Hospital Practices and Research

Abstract Background: The influence of social media on mental health and body image necessitates investigating its relationship with the pursuit of cosmetic surgery, particularly in women.
Objectives: The present study investigated the associations between social media addiction, psychopathology, and intentions to seek cosmetic surgery in women, examining the mediating role of self-esteem in these relationships.
Methods: This study utilized a cross-sectional, descriptive-correlational design. Two hundred women were recruited via convenience sampling. Participants were included if they expressed intentions to seek cosmetic procedures. Data were collected using the Symptom Checklist-90 (SCL-90), the Social Media Addiction Questionnaire, the Rosenberg Self-Esteem Scale, and the Cosmetic Surgery Tendencies Questionnaire. Statistical analyses were performed using SPSS-22 and AMOS-22.
Results: This study found significant positive correlations between social media addiction and both cosmetic surgery tendencies and psychopathology in women, and a significant negative correlation between self-esteem and cosmetic surgery tendencies (P<0.001). Self-esteem significantly mediated the relationships between both social media addiction and psychopathology with cosmetic surgery tendencies (P<0.001). The model demonstrated a good fit to the data (RMSEA = 0.060, IFI = 0.97, CFI = 0.96, and GFI = 0.96).
Conclusion: This study found significant correlations between social media addiction, psychopathology, and intentions to seek cosmetic surgery in women, with self-esteem playing a crucial mediating role. These findings underscore the importance of integrating self-esteem enhancement into interventions designed to address body image concerns and mitigate the influence of social media and psychological distress on intentions regarding cosmetic procedures.

Abstract Background: Understanding the relationship between social support and spiritual health with death anxiety in patients with cancer is crucial for developing effective interventions to improve their quality of life and reduce distress.
Objectives: The objective of this study was to investigate the impact of social support and spiritual health on death anxiety in cancer patients, with a specific focus on determining the relative contributions of each factor.
Methods: This descriptive-correlational study included all patients with cancer in Tehran as the study population in 2023. A total of 302 patients with cancer were selected as the sample using a convenience sampling method. The instruments included questionnaires on death anxiety, social support, and spiritual health. Data were analyzed using the Pearson correlation coefficient and stepwise regression.
Results: Findings revealed a significant negative association between social support and death anxiety (P<0.001). Additionally, a significant negative association was found between spiritual health and death anxiety (P<0.001). According to the results, spiritual health had a greater association with death anxiety in patients with cancer.
Conclusion: Based on these findings, both social support and spiritual health contribute to mitigating death anxiety among cancer patients. Notably, spiritual health appears to have a more pronounced impact on reducing death anxiety compared to social support in this population. These findings highlight the importance of incorporating psychosocial interventions that address both social support and spiritual well-being into comprehensive cancer care.