ارائه مدل ساختاری تصویر تن بر اساس طرحواره‌‌های جنسی، تیپ شخصیتی، نگرش به خوردن با میانجی‌گری کمال‌گرایی در افراد دچار آسیب فرهنگی اختلال بدشکلی بدن

محورهای موضوعی : پزشکی و بهداشت

رقیه اسلام نیا ¹ , جواد خلغتبری ^{2 *} , شهره قربان شیرودی ³

1 - دانشجوی دکتری روان شناسی سلامت، گروه روان شناسی، دانشکده علوم انسانی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
2 - دانشیار، گروه روان شناسی، دانشکده علوم انسانی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
3 - دانشیار، گروه روان شناسی، دانشکده علوم انسانی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران

تاریخ دریافت : 1402/07/22 تاریخ پذیرش : 1402/09/27 تاریخ انتشار : 1402/10/01

کلید واژه: کمال‌گرایی, نگرش به خوردن, تصویر تن, تیپ شخصیتی, طرحواره‌‌های جنسی,

چکیده مقاله :

هدف پژوهش حاضر، ارائه مدل ساختاری تصویر تن بر اساس طرحواره‌‌های جنسی، تیپ شخصیتی، نگرش به خوردن با میانجی گری کمال‌گرایی در زنان با آسیب فرهنگی اختلال ‌بدشکلی‌بدن مراجعه‌کننده به کلینیک‌ های زیبایی استان مازندران بود. جامعه آماری پژوهش زنان مراجعه کننده به کلینیک‌ های زیبایی استان مازندران (شهر‌های آمل، بابل، ساری و قائم شهر) بود. حجم نمونه 330 نفر بود که به روش هدفمند انتخاب شدند. روش پژوهش حاضر، همبستگی و از نوع مدل‌یابی معادلات ساختاری (SEM) است. ابزار گردآوری داده‌ها پرسشنامه رضایت از تصویر تن سوئوتو و گارسیا (2002)، پرسشنامه طرح‌واره جنسی اندرسون و سیروانوسکی (1994)، پرسشنامه تیپ شخصیتی کاستا و مک‌کری (1992)، پرسشنامه نگرش به خوردن کانر و همکارانش (1979) و پرسشنامه کمال‌گرایی تری‌شورت و همکاران (1995) بود. در این پژوهش برای تجزیه و تحلیل داده ها از مدل‌یابی معادلات ساختاری و از نرم افزار SPSS22 و Amos23 استفاده شد. نتایج نشان داد که بین طرحواره‌ های جنسی و تصویر تن در افراد با ‌بدشکلی‌بدن با میانجی گری کمال گرایی رابطه معنادار وجود دارد. هم چنین بین تیپ شخصیتی و تصویر تن در افراد با بدشکلی‌بدن با میانجی گری کمال گرایی رابطه معنادار وجود دارد. بین نگرش به خوردن و تصویر تن نیز در افراد با ‌بدشکلی‌بدن با میانجی گری کمال گرایی رابطه معنادار وجود دارد.در کل نتایج نشان داد که تصویر تن با همه متغیرهای مورد بررسی ارتباط معناداری دارد و از آن جا که ظاهر انسان بخشی از شخصیت و هویت فرد را تشکیل می دهد و در موقعیت های فرهنگی و اجتماعی نمایان می شود نارضایتی از آن عامل خطر برای بسیاری از اختلالات را فراهم می کند.

چکیده انگلیسی:

The purpose of the present study was to propose a structural model of body image based on gender schemas, personality type, attitude to eating with the mediation of perfectionism in individuals with cultural pathology and body dysmorphic disorder referred to the beauty clinics of Mazandaran province. The statistical population of the research embraced individuals who referred to the beauty clinics of Mazandaran province (Amol, Babol, Sari and Qaimshahr cities). The sample included 330 participants whom were selected through purposive procedure. The method of the current research was correlational of structural equation modeling (SEM) one. Data was collected by implementing Tan Sooto and Garcia's (2002) Body Image Satisfaction Questionnaire, Cyranowski (1994) Sexual Schema Questionnaire, Costa and McCrae's (1996) Personality Type Questionnaire, Mintz et al.'s (2000) Eating Attitude Questionnaire, Terry-Shorte et al. and Perfectionism Questionnaire (1995). To analyze the data structural equation modeling was applied via utilizing SPSS22 and Amose23 software. The results of the research showed that there was a significant relationship between gender schemas and body image in individuals with body dysmorphic disorder with the mediation of perfectionism. The results also indicated that personality type was significantly correlated to body image in participants with body dysmorphic disorder through the mediation of perfectionism. There was also a significant correlation between eating attitude and body image in subjects with body dysmorphic disorder, with the mediation of perfectionism. Finally, the findings revealed that body image was significantly related to all the investigated variables, and in fact, it could be concluded that since the appearance of a person is a part of a person's personality and identity and it appears in cultural and social situations dissatisfaction with it provides a risk factor for many disorders.

منابع و مأخذ:

Abdulrahman, O. M., Fawzia, I. A., Mariam, A., Alaa, M. A., Fajer, A. B., Fatima, S., Lulwa, A., Wassin, B. A. (2016). Disordered eating attitudes among university students in kuwait: the role of gender and obesity. International Journal of Preventive Medicine, 30(22), 7-67. doi: 10.4103/2008-7802.180413

Al Ghadeer, H. A., AlAlwan, M. A., AlAmer, M. A., Alali, F. J., Alkhars, G. A., Alabdrabulrida, S. A., Al Shabaan, H. R., Buhlaigah, A. M., AlHewishel, M. A., Alabdrabalnabi, H. A. (2021). Impact of self esteem and self perceived body image on the acceptance of cosmetic surgery. Cureus. 16(10), e18825. DOI: 10.7759/cureus.18825

Alotaibi, A.S. (2021). Demographic and cultural differences in the acceptance and pursuit of cosmetic surgery: A systematic literature review. Plast Reconstr Surg Glob Open, 24(3), e3501. DOI: 10.1097/GOX.0000000000003501

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. https://doi.org/10.1176/appi.books.9780890425596

Andersen, B.L., Cyranowski, J.M. (1994). Women's sexual self-schema. J Personal Soc Psychol,  67(6), 1079. DOI: 10.1037/0022-3514.67.6.1079

Atiyeh, B. S., Rubeiz, M. T., & Hayek, S. N. (2020). Aesthetic cosmetic surgery and ethical challenges. Aesthetic Plast Surg, 44(4), 1364-1374. DOI: 10.1007/s00266-020-01821-z

Bidkhori, M., Yaseri, M., Akbari Sari, A., & Majdzadeh, R. (2021). Relationship between socioeconomic factors and incidence of cosmetic surgery in tehran, iran. Iranian Journal of Public Health, 50(2), 360-368. DOI: 10.18502/ijph.v50i2.5351

Chen, J., Ishii, M., Bater, K.L., Darrach, H., Liao, D., Huynh, P. P., Reh, I. P., Nellis, J. C., Kumar, A. R., & Ishii, L. E. (2019). Association between the use of social media and photograph editing applications, aelf-esteem, and cosmetic surgery acceptance. JAMA Facial Plastic Surgery, 1, 21(5), 361-367. DOI: 10.1001/jamafacial.2019.0328

Chosak, A., Marques, L., Greenberg, J. L., Jenike, E., Dougherty, D. D., & Wilhelm, S. (2008). Body dysmorphic disorder and obsessive – compulsive disorder: Similarities, differences and the classification debate. Expert review of neurotherapeutics, 8(8), 1209 -1218. DOI:10.1586/14737175.8.8.1209

Cyranowski, J. M., Aarestad, S. L., Andersen, B. L. (1994). The role of sexual self-schema in a diathesis-stress model of sexual dysfunction. Appl Prev Psychol. 8(3):217–228. DOI: 10.1016/S0962-1849(05)80078-2

Eylert, G., Wolfsberger, C., Reischies-Meikl, F., Winter, R., Dong, S., Michelitsch, B., Kamolz, L. P., & Lumenta, D. B. (2022). The postsurgical clavien-dindo classification in minor surgery can improve perception and communication (Investigation on Blepharoplasty). Journal of Personalized Medicine, 14, 12(11), 1900. DOI: 10.3390/jpm12111900

Ferneini, E. M. (2021). Facial cosmetic surgery. Journal of Oral and Maxillofacial Surgery, 79(9), 1977-1978. DOI: 10.1016/j.joms.2021.06.017

Gupta, R., Park, J. B., Bisht, C., Herzog, I., Weisberger, J., Chao, J., Chaiyasate, K., & Lee, E. S. (2023). Expanding cosmetic plastic surgery research with chat gpt. Aesthetic Surgery Journal, 15,43(8), 930-937. DOI: 10.1093/asj/sjad069

Haghshenas, H. (1999). Persian version and standardizlJtion of ned personality inventory revised. Iranian Journal of Psychiatry and Clinical Psychology (IJPCP) , 4(4), 38-48. URL: http://ijpcp.iums.ac.ir/article-1-1757-fa.html

Hajiabllo, K., Hallajzadeh, H., & Masoudnia, E. (2018). 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, 29(4), 167-182. DOI: 10.22108/jas.2018.103670.1088

Hashemi, T., & Mohammadpanah Ardakan, O. (2019). The mediating role of negative body image and neurotic defense mechanisms in the relationship of personality traits with tendency to cosmetic surgery. Journal of Modern Psychological Researches, 13(52), 281-304. [Persian] URL: https://psychologyj.tabrizu.ac.ir/article_8635.html?lang=fa

Hertenstein, E., Trinca, E., Wunderlin, M., Schneider, C. L., Züst, M. A., Fehér, K. D., Su, T., Straten, A. V., Berger, T., Baglioni, C., Johann, A., Spiegelhalder, K., Riemann, D., Feige, B., & Nissen, C. (2022). Cognitive behavioral therapy for insomnia in patients with mental disorders and comorbid insomnia: A systematic review and meta-analysis. Sleep Med Rev, 62, 101597. DOI: 10.1016/j.smrv.2022.101597

Hyland, C. J., Gadiraju, G., Parikh, N., Dey, T., & Broyles, J. M. (2022). Public Perceptions of breast implant complications and the fda boxed warning on implants. Plast Reconstr Surg Glob Open, 8, 10(11), e4439. DOI: 10.1097/GOX.0000000000004439

Hyland, C. J., Yates, E. F., & Broyles, J. M. (2022). A narrative review of plastic surgery and climate change: context and considerations. Plast Reconstr Surg Glob Open, 16, 10(12), e4703. DOI: 10.1097/GOX.0000000000004703

Kasmaei, P., Farhadi Hassankiade, R., Karimy, M., Kazemi, S., Morsali, F., & Nasollahzadeh, S. (2020). Role of attitude, body image, satisfaction and socio-demographic variables in cosmetic surgeries of iranian students. Word Journal of Plastic SurgeryORLD, 9(2), 186-193. DOI: 10.29252/wjps.9.2.186

Kline, R. B. (2015). Principles and practices of structural equation modeling (Forth Eds.). NewYork: Guilford.

Khorshidi, F., & Fathi Aghdam, G. (2019). Relationship between public self- efficacy and attachment styles with body image of girls students. Iranian Journal of Psychiatric Nursing, 6(1), 26-34. [Persian] URL: http://ijpn.ir/article-1-1052-fa.html

López-Medina, I. M., Álvarez-García, C., Parra-Anguita, L., Sanz-Martos, S., & Álvarez-Nieto, C. (2022). Perceptions and concerns about sustainable healthcare of nursing students trained in sustainability and health: A cohort study. Nurse Educ Pract, 65, 103489. DOI: 10.1016/j.nepr.2022.103489

McAuliffe, P. B., Muss, T. E. L,, Desai, A. A., Talwar, A. A., Broach, R.B., Fischer, J. P. (2023). Complications of aesthetic surgical tourism treated in the usa: a systematic review. Aesthetic Plast Surg, 47(1), 455-464. DOI: 10.1007/s00266-022-03041-z

McCrae, R. R., Terracciano, A., De Fruyt, F., De Bolle, M., Gelfand, M. J., & Costa, P. T. (2010).  Collaborators of the adolescent Journal of Personality, , 78(3), 815-38. DOI: 10.1111/j.1467-6494.2010.00634.x

McCrae, R. R., Zonderman, A. B., Costa, P. T., Jr Bond, M. H., & Paunonen, S.V. (1996). Evaluating replicability of factors in the revised neo personality inventory: confirmatory factor analysis versus Procrustes rotation. Journal of Personality and Social Psychology, 70(3), 552–566. URL: https://doi.org/10.1037/0022-3514.70.3.552

McCrae, R. R., & Löckenhoff, C. E. (2010). Self-regulation and the five-factor model of personality traits. In R. H. Hoyle (Ed.), Handbook of personality and self-regulation (pp. 145–168). Wiley Blackwell. URL:  https://doi.org/10.1002/9781444318111.ch7

McCrossan, S., Martin, S., & Hill, C. (2021). Medical tourism in aesthetic breast surgery: a systematic review. Aesthetic Plast Surg, 45(4), 1895-1909. DOI: 10.1007/s00266-021-02251-1

Mi tz, L.B., & O'Halloran, M.S. (2000). The eating attitudes test: validation with dsmiv eating disorder criteria. Journal of Personality Assessmen, 74(3), 489-503. DOI: 10.1207/S15327752JPA7403_11

Mohammadpanah Ardakan, A., Babapour Kheir-ol-din, J., & Yousefi, R. (2014). Validity of persian version of socio-cultural attitudes towards appearance questionnaire (SATAQ-3) using factor analysis. Journal of Dermatology and Cosmetics, 5(1), 22-32. [Persian] URL: http://jdc.tums.ac.ir/article-1-5061-fa.html

Mojtabaei, M., Saberi, H., & Alizadeh, A. (2015). The role of sexual self schema and body imag on women sexual function. Health Psychology, 4(13), 21-40. DOI: 20.1001.1.23221283.1394.4.13.2.4

Mollazadeh Esfanjani, R., Arazi, H., Rohi, S., & Mohammadi, M. (2012). Effects of aerobic training on eating disorders in non-athlete female students. Journal of Shahid Sadoughi University of Medical Sciences, 20(3), 322-31. URL: http://jssu.ssu.ac.ir/article-1-2064-en.html

Momeni, M., Ghorbani, A., & Hasandoost, F. (2016). Predictors of body image dissatisfaction among students of qazvin university of medical Sciences. Iranian Journal of Psychiatric Nursing, 4(1), 28-37. URL: http://ijpn.ir/article-1-765-fa.html

Moosavi, M., & Aghaei, A. (2022). Studying the effectiveness of dialectical behavior therapy on body image and depression of women with postpartum depression living in isfahan city, iran. Journal of Disability Studies, 12, 46-46
URL: http://jdisabilstud.org/article-1-2201-fa.html

Morris, M. P., Toyoda, Y., Christopher, A. N., Broach, R. B., & Percec, I. A. (2022). Systematic review of aesthetic surgery training within plastic surgery training programs in the usa: an in-depth snalysis and practical reference. Aesthetic Plast Surg, 46(1), 513-523. DOI: 10.1007/s00266-021-02557-0

Movassaghi, K., & Gougoutas, A. J. (2022). Commentary on: a 10 year review of surgical outcomes at a resident aesthetic clinic. Aesthetic Surgery Journal Open Forum, 3(4)ojac080. DOI: 10.1093/asjof/ojac080

Murphy, D., Lane O’Neill, B., & Dempsey, M.P. (2022). COVID-19 and cosmetic tourism: a google trends analysis of public interests and the experience from a tertiary plastic surgery centre. Journal of Plastic, Reconstructive & Aesthetic Surgery, 25, 1. DOI: 10.1016/j.bjps.2022.01.040

Noghani, M., Khorasani, M. M., & Varshoe, S. (2010). Social factors influencing women to have cosmetic surgery. Women's Studies Sociological and Psychological, 8(4), 75-101. DOI: 10.22051/JWSPS.2010.1385

Pearlman, R. L., Wilkerson, A. H., Cobb, E. K., Morrissette, S., Lawson, F. G., Mockbee, C. S., Humphries, L. S., Ward, K.H. M., Nahar., V. K. (2022). Factors associated with likelihood to undergo cosmetic surgical procedures among young adults in the united states: A Narrative Review. Clin Cosmet Investig Dermatol, 12(15), 859-877. DOI: 10.2147/CCID.S358573

Phillips, K. (2002). Pharmacologic treatment of body dysmorphic disorder:  review of the evidence and a recommended treatment approach. CNS Spectrums, 7(6), 453-463. DOI:10.1017/S109285290001796X

Qin, R.X., Velin, L., Yates, E.F., El Omrani, O., McLeod, E., Tudravu, J., Samad, L., Woodward, A., & McClain, C. D. (2022). 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, 23(22), 100407. DOI:10.1016/j.lanwpc.2022.100407

Reßing, N., Marquardt, V., Gertzen, C. G. W., Schöler, A., Schramm, A., Kurz, T., Gohlke, H., Aigner, A., Remke, M., & Hansen, F. K. (2018). Design, synthesis and biological evaluation of β-peptoid-capped HDAC inhibitors with anti-neuroblastoma and anti-glioblastoma activity. Medchemcomm, 10(7), 1109-1115. DOI: 10.1039/c8md00454d

Rochlin, D. H., Matros, E., & Sheckter, C. C. (2022). Declining commercial market share in facial reconstructive surgery: Implications for academic plastic surgery and training future generations. Journal of Plastic, Reconstructive & Aesthetic Surgery, 75(12), 4484-4493. DOI: 10.1016/j.bjps.2022.08.071

Sheivandi, K., Naeimi, E., & Farshad, M. R. (2016). The structural model of self-compassion and psychological well-being, self-esteem and body image among female students of Shiraz University with mediator. Clinical Psychology Studies, 6(24), 115-133. [Persian] URL: https://jcps.atu.ac.ir/article_6526.html?lang=fa

Sindi, E. E., Bondagji, M. F., Malibary, J. A., Alghamdi, M. K., Baashar, D. S., Sindi, S. A., Almalki, A. M., Alsaedi, F., & Al-Otaibi, H. O. (2023). An evaluation of the effect of social media platforms on the general population's decision-making about cosmetic procedures in makkah city, saudi arabia. Cureus, 15(6), e41093. DOI: 10.7759/cureus.41093

Souto, C.M.R.M., & Garcia, T.R. (2002). Construction and validation of a Body Image Rating Scale: a preliminary study. The International Journal of Community-Based Nursing and Midwifery,13(4), 117–126. URL: https://doi.org/10.1111/j.1744-618x.2002.tb00415.x

Stuzin, J. M., & Rohrich, R. J. (2021). Plastic and reconstructive surgery and the evolution of cosmetic surgery education. Plast Reconstr Surg, 147(3), 783-788. DOI: 10.1097/PRS.0000000000007697

Taylor, A.L., Aravind, P., Bhoopalam, M., Chen, J., Girard, A. O., Colakoglu, S., Krucoff, K. B., Broderick, K. P., & Goldberg, N. H. Manson, P. N., Rad, A.N., Reddy, S.K. (2023). A 10-year review of surgical outcomes at the johns hopkins and university of maryland resident aesthetic clinic. Aesthetic Surgery Journal Open Forum, 18(4), 74-91. DOI: 10.1093/asjof/ojac074

Telich-Tarriba, J. E., Seidman-Sorsby, A., Cruz-Zermeño, M., Leyva-Vazquez, A., & Telich-Vidal, J. (2023). Development and implementation of an aesthetic surgery fellowship after residency: the universidad la salle hospital angeles experience. Aesthetic Plast Surg, 47(1), 85-87. DOI: 10.1007/s00266-022-02964-x

Terry-Short, L. A., Owens, R. G., Slade, P. D., & Dewey, M. E. (1997). Positive and negative perfectionism. Personality and Individual Differences, 18, 663-668. URL: http://dx.doi.org/10.1016/0191-8869(94)00192-U

Vatankhah, M., & Samani, S. (2016). Mediating role of achievement motivation for perfectionism and achievement goal in professional athletics. Psychological Methods and Models, 7(24), 103-126. DOI: 20.1001.1.22285516.1395.7.24.7.9

Wu, Y., Alleva, J. M., Broers, N. J., & Mulkens, S. (2022). Attitudes towards cosmetic surgery among women in China and the Netherlands. PLoS One, 17(4), e0267451. DOI: 10.1371/journal.pone.0267451