تأثیر درمان شناختی رفتاری بر سوگیری توجه در افراد با نشانههای بدریخت انگاری بدن: یک مطالعه نیمه تجربی | ||
| فصلنامه روانشناسی کاربردی | ||
| مقاله 4، دوره 20، شماره 1 - شماره پیاپی 77، فروردین 1405، صفحه 82-100 اصل مقاله (573.81 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.48308/apsy.2025.238879.1782 | ||
| نویسندگان | ||
| سارا قنبری1؛ زینب میهن دوست* 2؛ شهرام مامی2؛ وحید احمدی2؛ حمیرا سلیمان نژاد2 | ||
| 1گروه روانشناسی، واحد ایلام، دانشگاه آزاد اسلامی، ایلام، ایران. | ||
| 2گروه روانشناسی، دانشگاه آزاد اسلامی واحد ایلام، ایلام، ایران | ||
| چکیده | ||
| هدف: اختلال بدریختانگاری بدن نوعی اختلال روانی است که در آن فرد نگرانیهای غیرواقعی درباره ظاهر خود دارد. هدف این پژوهش تعیین اثر درمان شناختی-رفتاری بر سوگیری توجه در افراد دارای نشانههای بدریختانگاری بدن بود. روش: این مطالعه از نوع نیمهآزمایشی با طرح پیشآزمون، پسآزمون و پیگیری دوماهه و شامل گروه کنترل انجام شد. جامعه آماری شامل تمامی مراجعهکنندگان به کلینیکهای زیبایی شهر کرمانشاه در سال ۱۴۰۲ بود که از میان آنها ۳۶ نفر داوطلب واجد شرایط بهروش نمونهگیری دردسترس انتخاب و به دو گروه آزمایش و کنترل (هر گروه ۱۸ نفر) تخصیص یافتند. گروه آزمایش در ۱۰جلسه درمان شناختی–رفتاری مبتنی بر پروتکل بک و بک (۲۰۱۱) شرکت کردند، درحالیکه گروه کنترل در این جلسات حضور نداشت. سنجش سوگیری توجه با پرسشنامه کانون توجه (وودی و همکاران، ۱۹۹۷) انجام شد و دادهها با تحلیل واریانس با اندازهگیری مکرر و آزمون تعقیبی بونفرونی در نرمافزار SPSS-۲۶ تحلیل شدند. یافتهها: نتایج نشان داد که اثر زمان (۰۰۱/۰>p، ۹۸/۰=η²)، اثر گروه (۰۰۱/۰>p، ۹۷/۰=η²) و اثر متقابل زمان و گروه (۰۰۱/۰>p، ۹۷/۰=η²) بر سوگیری توجه معنادار بود. در پسآزمون و پیگیری در میانگین نمره سوگیری توجه تفاوت معنادار وجود نداشت (۰۵/۰ نتیجهگیری: این نتایج نشان میدهد که درمان شناختی-رفتاری میتواند سوگیری توجه و نشانههای اختلال بدریختانگاری بدن را کاهش دهد و بهکارگیری آن در کلینیکها، دانشگاهها و مراکز آموزشی برای درمان و پیشگیری توصیه میشود. | ||
| کلیدواژهها | ||
| ریخت انگاری بدن؛ سوگیری توجه؛ کانون توجه؛ درمان شناختی رفتاری | ||
| عنوان مقاله [English] | ||
| The Effect of Cognitive-Behavioral Therapy on Attentional Bias in Individuals with Body Dysmorphic Disorder Symptoms: A Semi-Experimental Study | ||
| نویسندگان [English] | ||
| Sara Ghanbari1؛ Zainab Mihandoost2؛ Shahram Mami2؛ Vahid Ahmadi2؛ Homeira Soleimannejad2 | ||
| 1Department of Psychology, Il.c, Islamic Azad University, Ilam, Iran. | ||
| 2Department of Psychology, Ilam Branch, Islamic Azad University, Ilam, Iran. | ||
| چکیده [English] | ||
| Aim: This study examined the effectiveness of cognitive-behavioral therapy (CBT) in reducing attentional bias among individuals with symptoms of body dysmorphic disorder (BDD). Method: A quasi-experimental pretest–posttest–follow-up design with a control group was employed. The statistical population included clients attending cosmetic clinics in Kermanshah in 2023. Thirty-six eligible participants were selected through convenience sampling and randomly assigned to experimental and control groups (18 per group). The experimental group received ten CBT sessions based on Beck and Beck’s protocol (2011), whereas the control group received no intervention. Attentional bias was assessed using the Attention Focus Questionnaire. Data were analyzed using repeated-measures ANOVA and Bonferroni post hoc tests in SPSS-26. Results: Significant effects were found for time (η² = 0.98, p < 0.001), group (η² = 0.97, p < 0.001), and the interaction between time and group (η² = 0.97, p < 0.001) on attentional bias scores. Bonferroni analyses indicated significant reductions in attentional bias from pretest to posttest and follow-up. No significant difference was observed between posttest and follow-up scores (p > 0.05), indicating maintenance of treatment effects. Conclusion: CBT effectively reduced attentional bias associated with BDD symptoms. The findings support the use of CBT in clinical and educational settings for both treatment and prevention of body dysmorphic symptoms. | ||
| کلیدواژهها [English] | ||
| Body Dysmorphic Disorder, Attentional Bias, Attention Focus, Cognitive-Behavioral Therapy | ||
| مراجع | ||
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Aliasgari, S., Farhangi, A., & Sedaghat, M. (2024). Comparison of the effectiveness of schema therapy and cognitive-behavioral therapy on body dysmorphic disorder in young women with body dysmorphic disorder. Journal of Psychological Dynamics and Mood Disorders, 3(1): 30-40. [Link] Beck, J. S., & Beck, A. T. (2011). Cognitive behavior therapy: Basics and beyond. New York: Guilford Publishing. [Link] Bonell, S., Barlow, F. K., & Griffiths, S. (2021). The cosmetic surgery paradox: Toward a contemporary understanding of cosmetic surgery popularization and attitudes. Body Image, 38(1): 230-240. [Link] Çınaroğlu, M., Yılmazer, E., Ülker, S. V., Ahlatcıoğlu, E. N., & Sayar, G. H. (2024). Efficacy of cognitive-behavioral therapy in reducing muscle dysmorphia symptoms among Turkish gym goers: A pilot study. Acta Psychologica, 250(1): 104-112. [Link] Couper, S. L., Moulton, S. J., Hogg, F. J., & Power, K. G. (2021). Interpersonal functioning and body image dissatisfaction in patients referred for NHS aesthetic surgery: A mediating role between emotion regulation and perfectionism? Journal of Plastic, Reconstructive & Aesthetic Surgery, 74(9): 2283-2289. [Link] Gholami, S., Omidi Moghadam, E., Ghadampour, E., & Bayat Mazlaghani, M. (2025). Psychometric properties of the revised Yale–Brown obsessive compulsive disorder scale for body dysmorphic disorder in transgenders. Iranian Journal of Psychiatric Nursing, 13(1): 79–92. [Link] Ghosh, T., & Blair, E. (2025). The management of body dysmorphic disorder in adolescents: A systematic literature review. Open Health, 6(1): 20-25. [Link] Golestanibakht, T., Babaie, E., & Masoumzadeh, Z. (2022). The effectiveness of cognitive-behavioral therapy on body dysmorphic disorder and perfectionism concerns in students with physical deformity concerns. Journal of Ilam University of Medical Sciences, 30(6): 83-92. [Link] Grennan, G., Zhao, Y., & Fang, A. (2023). Applying a drift diffusion model to test the effect of oxytocin on attentional biases in body dysmorphic disorder. Journal of Obsessive-Compulsive and Related Disorders, 39(1): 1008-10041. [Link] Hang, Y., Xu, L., Wang, C., Zhang, G., & Zhang, N. (2021). Can attention bias modification augment the effect of CBT for anxiety disorders? A systematic review and meta-analysis. Psychiatry Research, 299(1): 1138-1192. [Link] Hedayati, F., & Torkan, H. (2021). Predicting multiple relationships of attention, post-event processing and interpretation (self-related) with social anxiety of Isfahan students. Applied Psychology, 15(1): 25-47. [Link] Hosseinpour, H., Soleymani, E., & Isazadegan, A. (2025). Enhancing the efficacy of cognitive behavioral therapy with attentional bias modification to reduce worry and emotion regulation difficulties in women with generalized anxiety disorder. Shefaye Khatam, 13(2): 20-30. [Link] Jalil-Abkenar, S. S. (2025). The Effectiveness of Schema-Based Parenting on Parental Acceptance and Fatigue in Mothers of Students with Intellectual Disability. Applied Psychology, 19(2): 80-102. [Link] Karsan, S., Diaz-Fong, J. P., Ly, R., Hellemann, G., & Feusner, J. D. (2024). Quantifying body size estimation accuracy and body dissatisfaction in body dysmorphic disorder using a digital avatar. Comprehensive Psychiatry, 135(1): 1525-1529. [Link] Kerry, C., Mann, P., Babaei, N., Katz, J., Pirbaglou, M., & Ritvo, P. (2024). Web-based therapist-guided mindfulness-based cognitive behavioral therapy for body dysmorphic disorder: Pilot randomized controlled trial. JMIR Mental Health, 11(1): 552-563. [Link] Khayyer, M., Ostovar, S., Latifian, M., Taghavi, M. R., & Samani, S. (2008). The study of mediating effects of self-focused attention and social self-efficacy on links between social anxiety and judgment biases. Iranian Journal of Psychiatry and Clinical Psychology, 14(1): 24-32. [Link] Khodabakhsh, M., Banihasan, M., & Izadi, F. (2024). The effectiveness of internet-based cognitive behavioral therapy on fear of negative evaluation, attention bias and intolerance of uncertainty in individuals with social anxiety disorder: A clinical trial. Community Health Journal, 17(4): 47-57. [Link] Khodadad Hatkehposhti, Z., Hasanzadeh, R., & Emadian, S. O. (2022). Comparison of the effectiveness of cognitive-behavioral therapy and emotional schema therapy on neuroticism and dysfunctional attitudes in cardiovascular patients. Journal of Applied Family Therapy, 3(3): 280-296. [Link] Majidinezhad, M., Pirmoradi, M., & Zahedi Tajrishi, K. (2023). The effect of transcranial direct current stimulation (tDCS) on attentional bias and affect in adults with major depressive disorder (MDD). Applied Psychology, 17(1): 11-35. [Link] McNally, R. J. (2019). Attentional bias for threat: Crisis or opportunity?. Clinical Psychology Review, 69(1): 4-13. [Link] Oyerinde, E. O., & Mangal, J. P. (2025). Beyond the mirror: Body dysmorphic disorder and emerging dysmorphias in aesthetic surgery. Clinics in Plastic Surgery, 52(3): 333-340. [Link] Patel, T. A., Summers, B. J., & Cougle, J. R. (2024). The scientific status of safety behaviors in body dysmorphic disorder. Journal of Obsessive-Compulsive and Related Disorders, 43(1): 1009-1011. [Link] Phillips, K. A., Hollander, E., Rasmussen, S. A., Aronowitz, B. R., DeCaria, C., & Goodman, W. K. (1997). A severity rating scale for body dysmorphic disorder: Development, reliability, and validity of a modified version of the Yale–Brown Obsessive Compulsive Scale. Psychopharmacology Bulletin, 33(1): 17-22. [Link] Pourkaveh Dehkordi, E., Khan Mohammadi, A., & Abbasi Asfajir, A. A. (2020). Meta-analysis of the causes of Iranian women’s tendency to cosmetic surgery. Health Psychology, 9(34): 7-24. [Link] Rück, C., Mataix-Cols, D., Feusner, J. D., Shavitt, R. G., Veale, D., Krebs, G., & Fernández de la Cruz, L. (2024). Body dysmorphic disorder. Nature Reviews Disease Primers, 10(1): 1-15. [Link] Sadeghzadeh, R., Razani, M., & Piriaei, H. (2024). Comparing the effectiveness of cognitive-behavioral therapy and metacognitive therapy on resilience and quality of life in patients with obsessive-compulsive disorder. Applied Psychology, 18(1): 36-62. [Link] Schmidt, M., Schoenenberg, K., Engelkamp, J. E., Staufenbiel, T., Martin, A., Ebert, D. D., & Hartmann, A. S. (2025). Efficacy of an internet-based, therapist-guided cognitive behavioral therapy intervention for adolescents and young adults with body dysmorphic disorder: A randomized controlled trial. BMC Psychiatry, 25(1): 374-389. [Link] Usefpoor, V., Mahmoud Alilou, M., & Esmaeilpour, K. (2025). Comparison of attentional bias in people with symptoms of obsessive-compulsive disorder (washer, checker), symptoms of generalized anxiety disorder and normal people. Journal of Psychological Science, 24(147): 83-100. [Link] Walker, C. E., Krumhuber, E. G., Dayan, S., & Furnham, A. (2021). Effects of social media use on desire for cosmetic surgery among young women. Current Psychology, 40(1): 3355-3364. [Link] Wilhelm, S., Weingarden, H., Greenberg, J. L., Hoeppner, S. S., Snorrason, I., Bernstein, E. E., McCoy, T. H., & Harrison, O. T. (2022). Efficacy of app-based cognitive behavioral therapy for body dysmorphic disorder with coach support: Initial randomized controlled clinical trial. Psychotherapy and Psychosomatics, 91(4): 277-285. [Link] Wong, W., Rangaprakash, D., Diaz-Fong, J. P., Rotstein, N. M., Hellemann, G. S., & Feusner, J. D. (2022). Neural and behavioral effects of modification of visual attention in body dysmorphic disorder. Translational Psychiatry, 12(1): 325-336. [Link] Woody, S. R., Chambless, D. L., & Glass, C. R. (1997). Self-focused attention in the treatment of social phobia. Behavior Research and Therapy, 35(2): 117-129. [Link]
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