Determining the Relationship between Sexual Schemas and Body Image with the Mediation of Perfectionism and Dysfunctional Beliefs in People with Body Deformities in Beauty Clinics

Subject Areas : women health

Roghaye  Eslam nia ¹ (Department of Psychology, Rudehen Branch, Islamic Azad University, Rudehen, Iran)
Javad  Khalatbari ² (- (Corresponding author) Associate Professor, Psychology, Tonkabon Branch, Islamic Azad University, Tonkabon, Iran, [e-mail] , Tell: 09013642238)
Shohreh  Ghorbanshiroodi ³ (Associate Professor, Psychology, Tonkabon Branch, Islamic Azad University, Tonkabon, Iran)

Received: 2023-12-15 Accepted : 2024-02-07 Published : 2024-06-07

Keywords: Body Image, Dysfunctional Beliefs, Perfectionism, People with Body Deformities, Sexual Schemas ,

Abstract :

Abstract Introduction: People with body deformity disorder suffer from anxiety in different areas of their life due to their perceived defects and they are often attacked by disturbing or unwanted images and thoughts about their physical appearance, and as a result, their quality of life and daily functioning decreases, so the research The purpose of this study was to determine the relationship between sexual schemas and body image through the mediation of perfectionism and dysfunctional beliefs in people with body deformities in the beauty clinics of Mazandaran province. Research Method: The current research method is correlational and structural equation modeling (SEM). The statistical population of the research was made up of people who referred to the beauty clinics of Mazandaran province (the cities of Amol, Babol, Sari and Qaimshahr). Based on Klein's opinion, the sample size was 330 people selected in a purposeful and random way. The data collection tool was Anderson and Siranoski's (1994) gender schema questionnaire, Ten Sooto and Garcia's (2002) body image satisfaction questionnaire, Trishort et al.'s (1995) perfectionism questionnaire, and Wiseman and Beck's (1982) dysfunctional beliefs scale. In this research, SPSS22 and Amose23 software were used to analyze the information obtained from structural regression equation modeling. Findings: The results of the research showed that the lower limit is 0.46 and the upper limit is 0.65 between the two variables of perfectionism and ineffective beliefs as mediating variables between gender schema and body image. The confidence level for this confidence interval is 95. Considering that zero is outside this confidence interval, this relationship is a significant mediator. Conclusion: considering that the extent to which people pay attention to their appearance largely depends on the schemas related to appearance. These body patterns are used as a cognitive format to evaluate a person's appearance and body image emotions - the body image is the shape that a person has of his body in his mind. When contextual trigger events occur, body image thoughts and emotions trigger adaptive and self-directed activities or coping strategies. Disturbance in these emotional, behavioral and cognitive elements of body image is the core of the pathology of anorexia nervosa, anorexia nervosa and body image disorder.

References:

References
1. Ganesan S, Ravishankar SL, Ramalingam S. Are Body Image Issues Affecting Our Adolescents? A Cross-sectional Study among College Going Adolescent Girls. Indian J Community Med. 2018;43(Suppl 1): S42-S46. DOI: 10.4103/IJCM.IJCM_62_18. PMID: 30686874; PMCID: PMC6324036.
2. Henn A, Taube CO, Vocks S, Hartmann AS. Body image as well as eating disorder and body dysmorphic disorder symptoms in hetero-, homo-, and bisexual women. Front In Psychiatry. 2019; 10:531. DOI: 10.3389/FPSYT.2019.00531
3. McGuire JK, Doty JL, Catalpa JM, Ola C. Body image in transgender young people: Findings from a qualitative, community based study. Body Image. 2016; 18:96–107. DOI: 10.1016/J.BODYIM.2016.06.004
4. Swami V, Tran US, Stieger S, Voracek M. Associations between women’s body image and happiness: results of the youbeauty. com body image survey (YBIS). J Happiness Stud. 2015; 16(3):705–18. DOI: 10.1007/S10902-014-9530-7
5. Bellino S, Zizza M, Paradiso E, Rivarossa A, Fulcheri M, Rogetto F. Dysmorphic concern symptoms and personality disorders: A clinical ivest, 144 Ligation in patients seeking cosmetic surgery. Psychiatry Research. 2006; 1:73-78. DOI: 10.1016/J.PSYCHRES.2005.06.010
6. Hajiabllo K, Hallajzadeh H, Masoudnia E. Comparison of Social Capital Among the Two Groups of Women with A History of Cosmetic Surgery and Without Performing Cosmetic Surgeries in Rasht. Journal of Applied Sociology. 2018; 29(4): 167-182. DOI: 10.22108/JAS.2018.103670.1088
7. American Psychiatric Association, DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc; 2013. HTTPS://DOI.ORG/10.1176/ APPI.BOOKS.9780890425596
8. Slade E, Kern PA, Kegebein RL, Liu C, Thompson JC, Kelly TH, King VL, DiPaola RS, Surratt HL. Collaborative team dynamics and scholarly outcomes of multidisciplinary research teams: A mixed-methods approach. J Clin Transl Sci. 2023; 3; 7(1):e59. DOI: 10.1017/CTS.2023.9. PMID: 37008617; PMCID: PMC10052417.
9. Abdulrahman OM, Fawzia IA, Mariam A, Alaa MA, Fajer AB, Fatima S, Lulwa A, Wassin BA. Disordered Eating Attitudes Among University Students in Kuwait: The Role of Gender and Obesity. International Journal of Preventive Medicine. 2016; 30(22): 7-67. DOI: 10.4103/2008-7802.180413
10. Al Ghadeer HA, AlAlwan MA, AlAmer MA, Alali FJ, Alkhars GA, Alabdrabulrida SA, Al Shabaan HR, Buhlaigah AM, AlHewishel MA, Alabdrabalnabi HA. Impact of Self-Esteem and Self-Perceived Body Image on the Acceptance of Cosmetic Surgery. Cureus. 2021; 13(10): e18825. DOI: 10.7759/CUREUS.18825.
11. Kasmaei P, Farhadi Hassankiade R, Karimy M, Kazemi S, Morsali F, Nasollahzadeh S. Role of Attitude, Body Image, Satisfaction and Socio-Demographic Variables in Cosmetic Surgeries of Iranian Students. World J Plast Surg. 2020; 9(2):186-193. DOI: 10.29252/WJPS.9.2.186.
12. Bidkhori M, Yaseri M, Akbari Sari A, Majdzadeh R. Relationship between Socioeconomic Factors and Incidence of Cosmetic Surgery in Tehran, Iran. Iran J Public Health. 2021; 50(2): 360-368. DOI: 10.18502/IJPH.V50I2.5351.
13. Alotaibi AS. Demographic and Cultural Differences in the Acceptance and Pursuit of Cosmetic Surgery: A Systematic Literature Review. Plast Reconstr Surg Glob Open. 2021: 24;9(3):e3501. DOI: 10.1097/GOX.0000000000003501.
14. McCrossan S, Martin S, Hill C. Medical Tourism in Aesthetic Breast Surgery: A Systematic Review. Aesthetic Plast Surg. 2021; 45(4): 1895-1909. DOI: 10.1007/S00266-021-02251-1. EPUB 2021 APR 19.
15. McAuliffe PB, Muss TEL, Desai AA, Talwar AA, Broach RB, Fischer JP. Complications of Aesthetic Surgical Tourism Treated in the USA: A Systematic Review. Aesthetic Plast Surg. 2023;47(1):455-464. DOI: 10.1007/S00266-022-03041-Z. EPUB 2022 OCT 31.
16. Murphy D, Lane O’Neill B, Dempsey MP. COVID-19 and cosmetic tourism: a google trends analysis of public interests and the experience from a tertiary plastic surgery centre. J Plast Reconstr Aesthetic Surg. 2022; 25:1. DOI: 10.1016/J.BJPS.2022.01.040.
17. Morris MP, Toyoda Y, Christopher AN, Broach RB, Percec I. A Systematic Review of Aesthetic Surgery Training Within Plastic Surgery Training Programs in the USA: An In-Depth Analysis and Practical Reference. Aesthetic Plast Surg. 2022; 46(1): 513-523. DOI: 10.1007/S00266-021-02557-0. EPUB 2021 AUG 31. PMID: 34467421.
18. Movassaghi K, Gougoutas AJ. Commentary on: A 10-Year Review of Surgical Outcomes at a Resident Aesthetic Clinic. Aesthet Surg J Open Forum. 2022: 3; 4: ojac080. DOI: 10.1093/4: OJACOJAC080. PMID: 36751380; PMCID: PMC9897167.
19. Taylor AL, Aravind P, Bhoopalam M, Chen J, Girard AO, Colakoglu S, Krucoff KB, Broderick KP, Goldberg NH, Manson PN, Rad AN, Reddy SK. A 10-Year Review of Surgical Outcomes at the Johns Hopkins and University of Maryland Resident Aesthetic Clinic. Aesthet Surg J Open Forum. 2022:18; 4: ojac074. DOI: 10.1093/ASJOF/OJAC074. PMID: 36415222; PMCID: PMC9673761.
20. Rind DM, McQueen RB, Herron-Smith S, Herce-Hagiwara B, Gutierrez E, Campbell JD, Fluetsch N, Pearson SD. The effectiveness and value of tezepelumab for severe asthma. J Manag Care Spec Pharm. 2022 May; 28(5): 577-580. DOI: 10.18553/JMCP.2022.28.5.577.
21. Littleton HL, Ollendick T. Negative body image and disordered eating behavior in children and adolescents: what places youth at risk and how can these problems be prevented? Clin Child Fam Psychol Rev. 2003 Mar; 6(1):51-66. DOI: 10.1023/A:1022266017046.
22. Donaghue N. Body satisfaction, sexual self-schemas and subjective well-being in women. Body Image. 2009; 6(1):37-42. DOI:10.1016/J.BODYIM.2008.08.002.
23. Rochlin DH, Matros E, Sheckter CC. Declining commercial market share in facial reconstructive surgery: Implications for academic plastic surgery and training future generations. J Plast Reconstr Aesthet Surg. 2022; 75(12): 4484-4493. DOI: 10.1016/J.BJPS.2022.08.071. EPUB 2022 AUG 27. PMID: 36241505; PMCID: PMC9669143.
24. Telich-Tarriba JE, Seidman-Sorsby A, Cruz-Zermeño M, Leyva-Vazquez A, Telich-Vidal J. Development and Implementation of an Aesthetic Surgery Fellowship After Residency: The Universidad La Salle/Hospital Angeles Experience. Aesthetic Plast Surg. 2023; 47(Suppl 1): 85-87. DOI: 10.1007/S00266-022-02964-X. EPUB 2022 JUN 13. PMID: 35697815.
25. Hyland CJ, Yates EF, Broyles JM. A Narrative Review of Plastic Surgery and Climate Change: Context and Considerations. Plast Reconstr Surg Glob Open. 2022: 16; 10(12): e4703. DOI: 10.1097/GOX.0000000000004703.
26. López-Medina IM, Álvarez-García C, Parra-Anguita L, Sanz-Martos S, Álvarez-Nieto C. Perceptions and concerns about sustainable healthcare of nursing students trained in sustainability and health: A cohort study. Nurse Educ Pract. 2022; 65: 103489. DOI: 10.1016/J.NEPR.2022.103489. EPUB 2022 OCT 29. PMID: 36343526.
27. Hyland CJ, Gadiraju G, Parikh N, Dey T, Broyles JM. Public Perceptions of Breast Implant Complications and the FDA Boxed Warning on Implants. Plast Reconstr Surg Glob Open. 2022: 8;10(11):e4439. DOI: 10.1097/GOX.0000000000004439.
28. Alizadeh S Omhai, Khosravi Z, Besharat M. [Irrational beliefs about the positive and negative perfectionism in students of the city of Noshahr]. Psychological studies journal 2009; 6(1): 42-9
29. Hoffmann SW, Tug S, Simon P. Obesity prevalence and unfavorable health risk behaviors among German kindergarten teachers: cross-sectional results of the kindergarten teacher health study. BMC Public Health. 2013 Oct 4; 13: 927. DOI: 10.1186/1471-2458-13-927.
30. Qin RX, Velin L, Yates EF, El Omrani O, McLeod E, Tudravu J, Samad L, Woodward A, McClain CD. Building sustainable and resilient surgical systems: A narrative review of opportunities to integrate climate change into national surgical planning in the Western Pacific region. Lancet Reg Health West Pac. 2022: 23; 22: 100407. DOI: 10.1016/J.LANWPC.2022.100407.
31. NIHR Global Health Unit on Global Surgery; COVIDSurg Collaborative. Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries. Lancet. 2022: 5; 400(10363): 1607-1617. DOI: 10.1016/S0140-6736(22)01846-3.
32. Eylert G, Wolfsberger C, Reischies-Meikl F, Winter R, Dong S, Michelitsch B, Kamolz LP, Lumenta DB. The Postsurgical Clavien-Dindo Classification in Minor Surgery Can Improve Perception and Communication (Investigation on Blepharoplasty). J Pers Med. 2022: 14; 12(11): 1900. DOI: 10.3390/JPM12111900.
33. Pearlman RL, Wilkerson AH, Cobb EK, Morrissette S, Lawson FG, Mockbee CS, Humphries LS, Ward KHM, Nahar VK. Factors Associated with Likelihood to Undergo Cosmetic Surgical Procedures Among Young Adults in the United States: A Narrative Review. Clin Cosmet Investig Dermatol. 2022: 12; 15: 859-877. DOI: 10.2147/CCID.S358573.
34. Cyranowski JM, Aarestad SL, Andersen BL. The role of sexual self-schema in a diathesis-stress model of sexual dysfunction. Appl Prev Psychol. 1999; 8(3):217–228. DOI: 10.1016/S0962-1849(05)80078-2.
35. Mojtabaei, M., Saberi, H., Alizadeh, A. (2015).The Role of Sexual – Self Schema And Body Imag On women Sexual Function. Health Psychology 2015; 4(13): 21-40. DOI: 20.1001.1.23221283.1394.4.13.2.4
36. Souto CMRM, Garcia TR. Construction and validation of a Body Image Rating Scale: a preliminary study. Int J Nursing Term Class. 2002; 13(4): 117–26. HTTPS://DOI.ORG/10.1111/J.1744-618X.2002.TB00415.X
37. Moosavi M, Aghaei A. Studying the Effectiveness of Dialectical Behavior Therapy on Body Image and Depression of Women with Postpartum Depression Living in Isfahan City, Iran. MEJDS 2022; 12 :46-46
URL: HTTP://JDISABILSTUD.ORG/ARTICLE-1-2201-FA.HTML
38. Terry-Short LA, Owens RG, Slade PD, Dewey ME. Positive and Negative Perfectionism. Personality and Individual Differences. 1997; 18: 663-668. HTTP://DX.DOI.ORG/10.1016/0191-8869(94)00192-U
39. Moltafet, G. Investigate Psychometric Evaluation of Ryff's psychological well-being scale in Gifted High School Students: reliability, validity and factor structure. Quarterly of Educational Measurement, 2017; 7(27): 103-119. DOI: 10.22054/JEM.2017.11432.1332
40. Beck AT, Brown G, Weissmabn AN. Factor analysis of the Dysfunctional Attitude Scale in a clinical population. Psychol Assess 1991; 3:478-83. DOI:10.1037/1040-3590.3.3.478
41. Ebrahimi A, Moosavi S G. Development and validation of the Dysfunctional Attitude Scale -26 items: factor structure, reliability and validity in Psychiatric outpatients.. J. Ilam Uni. Med. Sci. 2013; 21 (5):20-28. URL: HTTP://SJIMU.MEDILAM.AC.IR/ARTICLE-1-210-FA.HTML
42. Pearlman RL, Wilkerson AH, Cobb EK, Morrissette S, Lawson FG, Mockbee CS, Humphries LS, Ward KHM, Nahar VK. Factors Associated with Likelihood to Undergo Cosmetic Surgical Procedures Among Young Adults in the United States: A Narrative Review. Clin Cosmet Investig Dermatol. 2022: 12; 15:859-877. DOI: 10.2147/CCID.S358573.
43. Wu Y, Alleva JM, Broers NJ, Mulkens S. Attitudes towards cosmetic surgery among women in China and the Netherlands. PLoS One. 2022: 21; 17(4):e0267451. DOI: 10.1371/JOURNAL.PONE.0267451.
44. Phillips KA, Diaz SF. Gender differences in body dysmorphic disorder. J Nerv Ment Dis. 1997; 185(9):570-7. DOI: 10.1097/00005053-199709000-00006.
45. Beck M, Billoir E, Felten V, Meyer A, Usseglio-Polatera P, Danger M. Lessons from linking bio- and ecological traits to stoichiometric traits in stream macroinvertebrates. Ecol Evol. 2022: 8; 12(12):e9605. DOI: 10.1002/ECE3.9605.