沙特人群美容手术心理健康结局的范围综述

文献信息

中文摘要

目的： 全面探讨沙特人群美容手术相关的心理健康结局，特别关注心理幸福感、自尊、焦虑、身体意象和生活质量。
方法： 本范围综述按照乔安娜布里格斯研究所（JBI）方法学进行，并遵循系统综述和荟萃分析首选报告条目扩展版范围综述指南进行报告。对国际数据库（包括PubMed、PsycINFO、Scopus、Web of Science和Google Scholar）以及国家阿拉伯语数据库进行了结构化检索。纳入研究沙特人群中手术类（鼻整形术和身体轮廓塑形）和非手术类美容手术心理结局的研究。共有19项研究、约9,705名参与者符合纳入标准并进行分析。
结果： 研究结果表明，美容手术常与自尊、身体意象满意度、社会功能和整体生活质量的改善相关。若干研究报告称，美容干预后心理幸福感和自信心增强。然而，部分个体，尤其是那些既往存在心理易感性、期望不切实际或基线自尊较低者，在手术后仍持续经历焦虑、不满意和心理困扰。结局的差异受手术类型、人口学因素和心理社会特征的影响。
结论： 美容手术可能为沙特阿拉伯许多个体带来积极的心理和生活质量结局；然而，在易感人群中不良心理影响可能持续存在。这些发现强调了全面术前心理评估、现实期望管理以及多学科支持的重要性，以优化结局并尽量减少潜在的心理健康风险。

英文摘要

OBJECTIVE: To comprehensively examine the mental health outcomes associated with cosmetic procedures among the Saudi population, with a particular focus on psychological well-being, self-esteem, anxiety, body image, and quality of life.
METHODS: This scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology and reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. A structured search was performed across international databases, including PubMed, PsycINFO, Scopus, Web of Science, and Google Scholar, in addition to national Arabic databases. Studies investigating the psychological outcomes of both surgical (rhinoplasty and body contouring) and non-surgical cosmetic procedures among Saudi populations were included. A total of 19 studies involving approximately 9,705 participants met the eligibility criteria and were analyzed.
RESULTS: The findings demonstrated that cosmetic procedures were frequently associated with improvements in self-esteem, body image satisfaction, social functioning, and overall quality of life. Several studies reported enhanced psychological well-being and increased confidence following cosmetic interventions. However, some individuals, particularly those with pre-existing psychological vulnerabilities, unrealistic expectations, or low baseline self-esteem, continued to experience anxiety, dissatisfaction, and psychological distress after the procedures. Variations in outcomes were influenced by procedure type, demographic factors, and psychosocial characteristics.
CONCLUSION: Cosmetic procedures may contribute to positive psychological and quality-of-life outcomes among many individuals in Saudi Arabia; however, adverse psychological effects may persist in vulnerable groups. These findings emphasize the importance of comprehensive preoperative psychological assessment, realistic expectation management, and multidisciplinary support to optimize outcomes and minimize potential mental health risk.