مقایسه ی راهبردهای کنترل فکر، زندگی ارزشمند و حساسیت به طرد مبتنی بر ظاهر در دانشجویان با و بدون اختلال بدریخت انگاری بدن

نویسندگان
سارا اسفندیاری گرکرودی
عباس ابوالقاسمی
سید موسی کافی
دانشگاه گیلان
چکیده
علی رغم مطالعات صورت گرفته، در زمینه راهبردهای کنترل فکر، زندگی ارزشمند و حساسیت به طرد مبتنی بر ظاهر در افراد با اختلال بدریخت انگاری بدن ابهامات و چالش هایی وجود دارد. هدف از این پژوهش مقایسه راهبردهای کنترل فکر، زندگی ارزشمند و حساسیت به طرد مبتنی بر ظاهر در دانشجویان با و بدون اختلال بدریخت انگاری بدن بود. در این پژوهش توصیفی از نوع علی-مقایسه ای، جامعه آماری کلیه دانشجویان دختر و پسر دانشگاه گیلان در سال تحصیلی 1400- 1399 بودند. نمونه پژوهش 110 نفر با اختلال بدریخت انگاری بدن و 163 نفر بدون اختلال بدریخت انگاری بدن بودند که به صورت در دسترس انتخاب شدند. جمع آوری داده ها از طریق پرسشنامه کنترل فکر ولز و دیویس(1994)، پرسشنامه زندگی ارزشمند ویلسون و همکاران (2010) و مقیاس حساسیت به طرد مبتنی بر ظاهر پارک(2007) و تحلیل آن ها با استفاده از تحلیل واریانس چند متغیری انجام گرفت. نتایج نشان داد که در دانشجویان با اختلال بدریخت انگاری بدن، راهبردهای کنترل فکر و حساسیت به طرد مبتنی بر ظاهر به طور معناداری بیشتر و زندگی ارزشمند به طور معناداری کم تر است(p0.01). دانشجویان با اختلال بدریخت انگاری بدن در زمینه راهبردهای کنترل فکر؛ راهبردهای نگرانی، تنبیه و کنترل اجتماعی به میزان بیشتر و راهبرد پرت کردن حواس و ارزیابی مجدد را کمتر بکار می برند و در زمینه زندگی ارزشمند، اهمیت و پیگیری حوزه های زندگی ارزشمند در آن ها پایین تر است(p<0.01). این یافته ها تلویحات مهمی برای زمینه های آسیب شناسی، پیشگیری و درمانی این اختلال دارد.
کلیدواژه‌ها
بدریخت انگاری بدن
حساسیت به طرد
زندگی ارزشمند
کنترل فکر

عنوان مقاله English

A comparison of thought control strategies, valued living and appearance-based rejection sensitivity between college students with and without body dysmorphic disorder

نویسندگان English

Sara Esfandyari Garkerudi
Abbas Abolghasemi
Seyyed Mousa Kafi
University of Guilan
چکیده English

Despite abundant research, there are still ambiguities and challenges about such variables as thought control strategies, valued living and appearance-based rejection sensitivity in individuals with body dysmorphic disorder. This descriptive) casual-comparative( study compared thought control strategies, valued living and appearance-based rejection sensitivity among college students with and without body dysmorphic disorder. Out of the statistical population of the study, all male and female students of Guilan University in the academic year of 1399-1400, 110 individuals with body dysmorphic disorder and 163 individuals without body dysmorphic disorder were sampled based on availability sampling method. Data were collected using questionnaires on thought control, valued living and appearance-based rejection sensitivity. The results showed that in the students with body dysmorphic disorder, thought control strategies and appearance-based rejection sensitivity were significantly higher and valued living was significantly lower (p≤0.01). As for the thought control strategies, the body dysmorphic disorder students used worry, punishment and social control to a greater extent, and strategies of distraction and reappraisal to a lesser extent; concerning valued living, the importance and consistency attributed to domains of valued living was lower in the body dysmorphic students (p<0.01). These findings have implications for the pathology, prevention and treatment of the disorder.

کلیدواژه‌ها English

Body dysmorphic
rejection sensitivity
Thought control
Valued living
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders 5th edition (DSM-5) (F. Rezaee, A. Fakhraee, A. Farmand, A. Niloufari, J. Hashemi Azar, F. Shamloo, Trans.). Tehran: Arjmand Publication. 2017. [Persian].
2. Talaei A, Fayyazi Bordbar MR, Nasiraei A, Rezaei Ardani A. Evaluation of Symptom Patterns and Frequency of Body Dysmorphic Disorder in Students of Mashhad University of Medical Sciences. Medical Journal of Mashhad University of Medical Sciences, 2009; 52(1): 49-56. [Persian].
3. Phillips KA. Understanding Body Dysmorphic Disorder: An Essential Guide. NewYork, NY: Oxford University Press; 2009.
4.Fang A, Wilhelm S. Clinical features, cognitive biases, and treatment of body dysmorphic disorder. Annu Rev Clin Psychol. 2015;11:187-212.
5. Wells A. Meta-cognitive therapy for anxiety and depression, New York: The Guilford Press; 2009.
6. Wells A. Emotional disorders and metacognition: Innovative cognitive therapy. Chinchester. UK: John Wiley & Sons; 2000.
7. Wells A, Davies MI. The Thought Control Questionnaire: A measure of individual differences in the control of unwanted thoughts. Behav Res Ther. 1994; 32(8):871-878.
8. Saeidpoor S, Kazemi-Rezai SA, Karbalaei-Esmaeil E, Kazemi-Rezai SV, Ahmadi F. Diagnostic role of cognitive emotion regulation strategies, cognitive fusion and thought control strategies in obsessive-compulsive disorder. Journal of Clinical Psychology, 2017; 9(3):1-12. [Persian].
9. Meraj MB, Singh S, Kar SK, Sharma E and Sarraf SR. Metacognitions in Symptomatic and Remitted Patients with Obsessive Compulsive Disorder: Preliminary Evidence for Metacognitive State and Trait Markers. Indian J Psychol Med. 2022;44(1):22–29.
10. Kollei I, Brunhoeber S, Rauh E, de Zwaan M, Martin A. Body image, emotions and thought control strategies in body dysmorphic disorder compared to eating disorders and healthy controls. J Psychosom Res. 2012; 72(4):321-327.
11. Giraldo-O'Meara M, Belloch A. Escalation from normal appearance related intrusive cognitions to clinical preoccupations in Body Dysmorphic Disorder: A cross-sectional study. Psychiatry Research. 2018; 265:137-43.
12. Wetterneck CT, Lee EB, Smith AH, Hart JM. Courage, self-compassion, and values in obsessive-compulsive disorder. J Contextual Behav Sci. 2013; 2(3-4):68-73.
13. Michelson SE, Lee JK, Orsillo SM, Roemer L. The role of values‐consistent behavior in generalized anxiety disorder. Depress Anxiety. 2011; 28(5): 358-366.
14. Rokeach, M. The nature of human values. New York: Free Press; 1973.
15. Schwartz SH, Bilsky W. Toward a universal psychological structure of human values. J Pers Soc Psychol. 1987; 53(3):550-562.
16. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press; 1999.
17. Dahl J, Lundgren T, Plumb J, Stewart I. The Art and Science of Valuing in Psychotherapy: Helping Clients Discover, Explore, and Commit to Valued Action Using Acceptance and Commitment Therapy. Oakland, CA: New Harbinger Publications; 2009.
18. Grau PP, McDonald JE, Clark MN, Wetterneck CT. The relationship between three ACT core processes of change, PTSD, and depressive symptoms. J Contextual Behav Sci. 2020; 16: 178-182.
19. Dastgir S, Karimi J. The relationship of body image-related cognitive fusion, body image psychological inflexibility, meaning of life and mindfulness with body dysmorphic disorder in female students. Razi Journal of Medical Sciences. 2019; 26(6):1-12. [Persian].

20. Park LE, Calogero RM, Young AF, Diraddo AM. Appearance-based rejection sensitivity predicts body dysmorphic disorder symptoms and cosmetic surgery acceptance. J Soc Clin Psychol. 2010; 29(5):489-509.
21. Park LE, DiRaddo AM, Calogero RM. Sociocultural influence and appearance-based rejection sensitivity among college students. Psychol Women Q. 2009; 33(1):108-119.
22. Park LE. Appearance-based rejection sensitivity: Implications for mental and physical health, affect, and motivation. Pers Soc Psychol Bull. 2007; 33(4):490-504.
23. Hawes T, Zimmer-Gembeck MJ, Campbell SM. Unique associations of social media use and online appearance preoccupation with depression, anxiety, and appearance rejection sensitivity. Body Image. 2020; 33:66-76.
24. Webb HJ, Zimmer-Gembeck MJ, Donovan CL. The appearance culture between friends and adolescent appearance-based rejection sensitivity. J. Adolesc.. 2014;37(4):347-58.
25.Webb HJ, Zimmer-Gembeck MJ. A longitudinal study of appearance-based rejection sensitivity and the peer appearance culture. J Appl Dev Psychol. 2016; 43:91-100.
26. Densham K, Webb HJ, Zimmer-Gembeck MJ, Nesdale D, Downey G. Early adolescents’ body dysmorphic symptoms as compensatory responses to parental appearance messages and appearance-based rejection sensitivity. Body Image. 2017; 23:162-70.
27. Calogero RM, Park LE, Rahemtulla ZK, Williams KC. Predicting excessive body image concerns among British university students: The unique role of appearance-based rejection sensitivity. Body Image. 2010; 7(1):78-81.
28. Kelly MM, Didie ER, Phillips KA. Personal and appearance-based rejection sensitivity in body dysmorphic disorder. Body image. 2014; 11(3):260-265.
29. Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175-191.
30. Phillips KA, Hollander E, Rasmussen SA, Aronowitz BR, DeCaria C, Goodman WK. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale. Psychopharmacol Bull. 1997; 33(1):17-22.

31. Phillips KA, editor. Body Dysmorphic Disorder: Advances in Research and Clinical Practice. NewYork, NY: Oxford University Press; 2017.

32. Phillips KA, Keshaviah A, Dougherty DD, Stout RL, Menard W, Wilhelm S. Pharmacotherapy relapse prevention in body dysmorphic disorder: a double-blind, placebo-controlled trial. Am J Psychiatry. 2016; 173(9); 887-895.

33. Ahmadi Tahoor M, Rabiei M, Kameli P, Bahrami F, Safaei Rad I. The effect of metacognitive therapy on symptoms related to metacognitive beliefs in patients with body dysmorphic disorder. Journal of Fundamentals of Mental Health. 2011; 13(51): 270-277. [Persian].

34. Rabiei M, Salahian A, Bahrami F, Palahang H. Construction and Standardization of the Body Dysmorphic Metacognition Questionnaire. Journal of Mazandaran University of Medical Sciences. 2011; 21(83):43-52. [Persian].

35. 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. Iranian Journal of Psychiatry and Clinical Psychology. 2010; 15(4):343-350. [Persian].

36. Esnaashari N. Causal model of Perfectionism & Religious Beliefs role in Body Dysmorphic & Social Anxiety Disorders. MA thesis. Yazd University; 2013. [Persian].
37. Fata L, Moutabi F, Moloudi R, Ziayee K. Psychometric properties of Persian version of thought control questionnaire and anxious thought inventory in Iranian students. Journal of Psychological Models and Methods. 2010; 1(1):81-103. [Persian].

38. Wilson KG, Sandoz EK, Kitchens J, Roberts M. The Valued Living Questionnaire: Defining and measuring valued action within a behavioral framework. Psychol Rec. 2010; 60(2):249-272.

39. Akbari M. The Reliability and Validity of Persian version of the Valued Living Questionnaire: based on Acceptance and Commitment approach. Clinical Psychology and Personality. 2018; 16(1): 239-249. [Persian].

40. Khanzadeh M. Designing and testing a model of the precedences of body dysmorphic symptoms in Shahid Chamran University undergraduate students. Phd thesis. Shahid Chamran University; 2017. [Persian].

41. Khanzadeh M, Beshlideh K, Hamid N, Marashi SA. Designing and Testing Model of the Antecedents of Body Dysmorphic Symptoms in Students. Journal of Clinical Psychology, 2017; 9(1): 85-100. [Persian].

42. Jamshidi far M. The Structural Relationship of Metacognitive Beliefs with Symptoms of Anorexia Nervosa and Body Dysmorphic Disorder by Mediating role of Body Checking Behaviors. MA thesis. University of Tabriz; 2017. [Persian].

43. Rabiei M, Rahnejat AM, Nikfarjam M, Najafipoor F. The investigation of correlation between metacognitive subscales, Meta worry and thoughts–fusion with body dysmorphic disorder. Journal of nurse and physician within war. 2014; 2(4):162-167. [Persian]
44. Newth S, Rachman S. (2001). The concealment of obsessions. Behav Res Ther. 2001; 39(4):457-464.

45. Abramowitz JS, Whiteside S, Kalsy SA, Tolin DF. Thought control strategies in obsessive-compulsive disorder: A replication and extension. Behav Res Ther. 2003; 41(5):529-540.

46. Orsillo SM, Roemer L, Lerner JB, Tull MT. Acceptance, Mindfulness, and Cognitive-Behavioral Therapy: Comparisons, Contrasts, and Application to Anxiety In: Hayes SC, Follette VM, Linehan M, editors. Mindfulness and acceptance: Expanding the cognitive-behavioral. New York: Guilford Press; 2004.p. 66-95.
47. Wilhelm S, Phillips KA, Steketee G. Cognitive-behavioral therapy for body dysmorphic disorder: A treatment manual. New York: Guilford Press; 2013.
48. Callaghan GM, Duenas JA, Nadeau SE, Darrow SM, Van der Merwe J, Misko J. An empirical model of body image disturbance using behavioral principles found in Functional Analytic Psychotherapy and Acceptance and Commitment Therapy. Int J Behav Consult Ther. 2012; 7(2-3):16-24.
49. Wilson AC, Wilhelm S, Hartmann AS. Experiential avoidance in body dysmorphic disorder. Body Image. 2014; 11(4):380-383.
50. Buhlmann U, Wilhelm S, McNally RJ, Tuschen-Caffier B, Baer L, Jenike MA. Interpretive biases for ambiguous information in body dysmorphic disorder. CNS Spectr, 2002; 7(6):435-443.
51. Park LE, Harwin MJ. Visible versus non-visible rejection: Consequences of appearance-based rejection sensitivity. J Res Pers. 2010; 44:128-132.
52. Park LE, Pinkus RT. Interpersonal effects of appearance-based rejection sensitivity. J Res Pers. 2009; 43(4):602-612.