The Relationship between Mental Health and Self-Esteem with meta-cognitive assessment of body deformity for Females Requesting Rhinoplasty at the Cosmetic Surgery Center of Kermanshah, 2017-2018

Fatahi, A; Eftekhari, SP; Ahmadi, SM; Hamzeh, B

The Relationship between Mental Health and Self-Esteem with meta-cognitive assessment of body deformity for Females Requesting Rhinoplasty at the Cosmetic Surgery Center of Kermanshah, 2017-2018

Document Type : Original Article

Authors

A Fatahi ¹

SP Eftekhari ²

SM Ahmadi ³

B Hamzeh ⁴

¹ Public Health Expert, Kermanshah University of Medical Sciences

² Public Health Expert, Kermanshah University of Medical Science, Kermanshah, Iran

³ PhD student in Clinical Psychology, Student Research Committee, Shahid Beheshti University of Medical Sciences

⁴ Assistant Professor, Department of Health, School of Health, Kermanshah University of Medical Sciences

Abstract

Introduction & Objective: Rhinoplasty can be called the most commonly used cosmetic surgery in Iran, which is increasing. Studies have shown that mental health and self-esteem are among the factors that can affect people's tendency to rhinoplasty. People's perceptions of their appearance can also affect mental health, self-esteem and tendency to rhinoplasty. Therefore, the aim of this study was to determine the relationship between meta-cognitive assessment of body shape with mental health and self-esteem of applicant women for rhinoplasty who referred to Kermanshah cosmetic surgery centers in 2017-2018. Materials & Methods: The present study is a descriptive-analytical-cross-sectional study that was carried out in Kermanshah cosmetic Surgery Centers in 2017-2018, including a private clinic and Taleghani State Hospital on a sample of 150 applicant women for rhinoplasty. Data were collected through questionnaires of meta-cognitive assessment of body deformity (BDMCQ), Rosenberg Self-Esteem Questionnaire (SES), and General Health Questionnaire (GHQ-28). Then, the findings were analyzed using SPSS16 software, descriptive and inferential statistics and Pearson correlation and Linear regression. Results: This study was performed 0n 150 women with an average age 24.04 ± 4.24. In terms of marital status, 80% of subjects were single. The results of the data analysis showed that there was a significant positive correlation between mental health (P < 0.001, r = 0.52), depression (P < 0.001 r = 0.48), anxiety (P < 0.001, r = 0.47), social function (P < 0.001, r = 0.32), physical symptoms (P < 0.001, r = 0.41) and meta-cognitive assessment of body deformity. And self-esteem had a negative correlation with meta-cognitive assessment of body shape (r = -0.39, P < 0.001). Also, analysis of the data showed that there was a significant positive correlation between mental health sub-scales (physical symptoms, anxiety, social function, depression) and sub meta-cognitive assessment of body deformity (metacognitive control strategies, thought-action coalitions, positive And negative meta-cognitive beliefs and safety behaviors) (P < 0.05). There was a significant negative correlation between self-esteem and sub-scale meta-cognitive assessment of body malformation syndrome questionnaire (P > 0.001). Also Self-esteem and mental health explained 30% of the meta-cognitive assessment of body deformity (R2adj = 0.30). Conclusions: According to the results of this study, increase of self-esteem and mental health lead to a better meta-cognitive assessment of the body shape, which can be helpful in reducing the cosmetic surgeries. On the other hand, improving the assessment of body can improve mental health and self-esteem, which these factors are the causes of people tendency to the cosmetic surgery.

Keywords

Nose Plastic Surgery

Mental Health

Self-Esteem

Meta-Cognitive Assessment of Body Deformity

1. Zare Bahram Abadi M, Dehghani E. Comparison of emotional intelligence, and quality of life of applicants Tsvyrbdn rhinoplasty and Control. Scientific Journal of Kurdistan University of Medical Sciences. 1393; 19: 92-84.

2. Asadi M, Salehi M, Sadooghi M, Afkham Ebrahimi A. Self-esteem and Attitude toward Body Appearance before and After Cosmetic Rhinoplasty. Iranian Journal of Psychiatry and Clinical Psychology. 2013; 19(1): 28-33.

3. Totonchi J, Fakhari A, kolahi F. Psychological symptoms associated with satisfaction after surgery rhinoplasty. Medical Journal of Tabriz University of Medical Sciences. 1386; 29(2): 76-1.

4. Khajeddin N, Izadi Mazidi S. The relationship between body image and request and tendency toward rhinoplasty in female students. Jundishapur Sci Med J. 2013; 11(6): 665-73.

5. Rahimi A, Dalband M, Shamsaei F, Zarabian MK. Prevalence of body dysmorphia and psychological disorders relatives in cosmetic rhinoplasty volunteer. Iranian Journal of Psychiatric Nursing. 2013; 1(2):
70-8.

6. Markham A, Thompson T, Bowling A. Determinants of body-image shame. Personality and Individual Differences. 2005; 38: 1529-41.

7. Bellino S, Zizza M, Paradiso E, Rivarossa A, Fulcheri M, Bogetto F. Dysmorphic concern symptoms and personality disorders: A clinical investigation in patients seeking cosmetic surgery. Psychiatry Research. 2006; 144(1): 73-8.

8. Rief W, Buhlmann U, Wilhelm S, Borkenhagen A, Brähler E. The prevalence of body dysmorphic disorder: a population-based survey. Psychol Med. 2006; 36(6): 877-85.

9. Crerand CE, Franklin ME, Sarwer DB. Body Dysmorphic Disorder and Cosmetic Surgery. Plastic and Reconstructive Surgery. 2006; 118(7): 167-70.

10. Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA. Body image dissatisfaction and body dysmorphic disorder in 100 cosmetic surgery patients. Plastic and Reconstructive Surgery. 1998; 101: 1644-9.

11. Ishigooka J, Iwao M, Suzuki M, Fukuyama Y, Murasaki M, Miura S. Demographic features of patients seeking cosmetic surgery. Psychiatry and Clinical Neurosciences. 1998; 52: 283-7.

12. Veale D, Haro L, Lambrou C. Cosmetic rhinoplasty in body dysmorphic disorder. Association of Plastic Surgeon. 2003; 56: 546-51.

13. Veale D. Advances in a cognitive behavioural model of body dysmorphic disorder. Body image. 2004; 1(1): 113-25.

14. Cooper M, Osman S. Metacognition in body dysmorphic disorder - A preliminary exploration. Journal of Cognitive Psychotherapy. 2007; 21(2):
148-55.

15. Rabiei M, Kalantari M, Molavi H. Efficacy of metacognitive therapy on symptoms of body dysmorphic disorder patients in Iran: MA Thesis, University of Isfahan. 2001.

16. Flavell JH. Metacognition and cognitive monitoring: A new area of cognitive – developmental inquiry. American Psychologist. 1979; 34(10):
906-11.

17. Moses LJ, Baird JA. Metacognition. In: Wilson RA, Keil FC, editors. The MIT encyclopedia of the cognitive sciences. 2nd ed. Cambridge. MIT Press, 1999.

18. Moss TP, Harris DL. Psychological change after aesthetic plastic surgery: a prospective controlled outcome study. Psychol Health Med. 2009; 14.
72-567: (5).

19. Khanjani Z, Babapour J, Saba G. Investigating Mental Status and Body Image in Cosmetic Surgery Applicants in Comparison with Non-applicants. Journal of Shahid Sadoughi University of Medical Sciences. 2012; 20(2): 237-48.

20. Amidi M, Ghofranipour F, Hosseini R. The relationship between body image dissatisfaction and body mass index in adolescent girls. Journal of Behavioral Sciences. 1385; 4(2-1): 65-59.

21. Baniasadi H. Effects of rhinoplasty on women’s body image. Dermatology and Cosmetic. 2. 201-194: (4) 3; 011.

22. Webster J, Tiggemann M. The relationship between womens body satisfaction and self-image across the life span: the role of cognitive control. Journal of Genetic Psychology. 2003; 164(2): 241-53.

23. Sadeghi some olyayi R, Khodabakhshi Koolaee A, Akbari ME, Kvhsaryan M, Klhrnyaglkar M. Body image and self-esteem: a comparison of two groups of women with breast cancer. Journal of Breast Disease. 1391; 5. 16-29: (3-2).

24. Zamani N, Fazilatpour M. The effects of cosmetic surgery on patients’ self-Esteem and negative image of themselves. Kerman University of Medical Sciences. 2013; 20(5): 492-504.

25. Slupchynskyj O, Gieniusz M,. Rhinoplasty for African American Patients. Arch Facial Plast Surg. 2008; 10(4): 232-6.

26. Ozgur F, Tuncali D, Guler Gursh K. Life satisfaction, self-esteem, and body image: A psychosocial evaluation of aesthetic and reconstructive surgery candidates. Aesth Plast Surg. 1998; 22: 412-9.

27. Rabie M, Salahian A, Bahrami F, Palahang H. Construction and Validation of a questionnaire to assess metacognition Body Dysmorphic. Journal of Mazandaran University of Medical Sciences. 1390; 21(83): 43-52.

28. Salsali M, Silverstone PH FtrF, 2003, from PubMed central database. Low self-esteem and demographic factors and psychosocial stressors in psychiatric patients. Annals of General Hospital Psychiatry. 2003.

29. Burnett S, Wright K. The relationship between connectedness with family and self-steem in university students. Department of Sociology, Furnam University. 2002.

30. Makikangas A, Kinnuen U, Feldt T. Self-steem, dispositional optimism, and health: Evidence from cross-lagged data on employee. Journal of Research in Personality. 2004; 38 (575-556).

31. Alizadeh T. The relationship between self-esteem and locus of control (internal - external) with the stress of infertility in women and men in Tehran. Master Thesis. Teacher Training University 1382.

32. Vahdatnia F. Comparative study of the relationship between self - concept and marital satisfaction in women abused women Abused by Hmsrv in Tehran. Master Thesis. SHahid Beheshti University 1384.

33. Ganji H. Personality assessment questionnaire. Tehran: Publication Sullawan; 1381.

34. Sadeghi Molla Mahalleh H. A survey of mental health, documentary style, coping strategies, and spiritual intelligence as predictors of attitudes to food availability in Kermanshah University of Medical Sciences. Master Thesis. Kermanshah University of Medical Sciences 1391.

35. Siegel JM, Yancey AK, Aneshensel CS, Schuler R. Body Image, Perceived Pubertal Timing, and Adolescent Mental Health. Journal of adolescent health. 1999; 25: 155-65.

36. Sahebzamani M, Saghiri S, Safavi M, Alavi Majd H. Relationship Between Body Dysmorphic Disorder and Obcessive - Compulsive Disorder in Students of Tehran Universities of Medical Sciences. Rafsanjan univ Med Scie. 2012; 11(5): 495-502.

37. Gillen MM. Associations between positive body image and indicators of men's and women's mental and physical health. Body Image. 2015; 13: 67-74.

38. Beck AT. Cognitive therapy and the emotional disorders: Penguin; 1979.

39. Bearman SK, Presnell K, Martinez E, Stice E. The skinny on body dissatisfaction: A longitudinal study of adolescent girls and boys. Journal of youth and adolescence. 2006; 35(2): 217-29.

40. Khanjani Z, Babapour J, Saba G. Comparison of psychopathology in people seeking cosmetic surgery with controls. Pejouhandeh. 2012; 17(1): 26-31.

41. Pecorari G, Gramaglia C, Garzaro M,
Abbate-Daga G, Cavallo GP, Giordano C, et al.
Self-esteem and personality in subjects with and without body dysmorphic disorder traits undergoing cosmetic rhinoplasty: preliminary data. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2010; 63: 493-8

42. Tania E. Nichols, et al., Psychological predictors of body image attitudes and concerns inyoung children. Body Image, 2018. 27: p. 10-20.