FRANCESCA, NOBILE., NICOLA, RUMSEY., ELISA, PALUAN., LUCA, SILIPRANDI., LUCIA, RONCONI., CRISTINA, MAROGNA.
ROYAL FREE COSMETIC AWARENESS AND RISK (ROFCAR) QUESTIONNAIRE: AN TALIAN VALIDATION STUDY
Cosmetic surgery is increasingly popular, particularly in Italy, where beauty holds cultural im-portance. However, achieving psychological satisfaction postsurgery is not guaranteed, especially for patients with unrealistic expectations or psychological vulnerabilities. Addressing the need for a practical and effective screening tool for Italian clinical contexts, this study validated the Italian version of the Royal Free Cosmetic Awareness and Risk (RoFCAR) questionnaire, designed to assess psychological readiness in patients seeking cosmetic procedures. An exploratory factor analysis (EFA) with 131 par-ticipants identified four key factors — Body Dysmorphic Disorder, Self Confidence, Worry, and Social Avoidance — as relevant to surgical satisfaction. Additionally, regression analysis using the Symptoms Checklist-90-Revised (SCL-90-R) clarified how broader psychological symptoms predict RoFCAR fac-tors, deepening the understanding of psychological risk. The RoFCAR questionnaire demonstrated reli-ability and construct validity, confirming its suitability as an efficient screening tool in Italian clinical settings to identify patients who may need further psychological support for optimal outcomes.
