Ethics code: IR.IAU.CTB.REC.1402.74
Sina Gholami *1 
, Ezatolah Ghadampour2 , Negar Zolfaghari3 , Maryam Nazemi Bojandi4 , Elham Omidi Moghadam4 , Tayebeh Sisakhti5
, Ezatolah Ghadampour2 , Negar Zolfaghari3 , Maryam Nazemi Bojandi4 , Elham Omidi Moghadam4 , Tayebeh Sisakhti5
1- Islamic Azad University, Central Tehran Branch
2- Lorestan University, Khorramabad, Iran.
3- West Tehran Branch, Islamic Azad University, Tehran, Iran.
4- Rudehen Branch, Islamic Azad University, Rudehen, Iran.
5- Firuzabad Branch, Islamic Azad University, Fars, Iran.
2- Lorestan University, Khorramabad, Iran.
3- West Tehran Branch, Islamic Azad University, Tehran, Iran.
4- Rudehen Branch, Islamic Azad University, Rudehen, Iran.
5- Firuzabad Branch, Islamic Azad University, Fars, Iran.
Abstract: (163 Views)
Abstract
Background & Objective: Today, obesity has become one of the most important health problems in the world, especially in developed countries. Research has reported a prevalence of 18.1% to 27.6% for eating disorders, a 57% prevalence for body dysmorphic disorder and a 59% prevalence of social anxiety disorder symptoms in obese individuals seeking bariatric surgery. Considering the psychological harms of bariatric surgery applicants, many approaches have been developed to reduce these psychological problems. Two of these interventions are self-determination training and emotional schema therapy. Accordingly, the aim of this study was to compare the effectiveness of self-determination training with emotional schema therapy on symptoms of body dysmorphic disorder, eating disorders and social anxiety in bariatric surgery applicants.
Methods: The present study was a semi-experimental research method with a pretest-posttest design with a control group. All applicants for bariatric surgery who visited cosmetic and bariatric surgery clinics in Karaj in the middle six months of 2024 constituted the statistical population of this study. Using available sampling method, 5 cosmetic and obesity surgery clinics were selected in Karaj city. Subsequently, using a purposive sampling method, 45 eligible volunteers were included in the study. These individuals were randomly assigned to two experimental groups and one control group (15 people in each group). The first experimental group received Field and Hoffman's (1994) steps to self-determination training package, and the second experimental group received Leahy's (2015) emotional schema therapy protocol. The third group was the control group, which received no intervention. It should be noted that the control group met at the training site (in a different room from the experimental groups) and read and reviewed books. At the beginning of the study, subjects in all three groups completed the Body Dysmorphic Disorder Questionnaire (Oosthuizen et al., 1998), the Eating Attitude Questionnaire (Garner et al., 1982), and the Social Anxiety Questionnaire (Connor et al., 2000), and completed all three questionnaires again after the end of the interventions. To investigate the research objective, univariate analysis of covariance and Bonferroni post hoc test were used. Data were analyzed at a significance level of 0.05 using SPSS software version 28.
Results: In univariate analysis of covariance, the difference between the experimental and control groups in the rates of all three variables: body dysmorphic disorder (Eta=0.811, p<0.001), eating disorders (Eta=0.819, p<0.001), and social anxiety disorder (Eta=0.789, p<0.001) was significant in the post-test phase. The results of the Bonferroni post hoc test showed that emotional schema therapy had a greater effect than self-determination training on reducing symptoms of body dysmorphic disorder, eating disorders, and social anxiety disorder (p<0.001).
Conclusion: In general, it can be concluded that emotional schema therapy and self-determination training are interventions that are effective in reducing symptoms of body dysmorphic disorder, eating disorders, and social anxiety disorder in candidates for bariatric surgery. However, it seems that emotional schema therapy has a greater effect on reducing the symptoms of these disorders.
Background & Objective: Today, obesity has become one of the most important health problems in the world, especially in developed countries. Research has reported a prevalence of 18.1% to 27.6% for eating disorders, a 57% prevalence for body dysmorphic disorder and a 59% prevalence of social anxiety disorder symptoms in obese individuals seeking bariatric surgery. Considering the psychological harms of bariatric surgery applicants, many approaches have been developed to reduce these psychological problems. Two of these interventions are self-determination training and emotional schema therapy. Accordingly, the aim of this study was to compare the effectiveness of self-determination training with emotional schema therapy on symptoms of body dysmorphic disorder, eating disorders and social anxiety in bariatric surgery applicants.
Methods: The present study was a semi-experimental research method with a pretest-posttest design with a control group. All applicants for bariatric surgery who visited cosmetic and bariatric surgery clinics in Karaj in the middle six months of 2024 constituted the statistical population of this study. Using available sampling method, 5 cosmetic and obesity surgery clinics were selected in Karaj city. Subsequently, using a purposive sampling method, 45 eligible volunteers were included in the study. These individuals were randomly assigned to two experimental groups and one control group (15 people in each group). The first experimental group received Field and Hoffman's (1994) steps to self-determination training package, and the second experimental group received Leahy's (2015) emotional schema therapy protocol. The third group was the control group, which received no intervention. It should be noted that the control group met at the training site (in a different room from the experimental groups) and read and reviewed books. At the beginning of the study, subjects in all three groups completed the Body Dysmorphic Disorder Questionnaire (Oosthuizen et al., 1998), the Eating Attitude Questionnaire (Garner et al., 1982), and the Social Anxiety Questionnaire (Connor et al., 2000), and completed all three questionnaires again after the end of the interventions. To investigate the research objective, univariate analysis of covariance and Bonferroni post hoc test were used. Data were analyzed at a significance level of 0.05 using SPSS software version 28.
Results: In univariate analysis of covariance, the difference between the experimental and control groups in the rates of all three variables: body dysmorphic disorder (Eta=0.811, p<0.001), eating disorders (Eta=0.819, p<0.001), and social anxiety disorder (Eta=0.789, p<0.001) was significant in the post-test phase. The results of the Bonferroni post hoc test showed that emotional schema therapy had a greater effect than self-determination training on reducing symptoms of body dysmorphic disorder, eating disorders, and social anxiety disorder (p<0.001).
Conclusion: In general, it can be concluded that emotional schema therapy and self-determination training are interventions that are effective in reducing symptoms of body dysmorphic disorder, eating disorders, and social anxiety disorder in candidates for bariatric surgery. However, it seems that emotional schema therapy has a greater effect on reducing the symptoms of these disorders.
Keywords: Bariatric Surgery Applicants, Body Dysmorphic Disorder, Eating Disorders, Emotional Schema Therapy, Self-Determination Training, Social Anxiety
Type of Study: Original Research Article |
Subject:
Psychology
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
