رابطه خودشفقتی و نشانگان بدریختانگاری بدن در زنان متقاضی دریافت جراحیهای زیبایی: نقش واسطهای همجوشی شناختی مربوط به تصویر بدنی
الموضوعات :زهرا قوی 1 , آزاده طاولی 2 , شقایق زهرایی 3
1 - گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه الزهرا، تهران، ایران
2 - گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه الزهرا، تهران، ایران ( نویسنده مسئول )a.tavoli@alzahra.ac.ir
3 - گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، دانشگاه الزهرا، تهران، ایران
الکلمات المفتاحية: خودشفقتی, جراحیهای زیبایی, نشانگان بدریخت انگاری بدنی, همجوشی شناختی مربوط به تصویر بدنی,
ملخص المقالة :
هدف از انجام پژوهش حاضر بررسی نقش واسطهای متغیر همجوشی شناختی مربوط به تصویر بدنی در رابطهی بین متغیر خودشفقتی و متغیر نشانگان بدریختانگاری بدن در زنان متقاضی دریافت جراحیهای زیبایی است. روش مورد استفاده در پژوهش موجود، توصیفی از نوع همبستگی است. جامعهی آماری دربرگیرندهی تمام زنان 20 تا 50 سالهای بود که به کلینکهای زیبایی شهر تهران جهت دریافت جراحیهای زیبایی و یا مشاوره در مورد آن مراجعه کرده بودند. نمونهی این پژوهش شامل 319 نفر است که به صورت در دسترس انتخاب شدند. جهت گردآوری اطلاعات مورد نیاز پژوهش از پرسشنامههای مقیاس فرم کوتاه خودشفقتی (SCS-SF)، مقیاس اصلاحشدهی وسواس فکری جبری ییل-بروان، برای اختلال بدریختانگاری بدنی (BDD-YBOCS) و پرسشنامهی همجوشی شناختی-تصویر بدنیCFQ-BI) ) استفاده شد. دادهها با کمک مدلسازی معادلات ساختاری تجزیه و تحلیل شد و با توجه به نتایج حاصل از پژوهش حاضر میتوان بیان داشت که عامل فراتشخیصی همجوشی شناختی مربوط به تصویر بدنی در رابطهی بین خودشفقتی و نشانگان بدریخت انگاری بدنی در زنان متقاضی دریافت جراحیهای زیبایی نقش واسطهای کامل دارد. به عبارت دیگر میتوان گفت نگرش غیر قضاوتی به افکار مربوط به ظاهر بدنی به فرد این فرصت را میدهد که بهصورت روانشناختی از افکار خود فاصله گرفته و با آنها همجوشی پیدا نکند و علائم بدریخت انگاری بدن در وی تخفیف یابد. پیشنهاد میشود از نتایج پژوهش حاضر جهت آموزش روانی متقاضیان دریافت جراحیهای زیبایی دارای نشانگان بدریختانگاری بدن به ویژه با تمرکز بر مفاهیم خودشفقتی و همجوشی شناختی استفاده گردد.
Aghajani, S., Gharib Bolouk, M., & Samadifard, H. R. (2019). The Relationship between Self-Concept, Cognitive Fusion and Social Well-Being with Body Dysmorphic Disorder among Female Teenagers Seyfullah. Journal of Research in Behavioural Sciences, 17(3), 457–466. https://doi.org/10.22122/rbs.v17i3.2570. (In Persian)
Allen, L. M., Roberts, C., Zimmer-Gembeck, M. J., & Farrell, L. J. (2020). Exploring the relationship between self-compassion and body dysmorphic symptoms in adolescents. Journal of Obsessive-Compulsive and Related Disorders, 25(December 2019), 100535. https://doi.org/10.1016/j.jocrd.2020.100535
Almeida, V., Leite, Â., Constante, D., Correia, R., Almeida, I. F., Teixeira, M., Vidal, D. G., Pedrosa e Sousa, H. F., Dinis, M. A. P., & Teixeira, A. (2020). The mediator role of body image-related cognitive fusion in the relationship between disease severity perception, acceptance and psoriasis disability. Behavioral Sciences, 10(9). https://doi.org/10.3390/BS10090142
Barnard, L., & Curry, J. (2016). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
Basharpoor, S., Mowlaie, M., & Sarafrazi, L. (2020). The role of cognitive fusion, distress tolerance and self-compassion in post traumatic growth of abused individuals in their childhood. Shenakht Journal of Psychology and Psychiatry, 7(3), 87–100. (In Persian)
Bento, S., Ferreira, C., Mendes, A. L., & Marta-Simoes Claudia; ORCID: http://orcid.org/0000-0002-7020-9606, J. A. I.-O. http://orcid. org/Ferreir. (2017). Emotion regulation and disordered eating: The distinct effects of body image-related cognitive fusion and body appreciation. Psychologica, 60(2), 11–25. https://doi.org/http://dx.doi.org/10.14195/1647-8606_60-2_1
Carvalho, S. A., Pinto-Gouveia, J., Gillanders, D., & Castilho, P. (2019). Pain and Depressive Symptoms: Exploring Cognitive Fusion and Self-Compassion in a Moderated Mediation Model. Journal of Psychology: Interdisciplinary and Applied, 153(2), 173–186. https://doi.org/10.1080/00223980.2018.1507990
Duarte, C., & Pinto-Gouveia, J. (2017). The impact of early shame memories in Binge Eating Disorder: The mediator effect of current body image shame and cognitive fusion. Psychiatry Research, 258, 511–517. https://doi.org/10.1016/j.psychres.2017.08.086
Farokhi, S., Rezaei, F., & Gholamrezaei, S. (2018). The Effectiveness of Self-Compassion Cognitive Training on Experiential Avoidance & Cognitive Fusion in Patients with Chronic Pain. Positive Psychology Research, 3(4), 29–40. (In Persian)
Fernández-Rodríguez, C., Coto-Lesmes, R., Martínez-Loredo, V., & Cuesta-Izquierdo, M. (2022). Psychological Inflexibility, Anxiety and Depression: The Moderating Role of Cognitive Fusion, Experiential Avoidance and ActivationPaixão, C., Oliveira, S., & Ferreira, C. (2021). A comprehensive model of disordered eating among aesthetic athletic girls: . Psicothema, 34(2), 240–248. https://doi.org/10.7334/psicothema2021.344
Ferreira, C., Trindade, I. A., Duarte, C., & Pinto-Gouveia, J. (2015). Getting entangled with body image: Development and validation of a new measure. Psychology and Psychotherapy: Theory, Research and Practice, 88(3), 304–316. https://doi.org/10.1111/papt.12047
Hrabosky, J. I., Cash, T. F., Veale, D., Neziroglu, F., Soll, E. A., Garner, D. M., Strachan-Kinser, M., Bakke, B., Clauss, L. J., & Phillips, K. A. (2009). Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: A multisite study. Body Image, 6(3), 155–163. https://doi.org/10.1016/j.bodyim.2009.03.001
Khan, S., Makhdoom, I. F., Atta, M., & Malik, N. I. (2021). Relationship of Self-Compassion and Dysmorphic Concern in the Role of Appearance Contingent Self-worth among University Students. Ilkogretim Online, 20(5), 3580–3587.
Khanjani, S, Foroughi, A., Sadghi, K., & Bahrainian, S. (2016). Psychometric properties of Iranian version of self-compassion scale (short form). Pejouhandeh, 5(113), 282–289. (In Persian)
Khanjani, Sajad, Foroughi, A., & Noori, M. (2019). Psychometric Properties of Iranian Version of Compassion to Others Scale in Nurses. Health, Spirituality and Medical Ethics, 6(1), 25–32.
Khooy, M. P., Kehtary, L., Gharadaghi, A., & Eidi, M. (2021). The Effectiveness of Compassion-Focused Therapy on Experiential Avoidance and Cognitive Fusion of Cancer Patients with Depressive Symptoms. Quarterly Journal of Health Psychology, 118(4), 105–118. (In Persian)
Kline. (2005). principles and practice of structural equation modeling (3rd ed.). Guilford Press. http://books.google.com.my/
Melo, D., Oliveira, S., & Ferreira, C. (2020). The link between external and internal shame and binge eating: the mediating role of body image-related shame and cognitive fusion. Eating and Weight Disorders, 25(6), 1703–1710. https://doi.org/10.1007/s40519-019-00811-8
Müllerová, J., & Weiss, P. (2018). Plastic surgery in gynaecology: Factors affecting women’s decision to undergo labiaplasty. Mind the risk of body dysmorphic disorder: A review. Journal of Women and Aging, 00(00), 1–18. https://doi.org/10.1080/08952841.2018.1529474
Neff, K. D. (2003). The Development andValidation ofa Scale to Measure Self-Compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860390209035
Neff, K. D. (2012). The science of self-compassion. Compassion and Wisdom in Psychotherapy. New York, NY: Guilford Press.
Paixão, C., Oliveira, S., & Ferreira, C. (2021). A comprehensive model of disordered eating among aesthetic athletic girls: Exploring the role of body image-related cognitive fusion and perfectionistic self- presentation. Current Psychology, 40(11), 5727–5734. https://doi.org/10.1007/s12144-020-01142-z
Phillips, K. A., Hollander, E., Rasmussen, S. A., & Aronowitz, B. R. (1997). A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacology Bulletin, 33(1), 17.
Pyszkowska, A., Rożnawski, K., & Farny, Z. (2021). Self-stigma and cognitive fusion in parents of children with autism spectrum disorder. The moderating role of self-compassion. PeerJ, 9, 1–19. https://doi.org/10.7717/peerj.12591
Rabiee, M., Khorramdel, K., Kalantari, M., & Molavi, H. (2010). Factor Structure, Validity and Reliability of the Modified Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder in Students. Iranian Journal of Psychiatry and Clinical Psychology, 15(4), 343–350. (In Persian)
Rezaeisharif, A., Cheraghian, H., & Naeim, M. (2021). Effectiveness of Acceptance and Commitment Therapy on Reducing Body Image Disorders in Adolescent Girls. Addictive Disorders & Their Treatment, 20(4), 336–341. (In Persian)
Roberts, C. L. (2019). Body Dysmorphic Disorder in Adolescents : A New Multidimensional Measure and Associations with Social Risk , Mindfulness , and Self-Compassion Author [Griffith]. https://doi.org/10.25904/1912/551
Rosen, J. C., & Ramirez, E. (1998). A comparison of eating disorders and body dysmorphic disorder on body image and psychological adjustment. Journal of Psychosomatic Research, 44(3–4), 441–449. https://doi.org/10.1016/S0022-3999(97)00269-9
Ruffolo, J. S., Phillips, K. A., Menard, W., Fay, C., & Weisberg, R. B. (2006). Comorbidity of body dysmorphic disorder and eating disorders: Severity of psychopathology and body image disturbance. International Journal of Eating Disorders, 39(1), 11–19. https://doi.org/10.1002/eat.20219
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). kaplan & sadock’s synopsis of psychiatry: behavioral sciences (11th ed.). wolters kluwer.
Scardera, S., Sacco, S., Di Sante, J., & Booij, L. (2020). Body image-related cognitive fusion and disordered eating: the role of self-compassion and sad mood. Eating and Weight Disorders, 26(2), 483–490. https://doi.org/10.1007/s40519-020-00868-w
Simões, M., Ferreira, C., & Mendes, A. (2017). Cognitive fusion: Maladaptive emotion regulation endangering body image appreciation and related eating behaviours. European Psychiatry, 41(1), 556–557.
Tirch, D., Schoendorff, B., Silberstein, L., Gilbert, P., & Hayes, S. (2014). The ACT Practitioner’s Guide to the Science of Compassion: Tools for Fostering Psychological Flexibility. New Harbinger Publications.
Trindade, I. A., & Ferreira, C. (2015). Falling in the traps of your thoughts: The impact of body image-related cognitive fusion on inflexible eating. Eating Behaviors, 19, 49–52. https://doi.org/10.1016/j.eatbeh.2015.06.004
Valikhani, A., & Goodarzi, M. A. (2017). Contingencies of Self-Worth and Psychological Distress in Iranian Patients Seeking Cosmetic Surgery: Integrative Self-Knowledge as Mediator. Aesthetic Plastic Surgery, 41(4), 955–963. https://doi.org/10.1007/s00266-017-0853-8. (In Persian)
Wen, N. (2017). Celebrity influence and young people’s attitudes toward cosmetic surgery in Singapore: The role of parasocial relationships and identification. International Journal of Communication, 11, 19.
Wyssen, A., Leins, J., Reichenberger, J., Blechert, J., Munsch, S., & Steins-Loeber, S. (2020). Body-related cognitive distortions (thought–shape fusion body) associated with thin-ideal exposure in female students—An ecological momentary assessment study. Clinical Psychology and Psychotherapy, 27(2), 220–227. https://doi.org/10.1002/cpp.2421
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Aghajani, S., Gharib Bolouk, M., & Samadifard, H. R. (2019). The Relationship between Self-Concept, Cognitive Fusion and Social Well-Being with Body Dysmorphic Disorder among Female Teenagers Seyfullah. Journal of Research in Behavioural Sciences, 17(3), 457–466. https://doi.org/10.22122/rbs.v17i3.2570. (In Persian)
Allen, L. M., Roberts, C., Zimmer-Gembeck, M. J., & Farrell, L. J. (2020). Exploring the relationship between self-compassion and body dysmorphic symptoms in adolescents. Journal of Obsessive-Compulsive and Related Disorders, 25(December 2019), 100535. https://doi.org/10.1016/j.jocrd.2020.100535
Almeida, V., Leite, Â., Constante, D., Correia, R., Almeida, I. F., Teixeira, M., Vidal, D. G., Pedrosa e Sousa, H. F., Dinis, M. A. P., & Teixeira, A. (2020). The mediator role of body image-related cognitive fusion in the relationship between disease severity perception, acceptance and psoriasis disability. Behavioral Sciences, 10(9). https://doi.org/10.3390/BS10090142
Barnard, L., & Curry, J. (2016). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
Basharpoor, S., Mowlaie, M., & Sarafrazi, L. (2020). The role of cognitive fusion, distress tolerance and self-compassion in post traumatic growth of abused individuals in their childhood. Shenakht Journal of Psychology and Psychiatry, 7(3), 87–100. (In Persian)
Bento, S., Ferreira, C., Mendes, A. L., & Marta-Simoes Claudia; ORCID: http://orcid.org/0000-0002-7020-9606, J. A. I.-O. http://orcid. org/Ferreir. (2017). Emotion regulation and disordered eating: The distinct effects of body image-related cognitive fusion and body appreciation. Psychologica, 60(2), 11–25. https://doi.org/http://dx.doi.org/10.14195/1647-8606_60-2_1
Carvalho, S. A., Pinto-Gouveia, J., Gillanders, D., & Castilho, P. (2019). Pain and Depressive Symptoms: Exploring Cognitive Fusion and Self-Compassion in a Moderated Mediation Model. Journal of Psychology: Interdisciplinary and Applied, 153(2), 173–186. https://doi.org/10.1080/00223980.2018.1507990
Duarte, C., & Pinto-Gouveia, J. (2017). The impact of early shame memories in Binge Eating Disorder: The mediator effect of current body image shame and cognitive fusion. Psychiatry Research, 258, 511–517. https://doi.org/10.1016/j.psychres.2017.08.086
Farokhi, S., Rezaei, F., & Gholamrezaei, S. (2018). The Effectiveness of Self-Compassion Cognitive Training on Experiential Avoidance & Cognitive Fusion in Patients with Chronic Pain. Positive Psychology Research, 3(4), 29–40. (In Persian)
Fernández-Rodríguez, C., Coto-Lesmes, R., Martínez-Loredo, V., & Cuesta-Izquierdo, M. (2022). Psychological Inflexibility, Anxiety and Depression: The Moderating Role of Cognitive Fusion, Experiential Avoidance and ActivationPaixão, C., Oliveira, S., & Ferreira, C. (2021). A comprehensive model of disordered eating among aesthetic athletic girls: . Psicothema, 34(2), 240–248. https://doi.org/10.7334/psicothema2021.344
Ferreira, C., Trindade, I. A., Duarte, C., & Pinto-Gouveia, J. (2015). Getting entangled with body image: Development and validation of a new measure. Psychology and Psychotherapy: Theory, Research and Practice, 88(3), 304–316. https://doi.org/10.1111/papt.12047
Hrabosky, J. I., Cash, T. F., Veale, D., Neziroglu, F., Soll, E. A., Garner, D. M., Strachan-Kinser, M., Bakke, B., Clauss, L. J., & Phillips, K. A. (2009). Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: A multisite study. Body Image, 6(3), 155–163. https://doi.org/10.1016/j.bodyim.2009.03.001
Khan, S., Makhdoom, I. F., Atta, M., & Malik, N. I. (2021). Relationship of Self-Compassion and Dysmorphic Concern in the Role of Appearance Contingent Self-worth among University Students. Ilkogretim Online, 20(5), 3580–3587.
Khanjani, S, Foroughi, A., Sadghi, K., & Bahrainian, S. (2016). Psychometric properties of Iranian version of self-compassion scale (short form). Pejouhandeh, 5(113), 282–289. (In Persian)
Khanjani, Sajad, Foroughi, A., & Noori, M. (2019). Psychometric Properties of Iranian Version of Compassion to Others Scale in Nurses. Health, Spirituality and Medical Ethics, 6(1), 25–32.
Khooy, M. P., Kehtary, L., Gharadaghi, A., & Eidi, M. (2021). The Effectiveness of Compassion-Focused Therapy on Experiential Avoidance and Cognitive Fusion of Cancer Patients with Depressive Symptoms. Quarterly Journal of Health Psychology, 118(4), 105–118. (In Persian)
Kline. (2005). principles and practice of structural equation modeling (3rd ed.). Guilford Press. http://books.google.com.my/
Melo, D., Oliveira, S., & Ferreira, C. (2020). The link between external and internal shame and binge eating: the mediating role of body image-related shame and cognitive fusion. Eating and Weight Disorders, 25(6), 1703–1710. https://doi.org/10.1007/s40519-019-00811-8
Müllerová, J., & Weiss, P. (2018). Plastic surgery in gynaecology: Factors affecting women’s decision to undergo labiaplasty. Mind the risk of body dysmorphic disorder: A review. Journal of Women and Aging, 00(00), 1–18. https://doi.org/10.1080/08952841.2018.1529474
Neff, K. D. (2003). The Development andValidation ofa Scale to Measure Self-Compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860390209035
Neff, K. D. (2012). The science of self-compassion. Compassion and Wisdom in Psychotherapy. New York, NY: Guilford Press.
Paixão, C., Oliveira, S., & Ferreira, C. (2021). A comprehensive model of disordered eating among aesthetic athletic girls: Exploring the role of body image-related cognitive fusion and perfectionistic self- presentation. Current Psychology, 40(11), 5727–5734. https://doi.org/10.1007/s12144-020-01142-z
Phillips, K. A., Hollander, E., Rasmussen, S. A., & Aronowitz, B. R. (1997). A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacology Bulletin, 33(1), 17.
Pyszkowska, A., Rożnawski, K., & Farny, Z. (2021). Self-stigma and cognitive fusion in parents of children with autism spectrum disorder. The moderating role of self-compassion. PeerJ, 9, 1–19. https://doi.org/10.7717/peerj.12591
Rabiee, M., Khorramdel, K., Kalantari, M., & Molavi, H. (2010). Factor Structure, Validity and Reliability of the Modified Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder in Students. Iranian Journal of Psychiatry and Clinical Psychology, 15(4), 343–350. (In Persian)
Rezaeisharif, A., Cheraghian, H., & Naeim, M. (2021). Effectiveness of Acceptance and Commitment Therapy on Reducing Body Image Disorders in Adolescent Girls. Addictive Disorders & Their Treatment, 20(4), 336–341. (In Persian)
Roberts, C. L. (2019). Body Dysmorphic Disorder in Adolescents : A New Multidimensional Measure and Associations with Social Risk , Mindfulness , and Self-Compassion Author [Griffith]. https://doi.org/10.25904/1912/551
Rosen, J. C., & Ramirez, E. (1998). A comparison of eating disorders and body dysmorphic disorder on body image and psychological adjustment. Journal of Psychosomatic Research, 44(3–4), 441–449. https://doi.org/10.1016/S0022-3999(97)00269-9
Ruffolo, J. S., Phillips, K. A., Menard, W., Fay, C., & Weisberg, R. B. (2006). Comorbidity of body dysmorphic disorder and eating disorders: Severity of psychopathology and body image disturbance. International Journal of Eating Disorders, 39(1), 11–19. https://doi.org/10.1002/eat.20219
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). kaplan & sadock’s synopsis of psychiatry: behavioral sciences (11th ed.). wolters kluwer.
Scardera, S., Sacco, S., Di Sante, J., & Booij, L. (2020). Body image-related cognitive fusion and disordered eating: the role of self-compassion and sad mood. Eating and Weight Disorders, 26(2), 483–490. https://doi.org/10.1007/s40519-020-00868-w
Simões, M., Ferreira, C., & Mendes, A. (2017). Cognitive fusion: Maladaptive emotion regulation endangering body image appreciation and related eating behaviours. European Psychiatry, 41(1), 556–557.
Tirch, D., Schoendorff, B., Silberstein, L., Gilbert, P., & Hayes, S. (2014). The ACT Practitioner’s Guide to the Science of Compassion: Tools for Fostering Psychological Flexibility. New Harbinger Publications.
Trindade, I. A., & Ferreira, C. (2015). Falling in the traps of your thoughts: The impact of body image-related cognitive fusion on inflexible eating. Eating Behaviors, 19, 49–52. https://doi.org/10.1016/j.eatbeh.2015.06.004
Valikhani, A., & Goodarzi, M. A. (2017). Contingencies of Self-Worth and Psychological Distress in Iranian Patients Seeking Cosmetic Surgery: Integrative Self-Knowledge as Mediator. Aesthetic Plastic Surgery, 41(4), 955–963. https://doi.org/10.1007/s00266-017-0853-8. (In Persian)
Wen, N. (2017). Celebrity influence and young people’s attitudes toward cosmetic surgery in Singapore: The role of parasocial relationships and identification. International Journal of Communication, 11, 19.
Wyssen, A., Leins, J., Reichenberger, J., Blechert, J., Munsch, S., & Steins-Loeber, S. (2020). Body-related cognitive distortions (thought–shape fusion body) associated with thin-ideal exposure in female students—An ecological momentary assessment study. Clinical Psychology and Psychotherapy, 27(2), 220–227. https://doi.org/10.1002/cpp.2421