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Original Research

Open Access Special Issue

Sociodemographic and Psychological Contributors to Quality of Life in Users of Anti-aging Cosmetic Products and Procedures

  • M. Graça Pereira1,*,
  • Ana Mónica Machado1
  • Marta Evangelista1
  • Margarida Vilaça1
  • Ana C. Almeida1

1School of Psychology, University of Minho, 4710-057 Braga, Portugal

DOI: 10.31083/j.jomh1804095 Vol.18,Issue 4,April 2022 pp.1-13

Submitted: 05 December 2021 Accepted: 15 February 2022

Published: 30 April 2022

*Corresponding Author(s): M. Graça Pereira E-mail:


Purpose: This study assessed the contribution of sociodemographic and psychological variables to quality of life (QoL) in male and female users of anti-aging cosmetic products and procedures, and the moderator role of age and sex in those relationships. Methods: 382 participants were evaluated on appearance schemes, aging perceptions, self-esteem, psychological morbidity, perfectionism and QoL. Results: Being male, married, professionally active and having a higher household income was associated with better QoL, while the usage of cosmetic products was negatively associated with QoL. Appearance schemes, psychological morbidity, perfectionism and ag-ing perceptions (timeline chronic and emotional representations) were associated with worse QoL, and self-esteem was associated with better QoL. Sex moderated the relationship between perfectionism and psychological morbidity in both men and women but stronger in the latter, while the relationship between chronic aging perceptions and negative QoL was only significant in men. Age moderated the relationship between perfectionism and psychological morbidity, between psychological morbidity and QoL, and between aging percep-tions and QoL. Conclusions: Findings may help guide psychological interventions targeted on the adaptation to the aging experience as means of promoting QoL. Thus, psychological intervention programs should address perfectionism, psychological morbidity and aging perceptions, being differentiated according to participants’ sex and age in order to promote a better adaptation to the aging process.


cosmetics; appearance schemes; anti-aging products; quality of life; age; sex; psychological morbidity; aging perceptions

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M. Graça Pereira,Ana Mónica Machado,Marta Evangelista,Margarida Vilaça,Ana C. Almeida. Sociodemographic and Psychological Contributors to Quality of Life in Users of Anti-aging Cosmetic Products and Procedures. Journal of Men's Health. 2022. 18(4);1-13.


[1] United Nations Department of Economic and Social Affairs, Population Division. World Population Aging 2020 Highlights: Living arrangements of older persons (ST/ESA/SER.A/451). 2020. Available at: a/pd/sites/ 2020_world_population_ageing_highlights.pdf (Assessed: 22 January 2021).

[2] Estatística, IN. Estimativas de População Residente em Por-tugal. 2019. Available at: ?xpid=INE&xpgid=ine_destaques&DESTAQUESdest_boui =354227526&DESTAQUESmodo=2 (Assessed: 31 January 2022).

[3] World Health Organization. WHOQOL: Measuring Quality of Life. Available at: (As-sessed: 31 January 2022).

[4] Raggi A, Corso B, Minicuci N, Quintas R, Sattin D, De Torres L, et al. Determinants of quality of life in aging populations: results from a cross-sectional study in Finland, Poland and Spain. PLoS ONE. 2016; 11.

[5] Cho J, Martin P, Margrett J, MacDonald M, Poon LW. The Rela-tionship between Physical Health and Psychological well-being among Oldest-Old Adults. Journal of Aging Research. 2011; 1–8.

[6] Jankowski GS, Diedrichs PC, Williamson H, Christopher G, Harcourt D. Looking age-appropriate while growing old grace-fully: A qualitative study of aging and body image among older adults. Journal of Health Psychology. 2014; 21: 550–561.

[7] Cho C, Cho E, Kim N, Shin J, Woo S, Lee E, et al. Age-related biophysical changes of the epidermal and dermal skin in Korean women. Skin Research and Technology. 2019; 25: 504–511.

[8] Skopinski F, Resende TDL, Schneider RH. Imagem corporal, humor e qualidade de vida. Revista Brasileira De Geriatria E Gerontologia. 2015; 18: 95–105.

[9] Beresniak A, Auray J, Duru G, Aractingi S, Krueger GG, Ta-larico S, et al. Quality of life assessment in cosmetics: specificity and interest of the international BeautyQol instrument. Journal of Cosmetic Dermatology. 2015; 14: 260–265.

[10] American Society of Plastic Surgeons, Plastic Surgery Statis-tics. 2021. Available at: ents/News/Statistics/2020/plastic-surgery-statistics-full-report- 2020.pdf (Accessed: 10 January 2022).

[11] Jagdeo J, Keaney T, Narurkar V, Kolodziejczyk J, Gallagher CJ. Facial Treatment Preferences among Aesthetically Oriented Men. Dermatologic Surgery. 2016; 42: 1155–1163.

[12] Maisel A, Waldman A, Furlan K, Weil A, Sacotte K, Lazaroff JM, et al. Self-reported Patient Motivations for Seeking Cos-metic Procedures. JAMA Dermatology. 2018; 154: 1167–1174.

[13] Sobanko JF, Dai J, Gelfand JM, Sarwer DB, Percec I. Prospec-tive Cohort Study Investigating Changes in Body Image, Qual-ity of Life, and Self-Esteem Following Minimally Invasive Cos-metic Procedures. Dermatologic Surgery. 2018; 44: 1121–1128.

[14] Cash TF, Fleming EC, Alindogan J, Steadman L, Whitehead A. Beyond body image as a trait: the development and validation of the Body Image States Scale. Eating Disorders. 2002; 10: 103–113.

[15] Cash TF, Melnyk SE, Hrabosky JI. The assessment of body im-age investment: an extensive revision of the appearance schemas inventory. The International Journal of Eating Disorders. 2004; 35: 305–316.

[16] Mellor D, Fuller-Tyszkiewicz M, McCabe MP, Ricciardelli LA. Body Image and Self-Esteem across Age and Gender: a Short-Term Longitudinal Study. Sex Roles. 2010; 63: 672–681.

[17] Muris P, Meesters C, van de Blom W, Mayer B. Biological, psy-chological, and sociocultural correlates of body change strate-gies and eating problems in adolescent boys and girls. Eating Behaviors. 2005; 6: 11–22.

[18] Nazaré B, Moreira H, Canavarro MC. Uma perspectiva cognitivo-comportamental sobre o investimento esquemático na aparência: Estudos psicométricos do Inventário de Esquemas sobre a Aparência – Revisto (ASI-R). Laboratório de Psicolo-gia. 2013; 8.

[19] Cash TF, Jakatdar TA, Williams EF. The Body Image Quality of Life Inventory: further validation with college men and women. Body Image. 2004; 1: 279–287.

[20] Rocha L, Terra N. Body image in older adults: A review. Scientia Medica. 2013; 23: 255–261.

[21] Javed J, Khan M. Appearance Schemas, Self-Esteem and Aca-demic Achievement Among University Students. Journal of re-search & Reviews in Social Sciences Pakistan. 2018; 1: 117–126.

[22] Paradise AW, Kernis MH. Self-esteem and Psychological well-being: Implications of Fragile Self-esteem. Journal of Social and Clinical Psychology. 2002; 21: 345–361.

[23] Ingrand I, Paccalin M, Liuu E, Gil R, Ingrand P. Positive per-ception of aging is a key predictor of quality-of-life in aging in-dividuals. PLoS ONE. 2018; 13: e0204044.

[24] Bartsch D. Prevalence of body dysmorphic disorder symptoms and associated clinical features among Australian university stu-dents. Clinical Psychologist. 2007; 11: 16–23.

[25] Haase AM, Prapavessis H, Glynn Owens R. Domain-specificity in perfectionism: Variations across domains of life. Personality and Individual Differences. 2013; 55: 711–715.

[26] Swami V, Mammadova A. Associations between considera-tions of cosmetic surgery, perfectionism dimensions, appearance schemas, relationship satisfaction, excessive reassurance, and love styles. Individual Differences Research. 2012; 10: 81–94.

[27] Teixeira MD, Pereira AT, Marques MV, Saraiva JM, Macedo AFD. Eating behaviors, body image, perfectionism, and self-esteem in a sample of Portuguese girls. Revista Brasileira De Psiquiatria. 2016; 38: 135–140.

[28] Fowler SA, Davis LL, Both LE, Best LA. Personality and perfec-tionism as predictors of life satisfaction: the unique contribution of having high standards for others. Facets. 2018; 3: 227–241.

[29] Rutter-Eley EL, James MK, Jenkins PE. Eating Disorders, Per-fectionism, and Quality of Life. Journal of Nervous & Mental Disease. 2020; 208: 771–776.

[30] Sexton E, King-Kallimanis BL, Morgan K, Mcgee H. Develop-ment of the Brief Aging Perceptions Questionnaire (B-APQ): a confirmatory factor analysis approach to item reduction. BMC Geriatrics. 2014; 14: 44.

[31] Clarke LH, Korotchenko A. Aging and the Body: A Review. Canadian Journal on Aging. 2011; 30: 495–510.

[32] Sertel M, Arslan SA, Kurtoğlu F, Sahan TY. Physical activity, depression and quality of life in aging process. Biomedical Re-search. 2017; 28: 4165–4170.

[33] Tavares DMDS, Matias TGC, Ferreira PCDS, Pegorari MS, Nascimento JS, Paiva MMD. Qualidade de vida e autoestima de idosos na comunidade. CiêNcia & SaúDe Coletiva. 2016; 21: 3557–3564.

[34] Villas-Boas S, Oliveira AL, Ramos N, Montero I. Predictors of Quality of Life in Different Age Groups across Adulthood. Jour-nal of Intergenerational Relationships. 2018; 17: 42–57.

[35] Yamada Y, Merz L, Kisvetrova H. Quality of life and comor-bidity among older home care clients: role of positive attitudes toward aging. Quality of Life Research. 2015; 24: 1661–1667.

[36] Beutel ME, Glaesmer H, Wiltink J, Marian H, Brähler E. Life satisfaction, anxiety, depression and resilience across the life span of men. The Aging Male. 2010; 13: 32–39.

[37] Borhani F, Kiarsipour N, Esmaeili R, Zayeri F. The correlation of aging perceptions and life satisfaction in Iranian older adults. Annals of Tropical Medicine and Public Health. 2017; 10: 861–868.

[38] Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. The Journal of the American Medical Association. 1995; 273: 59–65.

[39] Baker SR, Pankhurst CL, Robinson PG. Testing relationships be-tween clinical and non-clinical variables in xerostomia: a struc-tural equation model of oral health-related quality of life. Quality of Life Research. 2006; 16: 297–308.

[40] Ojelabi AO, Graham Y, Haighton C, Ling J. A systematic review of the application of Wilson and Cleary health-related quality of life model in chronic diseases. Health and Quality of Life Out-comes. 2017; 15: 241.

[41] Ryu E, West SG, Sousa KH. Mediation and moderation: Test-ing relationships between symptom status, functional health, and quality of life in HIV patients. Multivariate Behavioral Re-search. 2009; 44: 213–232.

[42] Kimball, A. Mde study white paper. 2015. Available at: https: // 1/Olay_MultiDecade_and_Ethnicity_Study_White_Paper.pdf (Accessed: 10 January 2022).

[43] Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983; 67: 361–370.

[44] Roberts SB, Bonnici DM, MacKinnon AJ, & Worcester MC. Psychometric evaluation of the Hospital Anxiety and Depression Scale (HADS) among female cardiac patients. British Journal of Health Psychology. 2001; 6: 373–383.

[45] Pais-Ribeiro J, Silva I, Ferreira T, Martins A, Meneses R, Bal-tar M. Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale. Psychology, Health & Medicine. 2007; 12: 225–237.

[46] Frost RO, Marten P, Lahart C, Rosenblate R. The dimensions of perfectionism. Cognitive Therapy and Research. 1990; 14: 449–468.

[47] Amaral AP, Soares MJ, Pereira AT, Bos SC, Marques M, Va-lente J, et al. Frost Multidimensional Perfectionism Scale: The Portuguese version. Archives of Clinical Psychiatry. 2013; 40: 144–149.

[48] Rosenberg M. Society and the adolescent self-image. Princeton University Press: Princeton. 1965.

[49] Pechorro P, Marôco J, Poiares C, Vieira R. Validação da Escala de Auto- Estima de Rosenberg com Adolescentes Portugueses em Contexto Forense e Escolar. Arquivos de Medicina. 2011; 25: 174–179.

[50] Leventhal H, Leventhal EA, Contrada RJ. Self-regulation, health, and behavior: a perceptual-cognitive approach. Psychol-ogy & Health. 1998; 13: 717–733.

[51] Pereira MG, Vilaça M. Adaptação Portuguesa do Questionário de Perceção do Envelhecimento - Versão Breve (B-APQ), Fam-ily & Health Research Group. Research Center in Psychology. University of Minho: Portugal. 2018.

[52] Ware J, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care. 1996; 34: 220–233.

[53] Ferreira PL. Criação da versão Portuguesa do MOS SF-36, Parte II - Testes de Validação. Acta Médica Portuguesa. 2000; 13: 119–127.

[54] Hagell P., Westergren A. Measurement Properties of the SF-12 Health Survey in Parkinson’s Disease. Journal of Parkinson’s Disease. 2011; 1: 185–196.

[55] Hagell P., Westergren A., Årestedt K. Beware of the origin of numbers: Standard scoring of the SF-12 and SF-36 summary measures distorts measurement and score interpretations. Re-search in Nursing & Health. 2017; 40: 378–386.

[56] Hair JF, Black W, Babin B, Anderson R. Multivariate Data Anal-ysis: A Global Perspective. Pearson Education: New Jersey. 2010.

[57] Sibilla S, Borumand M. Current understanding of the effects of diet on skin health. In Godfrey M (ed.) Losing weight simply and safely (pp. 241–68). Officina Editorale Oltrarno: Florence. 2014.

[58] Han K, Park E, Kim J, Kim SJ, Park S. Is marital status associ-ated with quality of life? Health and Quality of Life Outcomes. 2014; 12: 109.

[59] Belloni M, Meschi E, Pasini G. The Effect on Mental Health of Retiring during the Economic Crisis. Health Economics. 2021; 25: 126–140.

[60] Norström F, Waenerlund A, Lindholm L, Nygren R, Sahlén K, Brydsten A. Does unemployment contribute to poorer health-related quality of life among Swedish adults? BMC Public Health. 2019; 19: 457.

[61] Bonsaksen T. Exploring gender differences in quality of life. Mental Health Review Journal. 2012; 17: 39–49.

[62] Swami V, Furnham A. The psychology of physical attraction. Routledge: London. 2007.

[63] Chen J, Zheng K, Xia W, Wang Q, Liao Z, Zheng Y. Does in-side Equal outside? Relations between Older Adults’ Implicit and Explicit Aging Attitudes and Self-Esteem. Frontiers in Psy-chology. 2018; 9: 1–14.

[64] Dutt AJ, Wahl HW, Diehl M. Awareness of Aging Processes. Oxford Research Encyclopedia of Psychology. Oxford Univer-sity Press: Oxford. 2018.

[65] Barker M, O’Hanlon A, McGee HM, Hickey A, Conroy RM. Cross-sectional validation of the Aging Perceptions Ques-tionnaire: a multidimensional instrument for assessing self-perceptions of aging. BMC Geriatrics. 2007; 7: 9.

[66] Borhani F, Kiarsipour N, Esmaeili R, Zayeri F. The correlation of aging perceptions and life satisfaction in Iranian older adults. Annals of Tropical Medicine and Public Health. 2017; 10: 861–868.

[67] Muise A, Desmarais S. Women’s Perceptions and Use of “Anti-Aging” Products. Sex Roles. 2010; 63: 126–137.

[68] Velardi F, Cogliandro A, Persichetti P. The imperfect beauty. European Journal of Plastic Surgery. 2021; 44: 855–859.

[69] Drago F. Self-esteem and earnings. Journal of Economic Psy-chology. 2011; 32: 480–488.

[70] Eid RS, Gobinath AR, Galea LAM. Sex differences in depression: Insights from clinical and preclinical studies. Progress in Neurobiology. 2019; 176: 86–102.

[71] Maeng LY, Milad MR. Sex differences in anxiety disorders: Interactions between fear, stress, and gonadal hormones. Hor-mones and Behavior. 2015; 76: 106–117.

[72] Melero S, Morales A, Espada JP, Fernández-Martinez I, Orgilés M. How does perfectionism influence the development of psy-chological strengths and difficulties in children? International Journal of Environmental Research and Public Health. 2020; 17: 4081.

[73] Stoeber J, Stoeber FS. Domains of perfectionism: Prevalence and relationships with perfectionism, gender, age, and satisfac-tion with life. Personality and Individual Differences. 2009; 46: 530–535.

[74] Lucacel R. Are young individuals’s views on aging accurate?The European Health Psychologist. 2015; 17: 64–66.

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