바로가기메뉴

본문 바로가기 주메뉴 바로가기

Effects of Taijin Kyofusho, Appearance-based Rejection Sensitivity, and Body Dysmorphic Concerns on the Acceptance of Cosmetic Surgery

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2019, v.24 no.2, pp.429-449
https://doi.org/10.17315/kjhp.2019.24.2.008


  • Downloaded
  • Viewed

Abstract

The aim of this study was to investigate the effects of tajin kyofusho, appearance–based rejection sensitivity, and body dysmorphic concerns on the acceptance of cosmetic surgery. Based on previous study results and conceptual meanings, the research model was set up and verified to be fit the relationships among variables using Structural Equation Modeling(SEM). The data was collected from 405 Koreans, aged 18-29, through self-report questionnaires. From the results of self-report questionnaires, only body dysmorphic concerns had a direct effect on the acceptance of cosmetic surgery. The appearance–based rejection sensitivity and tajin kyofusho had a indirect effect on the acceptance of cosmetic surgery, mediated by body dysmorphic concerns. Moreover the dual mediation of appearance–based rejection sensitivity and body dysmorphic concerns was significant between tajin kyofusho and the acceptance of cosmetic surgery. In the comparison of three alternative models and the study model, the alternative model 1 was deemed to be better than other alternative models and the study model. Finally, we verified that the research model could be apply to both male and female group, through the use of multiple group analysis. The structural relations of the variables were confirmed to be similar in both groups. The results of this study strongly suggest that psychological interventions focused on body dysmorphic concerns and other variable could be beneficial to improve the satisfaction in cosmetic surgery. Moreover, the implications of this study, limitations, and suggestions for subsequent study were discussed.

keywords
가해염려형 사회공포증, 외모거부민감성, 신체변형걱정, 성형수술수용, taijin kyofusho, appearance-based rejection sensitivity, body dysmorphic concerns, the acceptance of cosmetic surgery

Reference

1.

김명희 (2009). 부정적 정서와 외부압력 및 자기의식이여대생의 신체변형장애 성향에 미치는 영향. 대구가톨릭대학교 대학원 석사학위 청구논문.

2.

문정신 (2003). 공적 자기의식 및 외모에 대한 사회문화적 가치의 내면화와 신체상의 관계. 이화여자대학교 대학원 석사학위 청구논문.

3.

박종희, 김상욱 (2002). 성형의도에 영향을 미치는 요인에 관한 탐색적 연구. 한국소비자학회 추계학술대회 발표논문집, 299-314.

4.

배병렬 (2011). Amos 19 구조방정식 모델링 원리와 실제. 서울: 도서출판 청람

5.

손은정 (2007). 공적 자기의식, 사회문화적 가치의 내면화 및 신체상에 대한 태도가 성형의도에 미치는 영향. 한국심리학회지: 여성, 12(1), 63-81.

6.

송지연, 박기환 (2009). 가해염려형 사회불안에 영향을미치는 사회문화적 변인 : 체면, 눈치, 문화적 자기관을 중심으로. 한국심리학회지: 건강, 14(1), 329-343.

7.

오강섭, 허묘연, 이시형 (1999). 대인불안과 사회문화적요인의 상관관계. 신경정신의학, 38(1), 64-76.

8.

이시형, 정광설 (1984). 사회공포증에 관한 임상적 고찰(1). 신경정신의학, 23(1), 111-118..

9.

전현진, 정명선 (2010). 외모에 대한 사회문화적 태도와 신체존중감이 미용성형수술에 미치는 영향. 한국미용학회지, 16(3), 734-741.

10.

조용래, 김은정 (2005). 가해염려를 동반한 사회공포증:한국판 TKS의 신뢰도와 타당도. 한국심리학회지;임상, 24(2), 397-411.

11.

최강 (2014. 3. 23). 성형수술 전과 후: 몸의 변화, 마음의 변화, 성형수술과 신체변형장애. 사이언스온, http://scienceon.hani.co.kr/155736에서 2018. 9. 4 자료 얻음.

12.

한국갤럽조사연구소 (2015. 4. 15). 외모와 성형수술에 대한 인식조사-1994/2004/2015년 비교, https://panel.gallup.co.kr에서 2018. 9. 4 자료 얻음.

13.

황윤정 (2007). 외모에 대한 사회문화적 태도, 자아존중감, 신체매력지각이 외모관리행동에 미치는 영향. 대구가톨릭대학교 대학원 박사학위청구논문.

14.

황윤정, 조기여, 유태순 (2003). 외모관심도, 신체만족도, 자아존중감에 따른 미용성형행동 연구. 한국패션비즈니스학회, 7(4), 17-25.

15.

American Psychiatric Association (2000). Diag- nostic and Statistical Manual of mental disorders(4thed). Washington, DC: Author.

16.

American Psychiatric Association (2013). Diagnostic and Statistical Manual of mental disorders(5thed). Washington, DC: Author.

17.

Amir, N. Foa, E. B., & Coles, M. E. (1998). Negative interpretation bias in social phobia. Behavior Research and Theraphy, 36(10), 945-957.

18.

Brown, Furnham, A., Glanville, L., & Swami, V. (2007). Factors that affect the likelihood of undergoing cosmetic surgery. Aesthetic Surgery Journal, 27(5), 501-508.

19.

Buhlman, U., Wilhelm, S., McNally, R. J., Tuschen-Caffier, B., Baer, L., & Jenike, M. A. (2002). Interpretive biases for ambiguous information in body dysmorphic disorder. CNS Spectrums, 7(6), 435-433.

20.

Calogero, R. M., Park, L. E., Rahemtulla, Z. K., & William, K. C. D. (2010). Predicting excessive body image concerns among British university students: The unique role of Appearance-based Rejection Sensitivity. Body Image, 7(1), 78-81.

21.

Choy, Y., Schneier, F. R., Heimberg, R. G., Oh, K. S., & Liebowitz, M. R. (2008). Features of the offensive subtype of Tanjin-Kyofu-Sho in US and Korea patients with DSM-IV social anxiety disorder. Depression and Anxiety, 25(3). 230-240.

22.

Crerand, C. E., Franklin, M. E., & Sarwer, D. B. (2006). Body dysmorphic disorder and cosmetic surgery. Plastic Reconstrutive Surgery, 118(7). 167-180.

23.

Crerand, C. E., Phillips, K. A., Menard, W., & Fay, C (2005). Nonpsychiatric Medical Treatment of Body Dysmorphic Disorder. Psychosomatics, 46(6). 549-555.

24.

Davis, P., & Vernon, M. L. (2002). Sculpting the body beautiful: attachment style, neuroticism, and use of cosmetic surgeries. Sex Roles, 47(3/4), 129-138.

25.

Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychololgy, 70(6), 1327-1343.

26.

Fang, A., & Hofmann, S. G. (2010). Relationship between social anxiety disorder and body dysmorphic disorder. Clinical Psychology Review, 30(8), 1040-1048.

27.

Fang, A. Asnaania, Gutnera, C., Cooka, C., Wilhelm, S., Stefan, G., & Hofmann, S. G. (2011). Rejection sensitivity mediates the relationship between social anxiety and body dysmorphic concerns. Journal of Anxiety Disorder, 25(7), 946-949.

28.

Gomez, L. (2012). 대상관계이론 입문〔An Introduction to Object Relations〕(김창대, 김진숙, 이진영, 유성경 공역). 서울: 박영사. (원전은 1997년에 출판).

29.

Herderson-King, D., & Herderson-King, E. (2005). Acceptance of cosmetic surgery: Scale development and validation. Body Image, 2(2), 137-149.

30.

ISAPS (2016. 6. 26). Global Survey Released by ISAPS Reports Increase of Over One Million Cosmetic and Aesthetic Procedures Performed in 2015. https://www.isaps.org/medical-professionals/isaps-global-statistics에서2018. 9. 4 자료 얻음

31.

Kelly, M. M., Watters, G., & Phillips, K. A. (2010). Social Anxiety and Its Relationship to Functional Impairment in Body Dysmorphic Disorder. Behavior Therapy, 41(2), 143 -153.

32.

Kleinknecht, R. A., Dinnel, D. L., Kleinknecht, E. E. (1997). Cultural Factors in Social anxiety: A comparison of Social phobia symptoms and Taijin Kyofusho. Journal of Anxiety Disorder, 11(2), 157-177.

33.

Littleton, H. L., Axsom, D., & Pury, C. L. S. (2005). Development of the body image concern inventory. Behaviour Research and Therapy, 43(2), 229-241.

34.

Myers, David G. (2009). 마이어스의 심리학 8판〔Psychology〕. (신현정, 김비아 역). 서울: 시그마프레스. (원전은 2008에 출판).

35.

Onden-LiM, M., & Grisham, R. (2012). The relationship between body dysmorphic concerns and the effects of image suppression: Implications for moderls of body dysmorohic disorder. Journal of Obsessive and Related Disorders, 1(3), 189-195.

36.

Park, L. E. (2007). Appearance-Based Rejection sensitivity:Implications for mental and physical, health, affect, and motivation. Personality and Social Psychology Bulletin, 33(4), 490-504.

37.

Park, I. E., & Pelham, B. W. (2006). Self versus others'ratings of physical attractiveness. Unpublished data, University at Buffalo, The State University of New York.

38.

Park, L. E., & Pinkus, R. T. (2009). Interpersonal effects of Appearance-based Rejection Sensitivity. Journal of Research in Personality 43(4), 602-612.

39.

Park, L. E., Diraddo, A., & Calogero, R. M. (2009). Sociocultural influence and appearance-based rejection sensitivity among college students. Psychology of Women Quarterly, 33(1), 108-119.

40.

Park, L. E., Calogero, R. M., Harwin, M. J., & DiRaddo, A. M., (2009). Predicting interest in cosmetic surgery: Interactive effects of apperarance-based rejection sensitvity and negatice appearance comments. Body Image, 6(3), 186-193.

41.

Park, L. E., Calogero, R. M., Young, A. F., & DiRaddo, A. M., (2010). Appearance-based sensitivity predicts body dysmorphic disorder and cosmetic surgery acceptance. Journal of Social and Clinical Psychology, 29(5), 489-509.

42.

Sarwer, D. B., & Crerand, C. E. (2008). Body dysmoohic disorder and appearance enhacing medical treatments. Body Image, 5(1), 50-58. Susan Nolen-Hoeksema, Barbara L. Fredrickson,

43.

Geoff R. Loftus, & Willem A. Wagenaar (2009). Atkinson & Hilgard’s Introduction to psychology. 15th Edition, 668-675. Hampshire; Wadsworth Cengage Learning.

44.

V. Swami (2009). Body appreciation, media influence, and weight status predict consideration of cosmetic surgery among female undergraduates. Body Image, 6(4), 315-317.

45.

V. Swami, T. Chamorro-Premuzic, S. Bridges, A. Furnham. (2009). Acceptance of cosmetic surgery:Personality and individual difference predictors. Body Image, 6(1), 7-13.

46.

von Soest, Kvalem, & Wichstrom (2012). Predictors of cosmetic surgery and its effects on psychological factors and mental health: a population-based follow-up study among Norwegian females. Psychological Medicine, 42(3), 617-626.

The Korean Journal of Health Psychology