This could be a very basic question.
Group theory is often described as studying symmetries. I understand that $SO(2)$ could be used to describe a 2D rotationally invariant object (and therefore by studying its symmetries). However, can't it also be used to study rotations of a non-rotationally-invariant object?
I also know that (by Cayley's theorem I think), one can always associate group actions to symmetries of some object.
However, is it absolutely necessary for the group actions to be related to symmetries? I see no reason for this to be the case from the definitions alone.
Would be I correct in saying, all abstract groups can be associated with symmetries of some object (so in that sense symmetries are always present), however, often these objects would end up being quite contrived so really you can study abstract groups without really needing to be thinking about symmetries at all?
I agree.
Symmetry groups are a big application of basic group theory, symmetry is probably the best starting point for motivating groups, but it is not the whole story. Action is more general than symmetry. There are many cases of (isomorphism classes of) groups that either don't, or didn't originally, have an interpretation as a symmetry group that isn't convoluted or artificial or indirect (although I think this will be extremely debatable), or even have multiple different perfectly valid interpretations as symmetry groups.
Possible examples: there are questions about what the alternating groups $A_n$ are the symmetry groups of, and also what 3D figure the quaternion group $Q_8$ might be the symmetry group of. There are probably other examples with many of the exceptional items in the classifications of finite simple groups and simple Lie groups. Exceptional isomorphisms also give ways that groups are symmetry groups in more than one way. Probably the simplest way that comes to mind is $\mathrm{PSL}_2\mathbb{F}_7\cong\mathrm{PGL}_3\mathbb{F}_2$, which acts either as the symmetries of the projective line $\mathbb{F}_7\mathbb{P}^1$ or projective plane $\mathbb{F}_2\mathbb{P}^2$.
That said, I do think actions give purpose to groups. Acting on things is their highest calling. I'd say abstract groups are to group actions as potential energy is to kinetic energy.