Volume 26, Issue 6 (9-2019)
RJMS 2019, 26(6): 1-12 |
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Dastghir S, Karimi J. The relationship between body Image cognitive fusion, body image psychological inflexibility, meaning in life and mindfulness with body dysmorphic disorder in female Students.. RJMS 2019; 26 (6) :1-12
URL: http://rjms.iums.ac.ir/article-1-5622-en.html
URL: http://rjms.iums.ac.ir/article-1-5622-en.html
University of Malayer, Malayer, Iran (Corresponding author) j.karimi@malayeru.ac.ir , j.karimi@malayeru.ac.ir
Abstract: (4268 Views)
Background: Body dysmorphic disorder is one of the most common adolescent disorders, which is defined as preoccupation with imaginary defect or exaggerated distortion of a minor physical defect. The purpose of the present study is to investigate the relationship of body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness with body dysmorphic disorder in a group of female students in Khoramabad city.
Methods: This is a correlation study and the population comprised of all second-grade female students in Khoramabad city in 2016-17 academic year. Of these, n=364 were selected using random cluster sampling. The data collection instruments were the modified Yale-Brown Obsessive-Compulsive Scale for Body Dysmorphic Disorder, Cognitive Fusion Questionnaire- Body Image (CFQ-BI), Body Image Psychological Inflexibility Scale (BIPIS), Engaged Living Scale (ELS) and Mindfulness Attention Awareness Scale (MAAS). The collected data were analyzed using SPSS-v22.0, Pearson correlation coefficient and multivariate regression analysis using a step-wise method.
Results: The results showed that body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness were significantly correlated with body dysmorphic disorder in female students (p<0.05). Body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness played a significant role in anticipating the body dysmorphic disorder in female students. These four variables predicted 85.7% of variation in body dysmorphic disorder.
Conclusion: According to the results, body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness can predict body dysmorphic disorder. Hence, they need to be considered in the treatment of body dysmorphic disorder.
Methods: This is a correlation study and the population comprised of all second-grade female students in Khoramabad city in 2016-17 academic year. Of these, n=364 were selected using random cluster sampling. The data collection instruments were the modified Yale-Brown Obsessive-Compulsive Scale for Body Dysmorphic Disorder, Cognitive Fusion Questionnaire- Body Image (CFQ-BI), Body Image Psychological Inflexibility Scale (BIPIS), Engaged Living Scale (ELS) and Mindfulness Attention Awareness Scale (MAAS). The collected data were analyzed using SPSS-v22.0, Pearson correlation coefficient and multivariate regression analysis using a step-wise method.
Results: The results showed that body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness were significantly correlated with body dysmorphic disorder in female students (p<0.05). Body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness played a significant role in anticipating the body dysmorphic disorder in female students. These four variables predicted 85.7% of variation in body dysmorphic disorder.
Conclusion: According to the results, body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness can predict body dysmorphic disorder. Hence, they need to be considered in the treatment of body dysmorphic disorder.
Keywords: Body dysmorphic disorder, Body image psychological inflexibility, Mindfulness, Meaning of life, Body image-related cognitive fusion
Type of Study: Research |
Subject:
Psychiatry
References
1. 1. Enander J, Ivanov VZ, Mataix-Cols D, Kuja-Halkola R, Ljotsson B, Lundstrom S, et al. Prevalence and heritability of body dysmorphic symptoms in adolescents and young adults: a population-based nationwide twin study. Psychol Med; 2018 Feb 28:1-8.
2. 2. Association AP. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®): American Psychiatric Pub; 2013.
3. 3. Phillips KA, Menard W, Fay C, Pagano ME. Psychosocial functioning and quality of life in body dysmorphic disorder. Comprehensive Psychiatry; 2005 .46(4):254-60.
4. 4. Phillips KA, Menard W, Fay C, Weisberg R. Demographic Characteristics, Phenomenology, Comorbidity, and Family History in 200 Individuals With Body Dysmorphic Disorder. Psychosomatics; 2005.46(4):317-25.
5. 5. Angelakis I, Gooding PA, Panagioti M. Suicidality in body dysmorphic disorder (BDD): A systematic review with meta-analysis. Clin Psychol Rev; 2016 .49:55-66.
6. 6. Cororve MB, Gleaves DH. Body dysmorphic disorder: a review of conceptualizations, assessment, and treatment strategies. Clin Psychol Rev; 2001 .21(6):949-70.
7. 7. Moulton SJ, Gullyas C, Hogg FJ, Power KG. Psychosocial predictors of body image dissatisfaction in patients referred for NHS aesthetic surgery. J Plastic Reconstruct Aesthetic Surg; 2018 .71(2):149-54.
8. 8. Cerea S, Bottesi G, Grisham JR, Ghisi M. Body dysmorphic disorder and its associated psychological and psychopathological features in an Italian community sample. Int J Psychiatry Clin Pract; 2018.22(3):206-14.
9. 9. Fergus TA, Valentiner DP, Gillen MJ, Hiraoka R, Twohig MP, Abramowitz JS, et al. Assessing psychological inflexibility: The psychometric properties of the Avoidance and Fusion Questionnaire for Youth in two adult samples. Psychol Assess; 2012.24(2):402–8.
10. 10. Fledderus M, Bohlmeijer ET, Fox JP, Schreurs KM, Spinhoven P. The role of psychological flexibility in a self-help acceptance and commitment therapy intervention for psychological distress in a randomized controlled trial. Behav Res Ther; 2013 Mar.51(3):142-51.
11. 11. Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev; 2010 Nov.30(7):865-78. 12. Hayes SC, Pistorello J, Levin ME. Acceptance and commitment therapy as a unified model of behavior change. CounselPsychol; 2012.40(7):976-1002.
12. 13. Ferreira C, Trindade IA, Duarte C, Pinto-Gouveia J. Getting entangled with body image: Development and validation of a new measure. Psychology and Psychotherapy: Theory, Research and Practice. 2014.
13. 14. Trindade IA, Ferreira C. The impact of body image-related cognitive fusion on eating psychopathology. Eat Behav; 2014 Jan.15(1):72-5. 15. Ferreira C, Palmeira L, Trindade IA. Turning eating psychopathology risk factors into action. The pervasive effect of body image-related cognitive fusion. Appetite.; 2014 .80:137-42.
14. 16. Boulanger JL, Hayes SC, Pistorello J. Experiential Avoidance as a Functional Contextual Concept. In: Kring AM, Sloan DM, editors. Emotion regulation and psychopathology : a transdiagnostic approach to etiology and treatment. New York: Guilford Press; 2010. p. 107-36.
15. 17. Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K. Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. J Consul Clin Psychol; 1996.64(6):1152-68.
16. 18. Kirk A, Meyer JM, Whisman MA, Deacon BJ, Arch JJ. Safety behaviors, experiential avoidance, and anxiety: A path analysis approach. J Anxiety Disord; 2019 .64:9-15.
17. 19. Sandoz EK, Wilson KG, Merwin RM, Kate Kellum K. Assessment of body image flexibility: The Body Image-Acceptance and Action Questionnaire. J Context Behav Sci; 2013.2(1-2):39-48.
18. 20. Callaghan GM, Sandoz EK, Darrow SM, Feeney TK. The Body Image Psychological Inflexibility Scale: Development and psychometric properties. Psychiatry Res; 2015 .226(1):45-52.
19. 21. Linde J, Rück C, Bjureberg J, Ivanov VZ, Djurfeldt DR, Ramnerö J. Acceptance-Based Exposure Therapy for Body Dysmorphic Disorder: A Pilot Study. Behav Ther; 2015 .46(4):423-31.
20. 22. Möllmann A, Dietel FA, Hunger A, Buhlmann U. Prevalence of body dysmorphic disorder and associated features in German adolescents: A self-report survey. Psychiatry Res; 2017 .254:263-7.
21. 23. Mayville S, Katz RC, Gipson MT, Cabral K. Assessing the prevalence of body dysmorphic disorder in an ethnically diverse group of adolescents. J Child Fam Stud; 1999.8(3):357-62.
23. 24. Phillips KA, Hollander E, Rasmussen SA, Aronowitz BR. A severity rating scale for body dysmorphic disorder: Development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacol Bullet; 1997.33(1):17-22.
24. 25. Rabiee M, Khorramdel K, Kalantari M, Molavi H. Factor Structure, Validity and Reliability of the Modified Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder in Students. Iran J Psychiatry Clin Psychol; 2010.15(4):343-50. eng.
25. 26. Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being. J Personal Soc Psychol; 2003.84(4):822-48.
26. 27. Ghorbani N, Watson PJ. Two facets of self-knowledge, the five-factor model, and promotions among Iranian managers. Soc Behav Personal; 2004 .32(8):769-76.
27. 28. Amiri S, Yaghoubi, Abolghasem. Psychometric Properties of Body Image Psychological Inflexibility Scale. Iran J Psychiatry Clin Psychol; 2017.23(1):94-107.
28. 29. Trompetter HR, ten Klooster PM, Schreurs KMG, Fledderus M, Westerhof GJ, Bohlmeijer ET. Measuring values and committed action with the Engaged Living Scale (ELS): Psychometric evaluation in a nonclinical sample and a chronic pain sample. Psychol Assess; 2013.25(4):1235-46.
29. 30. Wilson AC, Wilhelm S, Hartmann AS. Experiential avoidance in body dysmorphic disorder. Body Image; 2014 .11(4):380-3.
30. 31. Bolderston H, Gillanders DT, Turner G, Taylor HC, Coleman A. The initial validation of a state version of the Cognitive Fusion Questionnaire. J Contextl Behav Sci; 2018.
31. 32. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther; 2006 Jan.44(1):1-25.
32. 33. Chawla N, Ostafin B. Experiential avoidance as a functional dimensional approach to psychopathology: an empirical review. J Clin Psychol; 2007.63(9):871-90.
33. 34. Hayes SC, Smith S. Get out of your mind and into your life: The new acceptance and commitment therapy: New Harbinger Publications; 2005.
34. 35. Shapiro SL, Carlson LE. The art and science of mindfulness: Integrating mindfulness into psychology and the helping professions: American Psychological Association; 2017.
35. 36. Hall HG, Beattie J, Lau R, East C, Anne Biro M. Mindfulness and perinatal mental health: A systematic review. Women Birth; 2016 .29(1):62-71.
36. 37. Shonin E, Van Gordon W, Griffiths MD. Current Trends in Mindfulness and Mental Health. Int J Ment Health Addict; 2014 April 01.12(2):113-5.
37. 38. Kabat-Zinn J. Mindfulness. Mindfulness;
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