رابطه تنظیم هیجان و اختلال بدریخت انگاری با اضطراب اجتماعی و اختلال خوردن در زنان جوان متقاضی عمل‌های لاغری
سلامت اجتماعی,
دوره 10 شماره 1,
27 فروردین 2023
,
صفحه 52-63
https://doi.org/10.22037/ch.v10i1.31684
چکیده
زمینه و هدف: نارضایتی از شکل و ریخت بدن و ترس از ارزیابی منفی دیگران می تواند پیامدهای روانشناختی چون اضطراب و الگوهای خوردن ناسالم دربرداشته باشد. از طرفی، مشکل در تنظیم شناختی هیجان نیز می تواند زیربنای بروز چنین اختلالاتی باشد. لذا این مطالعه با هدف تعیین رابطه تنظیم هیجان، اختلال بدریخت انگاری و اضطراب اجتماعی با اختلال خوردن در زنان جوان متقاضی عمل‌های لاغری انجام شد.
روش و مواد: این مطالعه به صورت همبستگی با مشارکت 160 نفر از زنان 30 تا 40 ساله مراجعه کننده به مطب‌های زیبایی جهت جراحی زیبایی لاغری در پاییز 1400 در شهر تهران انجام شد. نمونه ها به روش نمونه گیری دردسترس انتخاب شدند. داده ها با استفاده از پرسشنامه های تنظیم هیجان Gross، اضطراب اجتماعی Connor، عادت خوردن Dutch، و نگرانی از تصویر بدنی Littleton بصورت آنلاین جمع آوری شد. داده های جمع آوری شده در نرم افزار آماری SPSS-26 و با استفاده از روش‌های آمارتوصیفی و آزمون ضریب همبستگی پیرسون و رگرسیون چندگانه تحلیل شد.
یافته ها: میانگین (انحراف معیار) سن افراد شرکت کننده در مطالعه (54/3) 1/34 سال بود. آزمون همبستگی نشان داد که بین اختلال خوردن با تنظیم هیجان (133/0=r، 001/0>P)، اختلال خوردن با اضطراب اجتماعی (347/0=r، 001/0>P) و اختلال خوردن با اختلال بدریخت انگاری (382/0=r، 001/0>P) رابطه مثبت و معنی دار وجود دارد. یعنی هرچه نمره تنظیم هیجان، اضطراب اجتماعی و اختلال بدریخت انگاری بالاتر بود، اختلال خوردن هم بالاتر و هم معکوس به دست آمد. رابطه اختلال خوردن با تنظیم هیجان (042/0=β)، اختلال بدریخت انگاری (436/0=β) و اضطراب اجتماعی (187/0=β) مثبت و معنی دار بود. مدل رگرسیون به دست آمده از برازش مناسبی برخوردار بود (001/0=P و 932/34=F).
نتیجه‌گیری: مطالعه نشان داد که اختلال خوردن با تنظیم هیجان، اضطراب اجتماعی و اختلال بدریخت انگاری رابطه مثبت و معنی دار دارد. یعنی هرچه نمره تنظیم هیجان، اضطراب اجتماعی و اختلال بدریخت انگاری بالاتر بود، اختلال خوردن هم بالاتر بود و برعکس.
کلمات کلیدی:
- تنظیم هیجان، اختلال بدریخت انگاری، اضطراب اجتماعی، اختلال خوردن
ارجاع به مقاله
سمرادجاه ن., & نویدی مقدم م. (2023). رابطه تنظیم هیجان و اختلال بدریخت انگاری با اضطراب اجتماعی و اختلال خوردن در زنان جوان متقاضی عمل‌های لاغری. سلامت اجتماعی, 10(1), 52–63. https://doi.org/10.22037/ch.v10i1.31684
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33. Dryman, M. T., & Heimberg, R. G. Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical Psychology Review, 2018;65: 17-42.
34. Maarefvand A, Shafiabady A. The role of emotional regulation, self- belief, and psychological flexibility in predicting social anxiety and depression among female high school students ; the mediating role of social functioning. Rooyesh. 2021; 9 (11) :97-110. [Persian]
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37. Hashemi, M., Darvizeh, Z., Yazdi, S. Comparison of Psychological Hardiness and Cognitive Emotion Regulation in Students with Social Anxiety Disorder and Normal students. Journal of Psychological Studies, 2019; 15(1): 41-56. [Persian]
38. Savabi Niri, V., Kazemi, R. Comparison of Defens Mechanisms، Dysfunction Emotion Regulation and Intolerance of Uncertainty in Students with Symptoms of Compulsive Hoarding and Social Anxiety.. Journal of School Counseling, 2022; 2(1):1-19. [Persian]
39. Khanzadeh,, M., Beshlideh, K., hamid, N., Marashi,, S. Designing and Testing Model of the Antecedents of Body Dysmorphic Symptoms in Students. Journal of Clinical Psychology, 2017; 9(1): 85-100. [Persian]
40. SeyyedSalehi S F, DashtBozorgi Z. The Relationship between Personality Characteristics, Body Image Concern and Alexithymia with Eating Disorder of Nursing Students. IJNR. 2018; 13 (4) :1-8[Persian]
2. Mikhail, M. E., & Kring, A. M. Emotion regulation strategy use and eating disorder symptoms in daily life. Eating behaviors, 20109; 34: 101315.
3. Valizade A, Ariapooran S. The role of socio-physical anxiety, body image, and self esteem in prediction of the eating disorder in sportswomen. Zahedan J Res Med Sci (ZJRMS) 2012; 14(1): 56-60.
4. Albertson, E, R., Neff, K. D & Dll-Shackleford, K, E. Self-corrupassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness, 2015; 63(44): 454.
5. Fadardi, J. A comparison of motivational structure and eating behaviors between overweight and obese and normal weight women. Journal of Fundamentals of Mental Health, 2011; 13(50): 81-170. doi: 10.22038/jfmh.2011.1017 [Persian]
6. Reichenberger J, Schnepper R, Arend AK, Blechert J. Emotional eating in healthy individuals and patients with an eating disorder: evidence from psychometric, experimental and naturalistic studies. Proc Nutr Soc. 2020 Aug;79(3):290-299.
7. Favieri F, Marini A, Casagrande M. Emotional Regulation and Overeating Behaviors in Children and Adolescents: A Systematic Review. Behav Sci (Basel). 2021 Jan 19;11(1):11.
8. Keivanara, M., Rabbāni, R., Zhianpour, M. Social Stratification and Physical improvements/Plastic Surgery as a Symbol for Social Class. Women's Strategic Studies, 2010; 12(47 (spring 2010)): 73-98. [Persian]
9. Ghaderi, F., Kalantari, M., Mehrabi, H. Effectiveness of group schema therapy on early maladaptive schemas modification and reduce of social anxiety disorder symptoms. Clinical Psychology Studies, 2016; 6(24): 1-28. [Persian]
10. Satghare P, Mahesh MV, Abdin E, Chong SA, Subramaniam M. The Relative Associations of Body Image Dissatisfaction among Psychiatric Out-Patients in Singapore. Int J Environ Res Public Health. 2019 Dec 17;16(24):5162.
11. Li W, Arienzo D, Feusner JD. Body Dysmorphic Disorder: Neurobiological Features and an Updated Model. Z Klin Psychol Psychother (Gott). 2013;42(3):184-191.
12. Salehi Fadardi, J., Moghadaszadeh Bazaz, M., Aminyazdi, S., Nemati, M. The Role of Attentional Bias and Eating Styles in Dieters. Journal of Clinical Psychology, 2013; 5(1): 57-67. doi: 10.22075/jcp.2017.2116[Persian]
13. Peña-Sarrionandia A, Mikolajczak M, Gross JJ. Integrating emotion regulation and emotional intelligence traditions: a meta-analysis. Front Psychol. 2015 Feb 24;6:160.
14. Assar Kashani H, Roshan R, Khalaj A, Mohammadi J. An Study on the Alexithymia and Body Image in the Obese,Over-Weight and Normal Waight Subjects, Journal of Health Psychology, 2012; 1(2): 70-80. [Persian]
15. Littleton, H. L., Axsom, D. S., & Pury, C. L. Development of the body image concern inventor. Behavior Research and Therapy,2005; 43:229 -241
16. Van Strien T, Peter Herman C, Verheijden MW. Eating style, over eating and weight gain. A prospective 2-year follow -up study in a representative Dutchsample. Appetite. 2012;59(3),782 -789. Doi:10.1016/j.appet.2012.08.009.
17. Connor, K. M., Davidson, J. R. T., Churchill, L. E., Sherweed, A., Foa, E. B., &Weisler, R. H. Psychometric propertie of the social phobia (SPIN): A new selfratingscale. British Journal of Psychiatry,2000; 176: 379-386.
18. Gross, J.J., & John, O.P. Individual difference in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology,2003; 85: 348-362.
19. Balzarotti, S., John, O.P., & Gross. JJ. An Italian Adaptation of the Emotion Regulation Questionnaire. European Journal of Psychological Assessment, 2010; 26 (1): 61-67.
20. Tashkeh M, Bazani M. Prediction of social anxiety by cognitive emotional regulation and emotional schema in female and male students. Zanko J Med Sci. 2015; 16 (50) :72-83
21. Hassanvand Amouzadeh M. Validity and Reliability of Social Phobia Inventory in Students with Social Anxiety. J Mazandaran Univ Med Sci. 2016; 26 (139) :166-177
22. . Salehi Fadardi J, Moghadaszadeh Bazaz M, Aminyazdi SA, Nemati M. The role of attentional bias and eating styles in dieters. Journal of Clinical Psychology. 2013; 5(1):57 –67. [Persian]
23. Basaknejhad S, Ghafari M. The relationship between fear of physical deformity and psychological disorders in students. International Journal of Behavioral Sciences. 2011; 1(2): 179-187. [Persian]
24. Vafapour H, Hatamian P, Karami, Ph.D. J. Predicting Unhealthy Eating Behaviors and Attitudes Based on Concerns about Body Deformity, Difficulty in Emotion Regulation, and Dysfunctional Reactions in Adolescent Girls. QJFR. 2022; 18 (4) :69-80[Persian]
25. Kachooei M, Moradi A, Kazemi A S, Ghanbari Z. The discriminative role of emotion regulation and impulsivity in different unhealthy eating patterns. Feyz. 2016; 20 (4) :383-390. [Persian]
26. Amirfakhraei A, Rezaei S, DashtBozorgi Z. Predicting of Nursing Students’ Eating Disorder based on Alexithymia, Coping Styles and Cognitive Emotion Regulation. IJPN. 2019; 6 (6) :9-17. [Persian]
27. Zargar Y, Sayad S, Basaknejhad S. The effectiveness of group cognitive- behavior therapy on reducing body dysmorphic disorder and Inter Personal Sensitivity among high school girls in Ahvazcity. RBS. 2012; 9 (5):341-49. [Persian]
28. Duarte, C., Pinto-Gouveia, J., Stubbs, R.J. The prospective associations between bullying experiences, body image shame and disordered eating in a sample of adolescent girls. Pers Individ Differ.2017; 116:319-25.
29. Mastro, S., Zimmer-Gembeck, MJ. Webb, HI. Farrell, L., Waters. A. Young adolescents' appearance anxiety and body dysmorphic symptoms: Social problems, self-perceptions and comorbidities. Journal of Obsessive-Compulsive and Related Disorders,2016;8: 50-55.
30. Bodell, L. P., Pearson, C. M., Smith, K. E., Cao, L., Crosby, R. D., Peterson, C. B., & Berg, K. C. Longitudinal associations between emotion regulation skills, negative affect, and eating disorder symptoms in a clinical sample of individuals with binge eating. Eating behaviors, 2019;32: 69-73
31. Prefit, A. B., Candea, D. M., & Szentagotai-Tătar, A. Emotion regulation across eating pathology: A meta-analysis. Appetite,20109; 143: 104438.
32. Tyler, J.M., S. M. Panichelli-Mindel, C. S., Levitt, M.F. A Pilot Study Exploring the Relationship between Perfectionism and Anxiety in an Urban Middle School. Journal of Psycho educational Assessment, 2019; 2(4): 989-1001.
33. Dryman, M. T., & Heimberg, R. G. Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical Psychology Review, 2018;65: 17-42.
34. Maarefvand A, Shafiabady A. The role of emotional regulation, self- belief, and psychological flexibility in predicting social anxiety and depression among female high school students ; the mediating role of social functioning. Rooyesh. 2021; 9 (11) :97-110. [Persian]
35. Aldao, A. and Nolen-Hoeksema, S. Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour research and therapy, 2010;48(10): 974-983.
36. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical psychology review,2010; 30(2), 217-237.
37. Hashemi, M., Darvizeh, Z., Yazdi, S. Comparison of Psychological Hardiness and Cognitive Emotion Regulation in Students with Social Anxiety Disorder and Normal students. Journal of Psychological Studies, 2019; 15(1): 41-56. [Persian]
38. Savabi Niri, V., Kazemi, R. Comparison of Defens Mechanisms، Dysfunction Emotion Regulation and Intolerance of Uncertainty in Students with Symptoms of Compulsive Hoarding and Social Anxiety.. Journal of School Counseling, 2022; 2(1):1-19. [Persian]
39. Khanzadeh,, M., Beshlideh, K., hamid, N., Marashi,, S. Designing and Testing Model of the Antecedents of Body Dysmorphic Symptoms in Students. Journal of Clinical Psychology, 2017; 9(1): 85-100. [Persian]
40. SeyyedSalehi S F, DashtBozorgi Z. The Relationship between Personality Characteristics, Body Image Concern and Alexithymia with Eating Disorder of Nursing Students. IJNR. 2018; 13 (4) :1-8[Persian]
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