Structural Relationship between Body Dysmorphic Disorder and Satisfaction of Basic Psychological Needs: Mediating Role of Body Image and Mindfulness

Document Type : Original Article

Authors

Department of Psychology, Shahre-Qods Branch, Islamic Azad University, Tehran, Iran

Abstract

Background: In body dysmorphic disorder (BDD), individuals become greatly distressed or disturbed due to flaws they believe exist in their physical appearance, regardless of the trivial nature or non-existence of these perceived imperfections.
 
Objectives: The present study aimed to explore the structural relationship between body dysmorphic disorder and satisfaction of basic psychological needs with the mediating role of body image and mindfulness.
 
Methods: This descriptive and correlational study is part of structural equation modeling (SEM). The statistical population of this study included all students of Islamic Azad University, Shahr-e-Quds branch, in the 2022-2023 academic year. A sample of 377 subjects was selected via the convenience sampling method. Online surveys were used to collect the necessary data from all university students in Shahr-e-Quds. The data collection tools were the Basic Psychological Needs Questionnaire (BPNQ), the Body Dysmorphia Metacognition Questionnaire, the Body Consciousness Scale (OBCS), and the Five Mindfulness Questionnaire aspect (FFMQ). Statistical procedures were performed in SPSS (version 22) and AMOS (version 22) software packages.
 
Results: The findings indicated a moderate negative correlation coefficient between mindfulness and body dysmorphic disorder (r = -0.381; P < 0.01). The effect of basic psychological needs for body image on body dysmorphic disorder needs through mindfulness for body dysmorphic disorder was significant (P<0.05; β = 0.219).
 
Conclusion: As evidenced by the obtained results, the practice of "mindfulness" and a decreased focus on body image, along with respect for body and appearance, can help students avoid symptoms of body dysmorphic disorder.
 

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Alghamdi WA, Subki AH, Khatib HA, Butt NS, Alghamdi RA, Alsallum MS, Alharbi AA, Almatrafi MN, Alobisi AA, Al-Zaben F, Koenig HG. Body Dysmorphic Disorder Symptoms: Prevalence and Risk Factors in an Arab Middle Eastern Population. Int J Gen Med. 2022; 15:2905-2912. doi: 10.2147/IJGM.S329942. [PMID: 35300125].
https://doi.org/10.2147/IJGM.S329942
PMid:35300125 PMCid:PMC8923679
 
2. Mufaddel A, Osman OT, Almugaddam F, Jafferany M. A review of body dysmorphic disorder and its presentation in different clinical settings. Prim Care Companion CNS Disord. 2013;15(4): PCC.12r01464. doi: 10.4088/PCC.12r01464. [PMID: 24392251].
https://doi.org/10.4088/PCC.12r01464
PMid:24392251 PMCid:PMC3869603
 
3. Šakan D, Žuljević D, Rokvić N. The Role of Basic Psychological Needs in Well-Being During the COVID-19 Outbreak: A Self-Determination Theory Perspective. Front Public Health.
 
2020; 8:583181. doi: 10.3389/fpubh.2020.583181. [PMID: 33282817].
https://doi.org/10.3389/fpubh.2020.583181
PMid:33282817 PMCid:PMC7689268
 
4. Vermote B, Waterschoot J, Morbée S, Van der Kaap-Deeder J, Schrooyen C, Soenens B, Ryan R, Vansteenkiste M. Do Psychological Needs Play a Role in Times of Uncertainty? Associations with Well-Being During the COVID-19 Crisis. J Happiness Stud. 2022;23(1):257-283. doi: 10.1007/s10902-021-00398-x . [PMID: 33942013].
https://doi.org/10.1007/s10902-021-00398-x
PMid:33942013 PMCid:PMC8081282
 
5. Barghi Irani Z, Bakhtiyari S. The Role of Personality Organization and Psychological Basic Psychological Needs in Predicting Malformed Body-Seem Attempters Admitted to Cosmetic Surgery. Iran. j. Surg. 2017; 25 (4): 66-74. https://www.magiran.com/paper/1818386
 
6. Ahmadi Golsfidi E, Abdollahzadeh H. Modeling of body image concern based on obsessive-compulsive disorder, perfectionism and eating attitudes mediated by basic psychological needs in girls. RRJ. 2021;10(8):81-92. doi:20.1001.1.2383353.1400.10.8.7.1
 
7. Selvi K, Bozo Ö. The dark side of bodybuilding: the role of bodybuilding activities in compensation of frustrated basic psychological needs. Motiv Emot. 2020;44(2):190-208. doi:10.1007/s11031-019-09805-6.
https://doi.org/10.1007/s11031-019-09805-6
 
8. Valero-Valenzuela A, Huescar E, Núñez JL, Conte L, Léon J, Moreno-Murcia JA. Prediction of adolescent physical self-concept through autonomous motivation and basic psychological needs in Spanish physical education students. Sustain. 2021;13(21):11759. doi:10.3390/su132111759
https://doi.org/10.3390/su132111759
 
9. Brichacek AL, Neill JT, Murray K. The effect of basic psychological needs and exposure to idealised Facebook images on university students' body satisfaction. Cyberpsychol. 2018;12(3):1-2. doi:10.5817/CP2018-3-2
https://doi.org/10.5817/CP2018-3-2
 
10. Egan H, Keyte R, Nash EF, Barrett J, Regan A, Mantzios M. Mindfulness moderates the relationship between emotional eating and body mass index in a sample of people with
 
cystic fibrosis. Eat. Weight Disord. 2021; 26:1521-7. doi:10.1007/s40519-020-00969-6.
https://doi.org/10.1007/s40519-020-00969-6
PMid:32737812 PMCid:PMC8128802
 
11. Bunjak A, Černe M, Schölly EL. Exploring the past, present, and future of the mindfulness field: A multitechnique bibliometric review. Front Psychol. 2022; 13:792599. doi: 10.3389/fpsyg.2022.792599. [PMID: 35959046].
https://doi.org/10.3389/fpsyg.2022.792599
PMid:35959046 PMCid:PMC9361873
 
12. Ganesan S, Ravishankar SL, Ramalingam S. Are Body Image Issues Affecting Our Adolescents? A Cross-sectional Study among College Going Adolescent Girls. Indian J Community Med. 2018;43(Suppl 1):S42-S46. doi: 10.4103/ijcm.IJCM_62_18. [PMID: 30686874].
https://doi.org/10.4103/ijcm.IJCM_62_18
PMid:30686874 PMCid:PMC6324036
 
13. Tort-Nasarre G, Pollina Pocallet M, Artigues-Barberà E. The Meaning and Factors That Influence the Concept of Body Image: Systematic Review and Meta-Ethnography from the Perspectives of Adolescents. Int J Environ Res Public Health. 2021;18(3):1140. doi: 10.3390/ijerph18031140. [PMID: 33561092].
https://doi.org/10.3390/ijerph18031140
PMid:33561092 PMCid:PMC7908267
 
14. 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):1-2. doi:20.1001.1.22287043.1398.26.6.5.5.
 
15. Schuman-Olivier Z, Trombka M, Lovas DA, Brewer JA, Vago DR, Gawande R, Dunne JP, Lazar SW, Loucks EB, Fulwiler C. Mindfulness and Behavior Change. Harv Rev Psychiatry. 2020;28(6):371-394. doi: 10.1097/HRP.0000000000000277. [PMID: 33156156].
https://doi.org/10.1097/HRP.0000000000000277
PMid:33156156 PMCid:PMC7647439
 
16. Hartmann AS, Thomas JJ, Greenberg JL, Elliott CM, Matheny NL, Wilhelm S. Anorexia nervosa and body dysmorphic disorder: A comparison of body image concerns and explicit and implicit attractiveness beliefs. Body Image. 2015; 14:77-84. doi:10.1016/j.bodyim.2015.03.013. [PMID: 25920044].
https://doi.org/10.1016/j.bodyim.2015.03.013
PMid:25920044
 
17. Lavell CH, Webb HJ, Zimmer-Gembeck MJ, Farrell LJ. A prospective study of adolescents' body dysmorphic symptoms: Peer victimization and the direct and protective roles of emotion regulation and mindfulness. Body image. 2018;24:17-25. doi:10.1016/j.bodyim.2017.11.006. [PMID: 29247735].
https://doi.org/10.1016/j.bodyim.2017.11.006
PMid:29247735
 
18. Besharat MA, Jafari F, Gholam Ali Lavasani M. Predicting symptoms of anxiety and depression based on satisfying
 
basic psychological needs. RRJ. 2021;10(1):25-34. doi: 20.1001.1.2383353.1400.10.1.3.3
 
19. Ghasemi V. Estimation of optimum sample size in structural equation modeling assessing its adequacy for social researchers. IJS. 2011;12 (4). 138-161. https://www.sid.ir/paper/67470/en
 
20. Mueller RO. Basic principles of structural equation modeling: An introduction to LISREL and EQS. SSBM. 1999 Jun 4. https://books.google.com/books/about/Basic_Principles_of_Structural_Equation.html?id=sXy2r5gQlB0C
 
21. McKinley NM, Hyde JS. The objectified body consciousness scale: Development and validation. Psychol. Women Q. 1996;20(2):181-215. doi:10.1111/j.1471-6402.1996.tb00467.x
https://doi.org/10.1111/j.1471-6402.1996.tb00467.x
 
22. Norozi A, Maleki A, Parsamehr M, Ghasemi H. Investigating the effect of body image and body management on women's sports participation in Ilam province. Journal of Applied Sociology. 2018 Dec 22;29(4):99-122. J. Appl. Sociol. 2018; 29(4): 99-122. doi: 10.22108/jas.2018.104379.1117.
 
23. Chen B, Vansteenkiste M, Beyers W, Boone L, Deci EL, Van der Kaap-Deeder J, Duriez B, Lens W, Matos L, Mouratidis A, Ryan RM. Basic psychological need satisfaction, need frustration, and need strength across four cultures. Motiv Emot.. 2015: 39(2):216-236. doi: 10.1007/s11031-014-9450-1
https://doi.org/10.1007/s11031-014-9450-1
 
24. Rezasoltani, N., Gharayagh zandi, H., Khabiri, M. Validity and Reliability of the Basic Psychological Needs in Exercise
 
Scale (BPNES). JSMDL, 2017; 8(4): 607-626. doi: 10.22059/jmlm.2017.61031
 
25. Rabiei S, Mohebbi SZ, Patja K, Virtanen JI. Physicians' knowledge of and adherence to improving oral health. BioMed Central. 2012;12(1):1-9. doi: 10.1186/1471-2458-12-855
https://doi.org/10.1186/1471-2458-12-855
PMid:23046660 PMCid:PMC3503732
 
26. Dousti P, Hosseininia N, Dousti S, Dousti P. Online group therapy based on acceptance and commitment on body dysmorphic and fear of body image in overweight people. RRJ. 2021; 10 (4) :25-32. doi: 20.1001.1.2383353.1400.10.4.1.7
 
27. Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006;13(1):27-45. doi: 10.1177/ 1073191105283504. [PMID: 16443717].
https://doi.org/10.1177/1073191105283504
PMid:16443717
 
28. Dezhban R, Samavatian H, Arshadi N. The relationship between neuroticism and hardiness with employee well-being: mediating role of resiliency and mindfulness and moderating role of working hours and type of shift work. Ind Organ Psychol . 2020 Dec 21;7(2):259-82. doi: 10.22055/jiops.2020.34548.1200
 
29. Abedin T, Ghodsi P, Taghiloo S, Davabi M. Causal relationship between coherent self-awareness and basic psychological needs with psychological well-being: considering the mediating role of mind-awareness in students.. J Youth Adolesc. 2022;3(2), 213-226. doi: 10.52547/jspnay.3.2.213
https://doi.org/10.52547/jspnay.3.2.213
 
30. Renault R, Laurin J, Khoury B, Spinelli C. The mediating role of basic psychological needs satisfaction in the relationship between trait mindfulness and psychological distress in clinical trainees. Couns. Psychol. Q. 2023;36(3):485-502. doi: 10.1080/09515070.2022.2121684
https://doi.org/10.1080/09515070.2022.2121684
 
31. Chang JH, Huang CL, Lin YC. Mindfulness, basic psychological needs fulfillment, and well-being. J. Happiness Stud. 2015; 16:1149-62. doi:10.1007/s10902-014-9551-2.
https://doi.org/10.1007/s10902-014-9551-2
 
32. Shirmohammadi S, Hosseini S, Amiri H. Structural equation modeling the relationship between psychopathology and attachment styles with mediation of the role of basic psychological needs in women applicants for cosmetic
 
surgery in Kermanshah. jdc 2020; 11 (2) :119-131.
 
33. Koucheki A M, Shariatnia K, Asadi A, Mirani A. The mediating role of psychological basic needs in the relationship between personality traits and students' happiness. Psychol. Sci. 2022;21(118), 2091-2106. doi:10.52547/JPS.21.118.2091
https://doi.org/10.52547/JPS.21.118.2091
 
Razavi International Journal of Medicine
Volume 11, Issue 4
November 2023
Pages 57-64

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