Background: The prevalence of individuals seeking cosmetic surgery necessitates a comprehensive understanding of the psychological factors influencing this decision and the potential for therapeutic interventions to enhance outcomes beyond surgical correction. Aim: This study investigated the effectiveness of rhinoplasty alone and in conjunction with positive psychotherapy in ameliorating rejection sensitivity and improving self-esteem among women who had sought cosmetic surgery. Methods: This clinical trial investigated 34 women seeking rhinoplasty in Ahvaz in 2023. Participants were randomly assigned to either a cosmetic surgery group (rhinoplasty alone) or a combined treatment group (rhinoplasty + positive psychology group therapy) (n=17). The positive psychology group therapy involved eight weekly, 90-minute sessions. Key measures included the Rejection Sensitivity Questionnaire (RSQ) and the Rosenberg Self-Esteem Scale (RSES). Data analysis involved Repeated Measures ANOVA in SPSS version 26. Results: Both groups showed significant reductions in rejection sensitivity from pre-test to post-test (P=0.002), with slight increases at follow-up. Self-esteem significantly improved over time (P=0.001), with the combined treatment group demonstrating higher scores (P=0.009) and significant gains from pre-test to post-test (P=0.016) and follow-up (P=0.001), unlike the cosmetic surgery group (P=0.014 at follow-up only). Conclusion: Rhinoplasty alone along with its combination with positive psychology group therapy significantly reduced rejection sensitivity and enhanced self-esteem among women undergoing cosmetic surgery, with the combined approach yielding superior and sustained self-esteem outcomes. While rejection sensitivity improvements were comparable across both groups, these findings underscore the value of integrating psychological interventions to optimize self-esteem benefits for cosmetic surgery candidates.
Kamaei et al. (Fri,) studied this question.
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