This study aimed to investigate the mediating role of intolerance of uncertainty in the relationship between neuroticism and body dysmorphic disorder in candidates for various Facial cosmetic surgeries. It employed a descriptive-correlational design based on structural equation modeling. The statistical population consisted of applicants visiting dermatology, hair, and cosmetic clinics in Urmia during July and August 2024. A total of 300 individuals participated through convenience sampling and completed questionnaires, including the Yale-Brown Obsessive-Compulsive Scale for Body Dysmorphic Disorder (YBOCS-BDD; Phillips, 1997), the Five-Factor Personality Questionnaire (FFPQ; McCrae & Costa, 2004), and the Intolerance of Uncertainty Scale (IUS; Freeston et al., 1994). Data analysis was conducted using structural equation modeling. The results indicated that the proposed model demonstrated good fit. Neuroticism had a significant positive direct effect on body dysmorphic disorder, while intolerance of uncertainty also had a significant positive direct effect on body dysmorphic disorder. Additionally, neuroticism had a significant positive direct effect on intolerance of uncertainty (P<0.05). Bootstrap test results showed that intolerance of uncertainty significantly mediated the relationship between neuroticism and body dysmorphic disorder (P<0.05). The findings suggest that neuroticism influences body dysmorphic disorder both directly and indirectly through the mediation of intolerance of uncertainty.
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