The Tripartite Influence Model of Body Image was adapted to examine the role of body satisfaction, perceived pressure to have cosmetic surgery, and internalization of societal appearance ideals in understanding cosmetic surgery attitudes. Participants were 2,048 men (N=445) and women (N=1,603) American college students from Florida who completed a range of measures that assessed levels of body satisfaction, perceived appearance pressures, internalization of appearance standards, and cosmetic surgery attitudes. A structural equation model was used to test hypothesized relations independently for men and women. Results indicated a moderate-good fit to the data, with both internalization and body satisfaction mediating the effect of perceived pressures on cosmetic surgery attitudes. Invariance testing revealed significant differences in pathway estimates between samples of men and women. The findings offer further support for the Tripartite Influence Model of Body Image and indicate potential factors that may influence cosmetic surgery attitudes.

The findings offer moderate evidence indicating that viewers of pro-eating disorder sites have higher levels of disturbance than a control sample of nonviewers, but limited evidence that those who view pro-eating disorder sites differ from individuals who view professional sites offering information regarding eating disorders. The findings are discussed in light of the difficulty determining causality in this area of inquiry and a cautionary note regarding the potential iatrogenic effects of this type of research is offered.

This study offers a framework and measurement instrument that has evidence of validity and reliability for evaluating appearance-based motives to tan and not tan.

Objective Current research on the etiology of thin-ideal internalization focuses on psychosocial influences (e.g., media exposure). The possibility that genetic influences also account for variance in thin-ideal internalization has never been directly examined. This study used a twin design to estimate genetic effects on thin-ideal internalization and examine if environmental influences are primarily shared or nonshared in origin. Method Participants were 343 post-pubertal female twins (ages 12–22; M=17.61) from the Michigan State University Twin Registry. Thin-ideal internalization was assessed using the Sociocultural Attitudes toward Appearance Questionniare-3. Results Twin modeling suggested significant additive genetic and nonshared environmental influences on thin-ideal internalization. Shared environmental influences were small and non-significant. Discussion Although prior research focused on psychosocial factors, genetic influences on thin-ideal internalization were significant and moderate in magnitude. Research is needed to investigate possible interplay between genetic and nonshared environmental factors in the development of thin-ideal internalization.

Although the current study is correlational, it provides a framework for future hypothesis testing and elucidates the link between contemporary media influences, body dissatisfaction, disordered eating, and cosmetic surgery attitudes. Additionally, the findings indicate that surgeons may want to assess the relevance of cosmetic surgery reality TV viewership for patients' attitudes towards and expectations about cosmetic surgery.