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MohammadReza Tamannaeifar; Mahboobe Esmikhani
Abstract
Objective: Body dysmorphic disorder is a perceptual disorder in which a person is preoccupied with one or more parts of their body that they perceive as particularly ugly or misshapen. Women with body dysmorphic disorder are intensely concerned with their breasts, buttocks, thighs, and overall weight. ...
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Objective: Body dysmorphic disorder is a perceptual disorder in which a person is preoccupied with one or more parts of their body that they perceive as particularly ugly or misshapen. Women with body dysmorphic disorder are intensely concerned with their breasts, buttocks, thighs, and overall weight. The obsessive nature of body dysmorphic disorder can cause a person to experience repeated negative feelings and discomfort about their appearance and how others perceive them, and an overall decrease in psychological and social functioning. For example, people with body dysmorphic disorder may engage in self-checking activities, such as repeatedly looking at themselves in the mirror to assess the area(s) of concern and comparing their appearance to that of others. Body dysmorphic disorder concerns (or symptoms related to body dysmorphic disorder) are distressing and can cause significant suffering and are influenced by various factors, one of which is primary maladaptive schemas. Early maladaptive schemas serve as a framework for interpreting reality that provides a stable and coherent sense of self and the world. It is clear that early maladaptive schemas are associated with body dysmorphic disorder, but what could be important is to discover and examine the role of mediating variables in the relationship between early maladaptive schemas and body dysmorphic disorder, which in this study examined the mediating role of self-esteem, because self-esteem, in addition to being affected by the antecedents of this study, namely early maladaptive schemas, can affect dysmorphic disorder. For this reason, and based on research precedents, self-esteem can be an appropriate mediating variable in the relationshis between the variables in this study. The purpose of the present study was to investigate structural equation modeling of the body dysmorphic disorder based on early maladaptive schemas with mediating role of self-esteem in women with breast cancer. Method: The method of the present research is applied in terms of its purpose and descriptive in terms of survey type, which is considered quantitative research. The statistical population of the study was women with breast cancer referral to the oncology center of Imam Khomeini and Imam Hussein Hospital of Tehran city in autumn year 2024. The sample size was selected based on Klein's model (2023) and with subjectivw sampling of 300 women. Data collection tools include the body dysmorphic disorder scale (BDDS) of Hanley and et al (2020), Young schema questionnaire – short form version 3 (YSQ-S3) of Young (2005) and self-esteem scale (RSEs) of Rosenberg (1989). The inclusion criteria for the study were diagnosis of breast cancer, being in the radiotherapy treatment phase, having a minimum level of literacy, full consent to participate in the study, the right to withdraw from the study, having sufficient time to answer the questionnaires, and not receiving psychiatric treatment. Failure to fully answer the questionnaire questions and not having the necessary cooperation to participate in the study were exclusion criteria. For descriptive data analysis, mean and standard deviation were used; for inferential data analysis, Pearson correlation coefficient and structural equation modeling were used. Data analysis software was SPSS and AMOS version 28. Results: The number of respondents was 300, and no outliers or outliers were identified in this study. The mean age and standard deviation were 37.33 and 2.92, respectively. The results showed direct effect of early maladaptive schemas and self-esteem on body dysmorphic disorder is significant. The results also showed that self-esteem has a significant mediating role in the relationship between early maladaptive schemas with body dysmorphic disorder. Also, the final research model had a good fit (RMSEA=0.07, SRMR=0.05, p<0.05) and 84% of the variance of body dysmorphic disorder is explained. Conclusion: In explaining the mediating role of self-esteem in the relationship between early maladaptive schemas and dysmorphic disorder, it can be said that when a person experiences changes in their appearance and body due to illness and considers these changes to be a kind of defect in them, they judge their body and appearance based on this perceived defect. Therefore, it is possible that the emotions and cognitions present in the schemas of self-regulation and impaired functioning react to signs of defect and show sensitivity to appearance. Given that the activity of self-regulation and impaired functioning schemas is, to some extent, accompanied by negative judgments about themselves and the experience of feelings of failure and helplessness, this feeling of failure and helplessness can lower the self-esteem of women with breast cancer, leading them to exhibit weaker self-esteem than other women. Consequently, when women with breast cancer do not have sufficient self-esteem, they feel inadequate due to the removal of the breast and the defect in the breast area, and they believe that they have a serious and major defect in their body. In such cases, they are more likely to experience body dysmorphic disorder. It can be concluded that body dysmorphic disorder in women with breast cancer can be improved with schema therapy and self-esteem training. The present study had several limitations. First, this study was a cross-sectional design. Therefore, future studies could adopt experimental or longitudinal designs to explore the relationship between variables. Data were collected using self-report questionnaires only. Although the validity and reliability of these questionnaires have been well established, response bias or socially desirable responses may have existed in the present study. The participants in this study were a sample from Tehran, so the cross-cultural applicability of the results is limited. Given that this study was conducted among women with breast cancer, future studies could also collect data from different groups of women with other chronic physical illnesses to gain more insight into the factors affecting dysmorphic disorder. The results of the present study have theoretical and practical implications. Theoretically, this study using a mediation model may help to understand the mechanisms involved and affecting dysmorphic disorder. Also, the results of the present study showed that early maladaptive schemas and self-esteem are key factors for predicting body dysmorphic disorder. Therefore, it can be concluded that body dysmorphic disorder can be improved in women with breast cancer with schema therapy and self-esteem training.
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Ali pakizeh; sadegh hekmatiyan fard; Marzieh Bagheri
Abstract
Objective: The present research was conducted with the aim of investigating the effect of correcting girls' cognitive bias towards physical appearance on their desire for cosmetic surgery and self-esteem. Method: The research method in this study is semi-experimental and using a pre-test and post-test ...
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Objective: The present research was conducted with the aim of investigating the effect of correcting girls' cognitive bias towards physical appearance on their desire for cosmetic surgery and self-esteem. Method: The research method in this study is semi-experimental and using a pre-test and post-test design with a control group. The statistical population of the research included the female students of the non-profit Foulad University of Technology in the academic year 1401, of which 200 were selected using the purposeful sampling method and completed the body image questionnaire. Then, 45 students whose questionnaire scores were above the average were selected and placed in two experimental groups (22 people) and control (23 people) using the random assignment method.The research tools were: Cooper Smith's Self-Esteem Questionnaire, Cosmetic Surgery Tendency Questionnaire, Probe Dot Test. First, a pre-test was taken from both groups, and then 10 sessions of 30 to 40 minutes were held individually for the experimental group (8 sessions to correct cognitive bias and 2 sessions to measure bias and fill in questionnaires). During this time, the control group did not receive any training. After completing the training, a post-test was taken from both groups and the collected data were analyzed by SPSS software. Results: The findings showed that correcting cognitive bias towards physical appearance reduces cognitive bias towards physical appearance (P<0.01) and decreases desire for cosmetic surgery in student girls (P<0.01); But the effect of correcting cognitive bias towards physical appearance on self-esteem was not observed (P<0.01). Conclusion: Cognitive bias correction can be used as an effective method. Although the current research is limited in generalizability due to the use of a single-sex sample and targeted sampling, the clear findings based on the effect of cognitive bias correction on reducing cognitive bias towards physical appearance and also reducing the desire for cosmetic surgery. It opens a new perspective regarding the effect of unconscious interventions aimed at correcting cognitive biases on mental health. Cognitive bias correction has more therapeutic effect than group cognitive behavioral therapy, because the effectiveness of cognitive bias correction treatment is probably caused by changing the selective information processing pattern and interpretation biases in the tests, which are based on the models Cognitive are effective in creating and maintaining disorder. Cognitive bias correction method changes biases through more experimental and subtle methods (compared to verbal and more obvious psychotherapy processes).
Andisheh Golshan; Majid Zargham Hajebi; Nasser Sobhi-Gharamaleki
Abstract
Objective: Disability exists not only in the body of disabled but also in their attitudes. Negative attitudes and social barriers can lead to low self-esteem and depression in disabled people. This study was conducted to determine the effects of group training through Transactional Analysis on changing ...
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Objective: Disability exists not only in the body of disabled but also in their attitudes. Negative attitudes and social barriers can lead to low self-esteem and depression in disabled people. This study was conducted to determine the effects of group training through Transactional Analysis on changing of intimacy attitude, self-esteem and depression of physically disabled women in Kashan in 2019. Method: The research was performed in semi-experimental method with two groups (training and control) with pre-test, post-test and follow up design. The statistical population was 48 disabled women under care of welfare center, which 40 people were selected and divided equally in each group randomly. The research instruments were intimacy attitude Treadwell, Eysenck’s self esteem and Beck depression inventories. First, pre-test was conducted. Then 8 sessions of Transactional Analysis, were administrated to test group. For both groups, post-test (after training), and follow-up test (one month later) were taken. Analysis of variance with repeated measures was used to analyze data. Findings:The results showed that group training, increased self-esteem and intimacy attitude and its component (mental attitude and emotional attitude) and decreased depression (р≤0.01), also there was no significant difference between post-test and follow-up in training group. It shows the sustainability of these effects. Conclusion: Transactional Analysis group training can effectively increase intimacy attitudes and self-esteem and decrease depression in disabled by recognizing existential values and improving interpersonal communication.
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Mahmood Ekrami; Aazam Mirhaj
Volume 4, Issue 14 , May 2015, , Pages 98-112
Abstract
Aim: The aim of this study was to compare the general health and Self-esteem Status Of the aged women trained in Iran Alzheimer's Association and Other.Method: Forty aged women were selected and divided into 2 groups via matched pair design. One group (n=20) was trained in Iran Alzheimer's Association ...
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Aim: The aim of this study was to compare the general health and Self-esteem Status Of the aged women trained in Iran Alzheimer's Association and Other.Method: Forty aged women were selected and divided into 2 groups via matched pair design. One group (n=20) was trained in Iran Alzheimer's Association and (n=20) was not trained and not association. The research method was causal-comparative and the data were collected via Goldberg's general health questionnaire and Cooper Smite self-esteem inventory. Findings: First Result of one-sample t-test showed that general health and self-esteem were high in aged women population. Second Result of independent t-test showed that both variables in the trained group were higher than the ones in the untrained group (Sig. 0/001). Third result with the same linear regression model indicated the relationship between general health and self-esteem of aged women. Fourth result based on matched chi square test, no relationship was seen between self-esteem and general health of aged women with their personal characteristics (education level, marital status, job position, economic situation, health conditions).Conclusion: Aged women training affects their general health and self-esteem.
