The Mediating Role of Happiness in the Effect of Women’s Attitudes Toward Genital Aesthetic Surgery on Psychological Well-being

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ID: 333389
2026
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Abstract
Abstract Background Genital self-image may influence women’s psychological well-being and attitudes toward genital aesthetic surgery. However, the relationships among genital self-image, happiness, and psychological resilience remain insufficiently understood. Objectives This study aimed to examine the relationships between women’s genital self-image, happiness, and psychological resilience and to determine whether happiness mediates the association between genital self-image and psychological resilience. Methods This descriptive cross-sectional study included 360 women. Data were collected using the Female Genital Self-Image Scale (FGSIS), Happiness Scale (HS), and Brief Resilience Scale (BRS), together with a demographic information form. Data were analyzed using ANOVA, correlation analysis, logistic regression, and mediation analysis. Results FGSIS scores differed significantly according to age, education, income, and number of children. Number of children was negatively correlated with FGSIS (r = −0.409, p < .001) and HS (r = −0.344, p < .001). FGSIS was positively correlated with HS (r = 0.252, p < .001) and BRS (r = 0.231, p < .001), while HS was positively correlated with BRS (r = 0.434, p < .001). Mediation analysis demonstrated a significant direct effect of FGSIS on BRS (β = 0.152, p = .006) and an indirect effect through HS (β = 0.119, p < .001), with a significant total effect (β = 0.271, p < .001). Conclusions Genital self-image was positively associated with happiness and psychological resilience, with happiness mediating this association.
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Authors Zeynep Ogul, Eda Yakıt Ak
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Journal Aesthetic surgery journal
Year 2026
DOI
10.1093/asj/sjag239
URL
https://doi.org/10.1093/asj/sjag239
Keywords Keywords not found

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