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Adolescent desire for cosmetic surgery : associations with bullying and psychological functioning
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Lee, Kirsty, Guy, Alexa, Dale, Jeremy and Wolke, Dieter (2017) Adolescent desire for cosmetic surgery : associations with bullying and psychological functioning. Plastic and Reconstructive Surgery , 139 (5). pp. 1109-1118. doi:10.1097/PRS.0000000000003252 ISSN 1529-4242.
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Official URL: http://doi.org/10.1097/PRS.0000000000003252
Abstract
Background
Adolescent bullying may be a key driver of interest in cosmetic surgery. This study examined the extent of such interest and whether any effect was sex-specific, and examined psychological functioning as a potential mechanism through which bullying involvement may lead to a wish for cosmetic surgery.
Methods
A two-stage design was used. In the first stage, 2782 adolescents (aged 11 to 16 years) were screened for bullying involvement using self-reports and peer nominations. In the second stage, 752 adolescents who were bullies, victims, bully-victims, or uninvolved in bullying reported their desire for cosmetic surgery. Psychological functioning was constructed as a composite of self-esteem and emotional problems (assessed at stage 1) and body-esteem scores (assessed at stage 2).
Results
Adolescents involved in bullying in any role were significantly more interested in cosmetic surgery than uninvolved adolescents. Desire for cosmetic surgery was greatest in adolescents who were bullied (victims and bully-victims) and girls. Desire for cosmetic surgery was highest in girls, but sex did not interact with bullying role. Being victimized by peers resulted in poor psychological functioning, which increased desire for cosmetic surgery. In contrast, desire for cosmetic surgery in bullies was not related to psychological functioning, which was in the normal range.
Conclusions
Bullying victimization is related to poor psychological functioning, and both are related to a greater desire for cosmetic surgery in adolescents. Cosmetic surgeons should screen candidates for psychological vulnerability and may want to include a short screening questionnaire for a history of peer victimization.
| Item Type: | Journal Article | ||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RD Surgery |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Surgery, Plastic -- Psychological aspects, Surgery, Plastic -- Sex differences, Teenagers, Victims of bullying, Body image in adolescence, Peer pressure in adolescence, Bullies, Medical screening, Adolescent psychology -- Health aspects | ||||||
| Journal or Publication Title: | Plastic and Reconstructive Surgery | ||||||
| Publisher: | Lippincott, Williams & Wilkins | ||||||
| ISSN: | 1529-4242 | ||||||
| Official Date: | 1 May 2017 | ||||||
| Dates: |
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| Volume: | 139 | ||||||
| Number: | 5 | ||||||
| Page Range: | pp. 1109-1118 | ||||||
| DOI: | 10.1097/PRS.0000000000003252 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 22 March 2017 | ||||||
| Date of first compliant Open Access: | 1 May 2018 |
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