.02 - 0.09），这又分别与SIAS-6呈负相关（r = -0.45；95% CI = -0.5至-0.04），与BAS-2呈正相关（R = 0.54；95% CI = 0.07 - 0.18）。本研究强调，接受美容医学治疗的女性人际问题负担较轻，表现出更高的自尊和更好的身体自我认知。然而，缺乏干预前/后的数据限制了我们对观察到的心理差异是微创整容手术的结果还是影响其采用的因素的理解。
