Volume 11, Issue 4 (2023)                   Health Educ Health Promot 2023, 11(4): 621-626 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sohrabi M, Bakhtiarpour S, Sohrabi F, Eftekhar Saadi Z, Asgari P. Effect of Contextual Schema Therapy on Body Image and Psychosomatic Symptoms in Individuals with Perfectionism Disorder. Health Educ Health Promot 2023; 11 (4) :621-626
URL: http://hehp.modares.ac.ir/article-5-71245-en.html
1- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
2- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran
Abstract:   (428 Views)
Aims: Individuals are consistently influenced by maladaptive core beliefs known as incompatible schemas, which are formed in childhood and can contribute to the development of psychological disorders. Therefore, there is a need for effective interventions to address these schemas. The present study aimed to investigate the effectiveness of contextual schema therapy on body image and psychosomatic symptoms in individuals with perfectionism disorder.
Materials & Methods: This research used a quasi-experimental design with pre-test, mid-test, and post-test phases. In this regard, 12 participants diagnosed with perfectionism disorder were purposefully selected from individuals seeking psychological services in Tehran in 2022. Participants engaged in 40 sessions of 60 minutes each of contextual schema therapy, during which they responded to the Multidimensional Body-Self Relations Questionnaire and Psychosomatic Complaints Scale in all three phases. Data were analyzed using repeated measures analysis of variance.
Findings: The effectiveness of contextual schema therapy on body image and psychosomatic symptoms in individuals diagnosed with perfectionism disorder was found to be significant, and this difference was observed across all test phases (p<0.001).
Conclusion: Contextual schema therapy led to improvements in body image and psychosomatic symptoms. The application of this therapeutic approach is recommended for the enhancement of the mentioned disorders in individuals with perfectionism disorder.
 
Full-Text [PDF 691 kb]   (174 Downloads) |   |   Full-Text (HTML)  (6 Views)  
Article Type: Original Research | Subject: Health Promotion Approaches
Received: 2023/08/25 | Accepted: 2023/11/4 | Published: 2023/11/19
* Corresponding Author Address: Department of Psychology, Ahvaz Branch, Islamic Azad University, Golestan Highway, Ahvaz, Iran. Postal Code: 68875-61349 (bakhtiyarpours@gmail.com)

References
1. Feizollahi Z, Asadzadeh H, Mousavi SR. Prediction of symptoms of psychosomatic disorders in university students based on perfectionism mediated by smartphone addiction. Caspian J Health Res. 2022;7(3):151-8. [Link] [DOI:10.32598/CJHR.7.3.421.1.7]
2. Suh H, Liou PY, Jeong J, Kim SY. Perfectionism, prolonged stress reactivity, and depression: A two-wave cross-lagged analysis. J Ration Emot Cogn Behav Ther. 2022;1-15. [Link] [DOI:10.1007/s10942-022-00483-x]
3. Wang Y, Chen J, Zhang X, Lin X, Sun Y, Wang N, et al. The relationship between perfectionism and social anxiety: A moderated mediation model. Int J Environ Res Public Health. 2022;19(19):12934. [Link] [DOI:10.3390/ijerph191912934]
4. Zhang Y, Bai X, Yang W. The chain mediating effect of negative perfectionism on procrastination: An ego depletion perspective. Int J Environ Res Public Health. 2022;19(15):9355. [Link] [DOI:10.3390/ijerph19159355]
5. Nazari N. Perfectionism and mental health problems: Limitations and directions for future research. World J Clin Cases. 2022;10(14):4709-12. [Link] [DOI:10.12998/wjcc.v10.i14.4709]
6. Kiani-Sheikhabadi M, Beigi M, Mohebbi-Dehnavi Z. The relationship between perfectionism and body image with eating disorder in pregnancy. J Educ Health Promot. 2019;8:242. [Link]
7. Jafari M, Lamiyan M, Hajizadeh E. Relationship between health literacy and special quality of life and body image in women undergone mastectomy in reproductive age. Health Educ Health Promot. 2018;6(3):109-15. [Link] [DOI:10.29252/HEHP.6.3.109]
8. Berry RA, Rodgers RF, Campagna J. Outperforming iBodies: A conceptual framework integrating body performance self-tracking technologies with body image and eating concerns. Sex Roles. 2021;85:1-12. [Link] [DOI:10.1007/s11199-020-01201-6]
9. Hicks RE, Kenny B, Stevenson S, Vanstone DM. Risk factors in body image dissatisfaction: Gender, maladaptive perfectionism, and psychological wellbeing. Heliyon. 2022;8(6):e09745. [Link] [DOI:10.1016/j.heliyon.2022.e09745]
10. Molaeinezhad M, Scheidt C, Afshar H, Jahanfar S, Sohran F, Salehi M, et al. Bodily map of emotions in Iranian people. Health Educ Health Promot. 2021;9(2):153-64. [Link] [DOI:10.31234/osf.io/m9qsv]
11. Prnjak K, Jukic I, Tufano JJ. Perfectionism, body satisfaction and dieting in athletes: The role of gender and sport type. Sports (Basel). 2019;7(8):181. [Link] [DOI:10.3390/sports7080181]
12. McComb SE, Mills JS. The effect of physical appearance perfectionism and social comparison to thin-, slim-thick-, and fit-ideal Instagram imagery on young women's body image. Body Image. 2022;40:165-75. [Link] [DOI:10.1016/j.bodyim.2021.12.003]
13. Desai KM, Kale AD, Shah PU, Rana S. Psychosomatic disorders: A clinical perspective and proposed classification system. Arch Iran Med. 2018;21(1):44-5. [Link]
14. Tatayeva R, Ossadchaya E, Sarculova S, Sembayeva Z, Koigeldinova S. Psychosomatic aspects of the development of comorbid pathology: A review. Med J Islam Repub Iran. 2022;36:152. [Link] [DOI:10.47176/mjiri.36.152]
15. Bakhshi Bajestani A, Shahabizadeh F, Vaziri S, Lotfi Kashani F. The effectiveness of short-term psychoanalysis treatment in decreasing psychological distress and psychosomatic symptoms in patients with gastrointestinal dysfunction with personality type D. J North Khorasan Univ Med Sci. 2022;13(4):1-11.[Persian] [Link] [DOI:10.52547/nkums.13.4.1]
16. Rezapour M, Soori H, Nezam Tabar A, Khanjani N. Psychosomatic problems and their relation with types of involvement in school bullying in Iranian students: A cross-sectional study. Int J School Health. 2020;7(1):6-13. [Link]
17. Bransfield RC, Friedman KJ. Differentiating psychosomatic, somatopsychic, multisystem illnesses, and medical uncertainty. Healthcare (Basel). 2019;7(4):114. [Link] [DOI:10.3390/healthcare7040114]
18. Walsh SD, Kolobov T, Raiz Y, Boniel-Nissim M, Tesler R, Harel-Fisch Y. The role of identity and psychosomatic symptoms as mediating the relationship between discrimination and risk behaviors among first and second generation immigrant adolescents. J Adolesc. 2018;64:34-47. [Link] [DOI:10.1016/j.adolescence.2018.01.004]
19. Kaya Tezel F, Tutarel Kişlak Ş, Boysan M. Relationships between childhood traumatic experiences, early maladaptive schemas and interpersonal styles. Noro Psikiyatr Ars. 2015;52(3):226-32. [Link] [DOI:10.5152/npa.2015.7118]
20. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioners guide. New York: The Guilford Press; 2003. [Link]
21. Roediger E, Stevens BA, Brockman R. Contextual schema therapy: An integrative approach to personality disorders, emotional dysregulation, and interpersonal functioning. Oakland: context press; 2018. [Link]
22. Emamzamani Z, Rahimian Boogar I, Mashhadi A. Effectiveness of contextual schema therapy for fear of negative evaluation and fear of positive evaluation in individuals with social anxiety disorder: Single subject design. Psychol Achiev. 2023;30(2):1-8. [Persian] [Link] [DOI:10.32598/shenakht.10.3.1]
23. Curtiss JE, Levine DS, Ander I, Baker AW. Cognitive-behavioral treatments for anxiety and stress-related disorders. Focus (Am Psychiatr Publ). 2021;19(2):184-9. [Link] [DOI:10.1176/appi.focus.20200045]
24. Ostadian Khani Z, Hassani F, Sepahmansour S, Keshavarziarshad F. The comparison of the efficacy of therapy based on acceptance and commitment and schema therapy on body image flexibility of the body and impulsivity among women with Binge eating disorder. J Appl Family Ther. 2021;2(4):285-309. [Persian] [Link]
25. Beckmann N, Baumann P, Herpertz S, Trojan J, Diers M. How the unconscious mind controls body movements: Body schema distortion in anorexia nervosa. Int J Eat Disord. 2021;54(4):578-86. [Link] [DOI:10.1002/eat.23451]
26. Shaker Dioulagh A, Salman Poor H. The effectiveness of schema therapy on modifying the first maladaptive schemas and reducing mood syndrome in suffers with skin disorders. Pars J Med Sci. 2022;15(4):46-52. [Persian] [Link] [DOI:10.52547/jmj.15.4.46]
27. Cash TF. The multidimensional Body-Self Relations Questionnaire. MBSRQ User's Manual (Third revision). Washington: APA PsycTests; 2000. [Link]
28. Shemshadi H, Shams A, Sahaf R, Shamsipour Dehkordi P, Zareian H, Moslem AR. Psychometric properties of Persian version of the multidimensional body-self relations questionnaire (MBSRQ) among Iranian elderly. Salmand: Iran J Ageing. 2020;15(3):298-311. [Persian] [Link] [DOI:10.32598/sija.15.3.61.13]
29. Takata Y, Sakata Y. Development of a psychosomatic complaints scale for adolescents. Psychiatry Clin Neurosci. 2004;58(1):3-7. [Link] [DOI:10.1111/j.1440-1819.2004.01184.x]
30. Hajloo N. Psychometric properties of Takata and Sakata's psychosomatic complaints scale among Iranian university students. J Res Behav Sci. 2012;10(3):204-12. [Link]
31. Stroink L, Mens E, Ooms MHP, Visser S. Maladaptive schemas of patients with functional neurological symptom disorder. Clin Psychol Psychother. 2022;29(3):933-40. [Link] [DOI:10.1002/cpp.2671]
32. Sobhani Z, Hosseini SV, Honarparvaran N, Khazraei H, Amini M, Hedayati A. The effectiveness of an online video-based group schema therapy in improvement of the cognitive emotion regulation strategies in women who have undergone bariatric surgery. BMC Surg. 2023;23(1):98. [Link] [DOI:10.1186/s12893-023-02010-w]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.