Evidence map›Paper›PMID 41794767›Full record

ArticleBMC psychology2026

The relationship between social networking sites body talk and cosmetic surgery intention of college students: the chain mediating effect of body surveillance and appearance anxiety and the gender differences.

Ruicong Yu, Jiayi Ruan, Qian Xu, Yunfeng Zhao, Yaqi Mei, Cuirong Xu

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Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ruicong Yu *School of Medicine, Southeast University, Nanjing, 210009, China.
Jiayi Ruan *School of Nursing, Anhui Medical University, Hefei, 230000, China.
Qian XuSchool of Medicine, Southeast University, Nanjing, 210009, China.
Yunfeng ZhaoSchool of Health Management, Anhui Medical University, Hefei, 230000, China.
Yaqi MeiSchool of Nursing, Anhui Medical University, Hefei, 230000, China.
Cuirong XuSchool of Medicine, Southeast University, Nanjing, 210009, China. xucuirong67@126.com.

Funding

Key Projects of Research of Anhui Provincial Department of Education Higher Education 2022AH050720the Provincial College Students Innovation and Entrepreneurship Training Program S202210366082the Research Incubation Program of College of Nursing, Anhui Medical University hlpy20210020
6 · The paper itself

Abstract

backgroundAlthough existing studies have explored the impact of social networking sites body talk on negative emotions, the mechanism underlying its influence on college students' behavioral tendency toward cosmetic surgery intentions remains unclear. Therefore, this study proposes research hypotheses to explore the mechanism of action between variables through the similar trends in the correlation between scale survey results and keyword frequencies on real social media.

methodsA mixed-methods design was adopted. A survey was conducted among 512 students using the Social Networking Sites(SNS) Body Talk Scale, the Body Surveillance Subscale of the Objectified Body Consciousness Scale, the Appearance Anxiety Scale, and the Acceptance of Cosmetic Surgery Scale. Additionally, 1,139 pieces of actual social media data were extracted to analyze correlations and emotional tendencies, serving as supplementary evidence for the variable relationship model.

results(1) SNS body talk has both a direct positive impact on college students' cosmetic surgery intentions (β = 0.807, P < 0.001, 95% CI [0.425, 1.189]) and an indirect impact. (2) The indirect impact is achieved through two significant paths: first, a chain mediating path of "SNS body talk → body surveillance → appearance anxiety → cosmetic surgery intentions" (standardized indirect effect, SIE = 0.186, 95% CI [0.100, 0.294]); second, an independent mediating path of "SNS body talk → appearance anxiety → cosmetic surgery intentions" (SIE = 0.160, 95% CI [0.064, 0.284]). In contrast, the path "SNS body talk → body surveillance → cosmetic surgery intentions" is not statistically significant (SIE = 0.105, 95% CI [-0.076, 0.297]). (3) Gender plays a moderating role in the direct path from SNS body talk to cosmetic surgery intentions (β = 1.063, P < 0.05, 95% CI [0.182, 1.945]).

conclusionSNS body talk affects college students’ cosmetic surgery intentions through the serial mediation of body surveillance and appearance anxiety, and gender moderates its direct effect. This study clarifies the complex psychological mechanism between body-related interactions on social media and cosmetic surgery intentions, providing empirical evidence for subsequent research on body image and aesthetic behavior.

Indexed as

AnxietyBody ImageIntentionSocial MediaStudentsSurgery, PlasticAdolescentAdultDigital MediaFemaleHumansMaleMedia ExposureSex FactorsUniversitiesYoung AdultAppearance anxietyBody surveillanceChain mediationCollege studentsCosmetic surgery intentionsSocial networking sites body talk

Identifiers

PMID41794767
PMCPMC13081278

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.