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Background <p>This study aims to examine the serial multiple mediating effect of social media addiction and social appearance anxiety on the relationship between the perception of having an aesthetic procedure on social media and psychological symptoms.</p> Methods <p>A total of 267 Turkish female participants in emerging adulthood, aged between 18 and 25 years [AgeMean = 20.41, AgeSd = 1.66], voluntarily took part in the research. The data were collected using the Social Media Addiction Scale, Scale of Aesthetic Procedure Perceptions on Social Media, Social Appearance Anxiety Scale, and Brief Symptom Inventory. The mediating effect was examined using structural equation modeling (SEM) with the bootstrap approach to test whether mediation was present.</p> Results <p>SEM findings revealed that social media addiction and social appearance anxiety significantly explained the relationship between the perception of having an aesthetic procedure on social media and psychological symptoms, and acted as mediators in this relationship.</p> Conclusion <p>In light of these findings, it is recommended that interventions aimed at reducing psychological symptoms in young women include controlling social media usage, enhancing digital awareness, and implementing psychoeducation programmes that strengthen body image.</p>

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Perception of having an aesthetic procedure on social media and psychological symptoms: serial mediation by social media addiction and social appearance anxiety

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月28日

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  • Cansu Ağralı,
  • Ahmet Kara

摘要

Background

This study aims to examine the serial multiple mediating effect of social media addiction and social appearance anxiety on the relationship between the perception of having an aesthetic procedure on social media and psychological symptoms.

Methods

A total of 267 Turkish female participants in emerging adulthood, aged between 18 and 25 years [AgeMean = 20.41, AgeSd = 1.66], voluntarily took part in the research. The data were collected using the Social Media Addiction Scale, Scale of Aesthetic Procedure Perceptions on Social Media, Social Appearance Anxiety Scale, and Brief Symptom Inventory. The mediating effect was examined using structural equation modeling (SEM) with the bootstrap approach to test whether mediation was present.

Results

SEM findings revealed that social media addiction and social appearance anxiety significantly explained the relationship between the perception of having an aesthetic procedure on social media and psychological symptoms, and acted as mediators in this relationship.

Conclusion

In light of these findings, it is recommended that interventions aimed at reducing psychological symptoms in young women include controlling social media usage, enhancing digital awareness, and implementing psychoeducation programmes that strengthen body image.