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Volume 25, Issue 164 (10-2026)                   Journal of Psychological Science 2026, 25(164): 1-19 | Back to browse issues page


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Arabpour Khanmirzaei S, Zarbakhsh Bahri M, Hossein Taghdisi M. (2026). Modeling the Tendency Toward Cosmetic Surgery Based on Irrational Beliefs and Sociocultural Attitudes, with the Mediating Role of Social Anxiety among Women Referring to Beauty Centers. , Journal of Psychological Science. 25(164), : 17 doi:10.66224/jps.25.164.17
URL: http://psychologicalscience.ir/article-1-3605-en.html
Department of Psychology, To.C., Islamic Azad University, Tonekabon, Iran. , M.zarbakhsh@iau.ac.ir
Abstract:   (290 Views)
Background: With the expansion of cultural and social standards related to beauty, the tendency toward cosmetic surgery has become one of the important issues. Research evidence indicates that this tendency is not merely influenced by physical appearance, but that cognitive variables and social factors also play a role in its formation. Therefore, examining the role of social anxiety in explaining the relationship between irrational beliefs and sociocultural attitudes with the tendency toward cosmetic surgery can contribute to a deeper understanding of the psychological mechanisms influencing such behaviors.
Aims: The present study aimed to model the tendency toward cosmetic surgery based on irrational beliefs and sociocultural attitudes, with the mediating role of social anxiety among women referring to beauty centers.
Methods: This study was descriptive-correlational in design. The statistical population included all women referring to beauty clinics in Tehran during the first half of 2024. From this population, 350 participants were selected using convenience sampling. The research instruments included the Tendency Toward Cosmetic Surgery Questionnaire (Etemadifard & Amani, 2013), the Ahvaz Irrational Beliefs Questionnaire (Ebadi & Motamedin, 2005), the Sociocultural Attitudes Toward Appearance Questionnaire (Schaefer & et al., 2015), and the Social Anxiety Questionnaire (Wells et al., 1994). Data were analyzed using Pearson’s correlation coefficient and structural equation modeling through SPSS-24 and AMOS-24 software.
Results: The results showed that irrational beliefs had a direct and significant effect on social anxiety and the tendency toward cosmetic surgery. Moreover, sociocultural attitudes toward appearance had a direct and significant effect on social anxiety and the tendency toward cosmetic surgery (p < .001). Social anxiety also had a direct and significant effect on the tendency toward cosmetic surgery (p < .002). In addition, the bootstrap results indicated that social anxiety played a significant mediating role in the relationship between irrational beliefs and the tendency toward cosmetic surgery, as well as in the relationship between sociocultural attitudes toward appearance and the tendency toward cosmetic surgery.
Conclusion: Based on the findings, the tendency toward cosmetic surgery among women referring to beauty centers is simultaneously influenced by cognitive and social factors, and social anxiety plays a significant mediating role in this relationship. Therefore, in order to reduce excessive tendencies toward cosmetic surgery, it seems necessary to pay attention to the modification of irrational beliefs, the reduction of sociocultural pressures related to appearance, and interventions aimed at alleviating symptoms of social anxiety.
Article number: 17
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Type of Study: Research | Subject: Special
Received: 2026/07/5 | Accepted: 2026/10/2 | Published: 2026/10/23

References
1. اعتمادی فر، سیدمهدی و امانی، ملیحه (1392). مطالعه جامعه شناختی انگیزه زنان از گرایش به جراحی های زیبایی. پژوهشنامه زنان، 4(2)، 1-22.https://sid.ir/paper/235780/fa
2. باقری، معصومه؛ کیانی، سارا و حزباوی، عزیز (1401). مطالعه جامعه شناختی عوامل موثر بر گرایش به جراحی زیبایی (مورد مطالعه زنان 18 تا 60 ساله شهر اهواز). مطالعات جامعه شناختی، 29(1)، 428-391. https://doi.org/10.22059/jsr.2022.88967
3. بشرپور، سجاد (1393). ارتباط نگرانی های مربوط به تصویر بدن با باورهای غیرمنطقی و نگرش های جنسیتی در دانشجویان دختر. پژوهشنامه زنان، 6(11)، 1-16. https://womenstudy.ihcs.ac.ir/article_1524.html
4. پورکاوه دهکردی، الهه؛ خان محمدی اطاقسرا، ارسلان و عباسی اسفجیر، علی اصغر (1399). فراتحلیل عوامل گرایش زنان ایرانی به عمل های جراحی زیبایی. مجله روانشناسی سلامت، 9(4)، 24-7. https://doi.org/10.30473/hpj.2020.44278.4266
5. تاجور، مریم؛ آتش بهار، ام البنین؛ پورفرخ، پریسا؛ جعفری پویان، ابراهیم و سجادی، حانیه سادات (1403). وضعیت فراوانی اعمال جراحی زبیایی در ایران: یک مطالعه توصیفی. مجله دانشکده بهداشت و انستیتوتحقیقات بهداشتی، 22(1)، 14-1. http://sjsph.tums.ac.ir/article-1-6301-fa.html
6. خبازثابت، سرور؛ کیخسروانی، مولود؛ پولادی ریشهری، علی و بحرانی، محمدرضا (1401).تنظیم شناختی هیجان در بین زنان متقاضی جراحی زیبایی شهر بوشهر. دوفصلنامه روانشناسی معاصر. 15(2)، 15-1. https://doi.org/20.1001.1.20081243.1399.15.2.5.8
7. عبادی، غلامحسین و معتمدین، مختار (1384). بررسی ساختار عاملی آزمون باورهای غیرمنطقی جونز در شهر اهواز. مجله دانش و پژوهش در روانشناسی. 7(23)، 92-72.https://sid.ir/paper/469696/fa
8. طالبی دلیر، معصومه (1402). فراتحلیل عوامل روانشناختی - اجتماعی موثر بر گرایش به جراحی زیبایی در ایران. نشریه فرهنگی تربیتی زنان و خانواده، 18(63)، 49-82. https://sid.ir/paper/1070300/fa
9. فتی، لادن؛ موتابی، فرشته؛ مولودی، رضا و ضیایی، کاوه (1389). کفایت روان سنجی نسخه ی فارسی پرسشنامه کنترل فکر و پرسشنامه افکار اضطرابی در دانشجویان ایرانی. مجله روش ها و مدل های روانشناختی، 1(1)، 81-103. https://sid.ir/paper/227412/fa
10. مطهری مریم، پورحسین رضا، بشارت محمدعلی، غلامعلی لواسانی مسعود.(۱۳۹۳). بررسی رابطۀ باورهای غیرمنطقی و ارزیابی تصویر بدنی در دو سن نوجوانی و جوانی دختران. مجله علوم روانشناختی ۱۳ (۵۰) :۲۲۱-۲۰۵. http://psychologicalscience.ir/article-1-2592-fa.html
11. واثقی شهرزاد، اسدی جوانشیر، بادله شموشکی محمدتقی، خواجوند خوشلی افسانه (۱۴۰۴). مدل ساختاری پذیرش جراحی زیبایی بر اساس رضایت از تصویر بدنی و ترس از ارزیابی منفی با میانجی گری نگرش های فرهنگی اطلاعاتی. مجله علوم روانشناختی، ۲۴ (۱۴۶) :۲۱۱-۱۹۱. https://doi.org/10.52547/JPS.24.146.191
12. هاشمیان، مائده؛ عبدالعزیز، افلاک سیر؛ گودرزی، محمدعلی و رحیمی، چنگیز (1400). رابطه سبک دلبستگی با نگرش به تصویر بدنی در دانش آموزان دختر مقطع متوسطه: نقش واسطه ای نگرش فرهنگی اجتماعی به‌ظاهر و پذیرش خود. نشریه پژوهش های علوم شناختی و رفتاری، 11(2)، 1-26. https://sid.ir/paper/1003868/fa
13. Abbas, S., Majeed, A., Sharif, H., & Ashraf, M. U. (2026). Relationship among Social Media Use, Socio Cultural Norms and Physical Appearance Concerns in Young Female Adults: Role of Digital Media Beauty Standards. ACADEMIA International Journal for Social Sciences, 5(1), 1-12.DOI: 10.63056/ACAD.005.01.1382|
14. Al-Bashaireh, A. M., Aljawarneh, Y., Alkouri, O., Alzoughool, F., Alhefeiti, A., Aldhuhoori, A., ... & Alnaqbi, F. (2025). Body image and attitudes toward cosmetic surgeries among female college students in the United Arab Emirates: A cross-sectional study. Heliyon, 11(2). doi: 10.1016/j.heliyon.2025.e42027
15. Alsenaidi, A., Al Hashmi, A., Al Nabhani, M., Bakathir, A., Jose, S., & Qutieshat, A. (2024). Health-related quality of life and satisfaction following orthognathic surgery: a prospective cohort study. Oral and Maxillofacial Surgery, 28(3), 1251-1258.doi: 10.1007/s10006-024-01250-1.
16. Alwulaii, A. N., & Alasiri, A. M. (2026). Body image and self-esteem under social beauty norms: a qualitative study of the experiences of men and women in Saudi Arabia. Frontiers in Psychology, 17, 1794123. https://doi.org/10.3389/fpsyg.2026.1794123
17. Amirian, M., Momeni, K., & Yazdanbakhsh, K. (2024). The relationship between social anxiety and the desire for cosmetic surgery: The mediating role of body image and appearance-based rejection sensitivity [Posted content]. Springer Science and Business Media LLC. https://doi.org/10.21203/rs.3.rs-3991141/v1
18. Ayar, D., Aksu, Ç., Polat, F., & Elkoca, A. (2025). The effects of popularity perceptions and social appearance anxiety on the desire of young people to have aesthetic procedures on social media. Current Psychology, 44(5), 3811-3820.doi:10.1007/s12144-025-07424-8
19. Bagheri, M., Kiani, S., & Hazbavi, A. (2022). Sociological study of the influencing factors on the tendency to cosmetic surgery (case study: women 18 to 60 years old in the city Ahvaz). Sociological Review, 29(1), 391-428. (in persian). doi: 10.22059/jsr.2022.88967
20. Basharpour, S. (2015). The Relation between Worries Caused by Body Images and Illogical Beliefs and Gender-related Attitudes in Female University Students. Woman studies. 6(11),1-16. (in persian). https://womenstudy.ihcs.ac.ir/article_1524.html
21. Despert, H., Meniai, T., Bouland, C., Dupuy, F., Guillaume, H., Delay, E., & Mojallal, A. (2026, January). The impact of cosmetic and plastic surgery on self-esteem: a systematic review and meta-analysis. In Aesthetic Surgery Journal Open Forum (p. ojag013). Oxford University Press. doi: 10.1093/asjof/ojag013
22. Ebadi, G. H., & Motamedin, M. (2005). An examination of the factor structure of Jones’s Irrational Beliefs Test in Ahvaz. Journal of Knowledge and Research in Psychology, 7(23), 72–92. (in persian). https://sid.ir/paper/469696/fa
23. Etemadi Far, S. M., & Amani, M. (2013). A sociological study of women’s motivations for undergoing cosmetic surgery. Women’s Research Quarterly, 4(2), 1–22. (in persian). https://sid.ir/paper/235780/fa
24. Fathi, L., Motabi, F., Moloudi, R., & Ziaei, K. (2010). Psychometric adequacy of the Persian versions of the Thought Control Questionnaire and the Anxious Thoughts Inventory among Iranian university students. Journal of Psychological Methods and Models, 1(1), 81–103. (in persian). https://sid.ir/paper/227412/fa
25. Hashemian, M., Abdolaziz, A. S., Goodarzi, M. A., & Rahimi, C. (2021). The relationship between attachment style and attitudes toward body image in female secondary school students: The mediating role of sociocultural attitudes toward appearance and self-acceptance. Journal of Cognitive and Behavioral Sciences, 11(2), 1–26. (in persian). https://sid.ir/paper/1003868/fa
26. Izydorczyk, B., & Sitnik-Warchulska, K. (2018). Sociocultural appearance standards and risk factors for eating disorders in adolescents and women of various ages. Frontiers in psychology, 9, 429.doi: 10.3389/fpsyg.2018.00429
27. Kazeminia, M., Salari, N., Heydari, M., Akbari, H., & Mohammadi, M. (2023). The effect of cosmetic surgery on self-esteem and body image: a systematic review and meta-analysis of clinical trial studies. European Journal of Plastic Surgery, 46(1), 25-33. doi:10.1007/s00238-022-01987-6
28. Khabbazsabet, S., Kikhosravani, M., Poladi Rishahri, A., & Bahrani, M. R. (2022). Cognitive emotion regulation among women seeking cosmetic surgery in Bushehr. Contemporary Psychology, 15(2), 1–15. (in persian). https://doi.org/20.1001.1.20081243.1399.15.2.5.8
29. Le, H. D., Wolinska, J. M., Baertschiger, R. M., & Himidan, S. A. (2023). Complication is inevitable, but suffering is optional—psychological aspects of dealing with complications in surgery. European Journal of Pediatric Surgery, 33(03), 181-190.doi: 10.1055/s-0043-1767830
30. Li, X., Zhao, M., Dong, X., Zhao, Q., & Zhang, X. (2021). Irrational beliefs surrounding the diagnosis of breast cancer in young Chinese women: An observational study. Medicine, 100(9), e25024. doi: 10.1097/MD.0000000000025024.
31. Merino, M., Tornero-Aguilera, J. F., Rubio-Zarapuz, A., Villanueva-Tobaldo, C. V., Martín-Rodríguez, A., & Clemente-Suárez, V. J. (2024, July). Body perceptions and psychological well-being: a review of the impact of social media and physical measurements on self-esteem and mental health with a focus on body image satisfaction and its relationship with cultural and gender factors. In Healthcare (Vol. 12, No. 14, p. 1396). MDPI. doi: 10.3390/healthcare12141396
32. Mironica, A., Popescu, C. A., George, D., Tegzeșiu, A. M., & Gherman, C. D. (2024). Social media influence on body image and cosmetic surgery considerations: a systematic review. Cureus, 16(7).doi: 10.7759/cureus.65626
33. Motahari M, Pourhossein R, Besharat M, Gholamali Lavasani M. (2014). The relationship between illogical beliefs andevaluation of body image in female adults and adolescents. Journal of Psychological Science. 13(50), 205-221(in persian). http://psychologicalscience.ir/article-1-2592-fa.html
34. Nerini, A., Di Gesto, C., Lo Bartolo, M., Innocenti, A., Stefanile, C., & Matera, C. (2024). Self-awareness and social influences as predictors of body dissatisfaction and acceptance of cosmetic surgery for social reasons among men. Aesthetic plastic surgery, 48(5), 1016-1026.doi: 10.1007/s00266-023-03565-y
35. Patni, M. A., Salama, R. A., Vakhariya, S. M., Ahmad, R., Akhter, A., Fathima, G., ... & Hassan, D. (2026). Cosmetic Surgery in the Gulf Cooperation Council: Societal Shifts, Psychological Implications, and Policy Challenges: A Narrative Review. Iranian Journal of Medical Sciences, 51(4), 224.https://doi.org/10.30476/ijms.2025.105988.4009
36. Pourkaveh Dehkordi, E., Khan Mohammadi, A., & Abbasi Asfajir, A. A. (2020). Meta-analysis of the causes of Iranian women’s tendency to cosmetic surgery. Health Psychology, 9(34), 7-24. (in persian). https://doi.org/10.30473/hpj.2020.44278.4266
37. Sadık, R., & Yılmaz, G. N. (2025). Female body perception: social norms, criticism, and the impact of weight perception. International Journal of Qualitative Studies on Health and Well-being, 20(1), 2564088.doi: 10.1080/17482631.2025.2564088
38. Sanchez-Carracedo D, Barrada JR, Lopez-Guimerà G, et al.(2012). Analysis of the factor structure of the Socio cultural Attitudes towards Appearance Questionnaire (SATAQ-3) in Spanish secondary-school students through exploratory structural equation modeling. Body Image; 9: 163-71. doi:10.1016/j.bodyim.2011.10.002
39. Schaefer, L. M., Burke, N. L., Thompson, J. K., Dedrick, R. F., Heinberg, L. J., Calogero, R. M., ... & Swami, V. (2015). Development and validation of the sociocultural attitudes towards appearance questionnaire-4 (SATAQ-4). Psychological assessment, 27(1), 54. https://pubmed.ncbi.nlm.nih.gov/27539814/
40. Talebi Dalir, M. (2023). A meta-analysis of the psychosocial factors influencing the tendency toward cosmetic surgery in Iran. Women and Family Cultural-Educational Journal, 18(63), 49–82. (in persian). https://sid.ir/paper/1070300/fa
41. Tajvar M, Atashbahar O, Pourfarokh P, Jaafaripooyan E, Sajadi H S. Profile of Cosmetic Surgery in Iran: A Descriptive Study. sjsph 2024; 22 (1) :1-14 (in persian). http://sjsph.tums.ac.ir/article-1-6301-fa.html
42. Vaseghi S, Asadi J, Badeleh Shamooshaki M T, Khajvand Khooshli A. (2025). Structural Model of cosmetic surgery acceptance based on body image satisfaction and fear of negative evaluation with mediation of cultural-informational attitudes. Journal of Psychological Science. 24(146), 191-211. (in persian). doi:10.52547/JPS.24.146.191
43. Verma, N. (2024). Exploring Psychological Factors Behind Consideration of Cosmetic Surgery Through the Lens of Social Comparison Theory. Master's Theses or Doctor of Nursing Practice. 3242. DOI: 10.58809/YPRI2060
44. Wang, R., Ye, B., & Wang, P. (2025). Appearance comparison on social networking sites and body shame: The role of negative body talk and perceived sociocultural influences on body image. Journal of Health Psychology, 30(2), 224-237.DOI: 10.1177/13591053241245100
45. Yao, L. S., Niu, G. F., & Sun, X. J. (2024). A longitudinal study on the relationships between social media ideals exposure and thin-ideal internalization, social appearance anxiety, and cosmetic surgery consideration. Body Image, 51, 101813. doi:10.1016/j.bodyim.2024.101813
46. Yao, L. S., Niu, G. F., & Sun, X. J. (2024). A longitudinal study on the relationships between social media ideals exposure and thin-ideal internalization, social appearance anxiety, and cosmetic surgery consideration. Body Image, 51, 101813.DOI: 10.1016/j.bodyim.2024.101813
47. Zhou, Z. (2023). The influence of social appearance anxiety on impulsive consumption and acceptance of cosmetic surgery: Evidence from the multiple mediation model. Highlights in Business, Economics and Management, 6, 432-436. DOI: 10.54097/hbem.v6i.6482

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