Document Type : Research Article
Authors
1 psychology, humanistic College, Malayer University, Malayer, hamedan
2 psychology, Humanistics college, malayer University, Iran
3 department of psychology, Malayer University
Abstract
Women with obesity are exposing to many psychological problems. The purpose of the current study was to examine the effectiveness of acceptance commitment therapy on social anxiety and body image in women with obesity. The research method was quasi-experimental (pre-test, post-test with control group). In this research, all women with obesity (106 women) were evaluated psychologically by census sampling method. 48 women among them had symptoms of social anxiety and undesirable body image and 30 of them randomly assigned in experimental and control groups. The Social Anxiety and Multidimensional Body -Self Relations Questionnaires were used for collecting the data. Acceptance Commitment Therapy was trained for experimental group in 8 sessions. Data were analyzed with Multivariate Analysis of Covariance (MANCOVA). Results indicated that acceptance commitment therapy has been effective on decreasing the social anxiety and improving the body image in women with obesity (p<0/01). According to results, acceptance commitment therapy was suggested for improving psychological problems (spatially social anxiety and body image) in women with obesity.
Keywords
Abbasi, M., Porzoor, P., Moazedi, K. & Aslani, T. (2015). The effectiveness of acceptance and commitment therapy on improving body image of female students with Bulimia Nervosa. Journal of Ardabil University of Medicine Science, 15(1), 15-24. [Persian]
Albohn-Kühne, C. & Rief, W. (2011). Shame, guilt and social anxiety in obesity with binge-eating disorder. Psychotherapie Psychosomatik Medizinische Psychologe, 61(9-10), 412-417.
American Psychiatric Association. (2013). The Diagnostic and Statistical Manual of Mental Disorders: DSM 5. Book point US.
Asthana, H. S. (2012). Psycho-social correlates of obesity: An empirical study. Social Science International, 28(2), 233-251.
Bhurosy, T. & Jeewon R. (2014). Overweight and obesity epidemic in developing countries: A problem with diet, physical activity, or socioeconomic status? Scientific World Journal, 7(3), 1-7.
Bucchieri, L. E., Meana, M. & Fisher, B. L. (2002). Review of psychosocial outcomes of surgery for morbid obesity. Journal of Psychosomatic Research, 52(3), 155-165.
Calogero, R. M. & Thompson, J. K. (2010). Gender and body image. In J. C. Chrisler & D. R. McCreary (Eds.), Handbook of gender research in psychology (pps. 153-184). New York: Springer.
Cash, T. F., Morrow, J. A. & Hrabosky, J. I. (2004). How Has Body Image Changed? A Cross-Sectional Investigation of College Women and Men from 1983 to 2001. Journal of Consulting and Clinical Psychology, 72(6), 1081-1089.
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Science, 2nd ed. Hillsdale, NJ: Erlbaum.
Connor, K. M., Davidson, J. R. T., Churchill, L. E., Sherweed, A., Foa, E. B. & Weisler, R. H. (2000). Psychometric properties of the social phobia (SPIN): A new self-rating scale. British Journal of Psychiatry, 176(1), 379-386.
Dalrymple, K. L. & Herbert, J. D. (2007). Acceptance and commitment therapy for generalized social anxiety disorder: A pilot study. Behavior Modification, 31(5), 543-568.
Dokaneheei Fard, F., Mehrabian, B., Boroon, Z., Ghaderi. M., Yousefi, S. & Shamseddini Lory, S. (2016). The effectiveness of acceptance and commitment therapy on reduction of obesity and body image. Bulletin de la Société Royale des Sciences de Liège, 85(1), 1571-1577.
Fallahzadeh, H., Saadati, H. & Keyghobadi, N. (2017). Estimating the prevalence and trends of obesity in Iran populations from 2000 to 2011: A meta-analysis Study. Journal of Shahid Sadoughi University of Medical Sciences, 25(9), 681-689. [Persian]
Flegal, K. M., Kruszon-Moran, D., Carroll, M. D, Fryar, C. D & Ogden, C. L. (2016). Trends in obesity among adults in the United States, 2005 to 2014. JAMA, 315(21), 2284-2291.
Fletcher, B., Hanson, J., Page, N. & Pine, K. (2011). FIT - Do something different: A new behavioral program for sustained weight loss. Swiss Journal of Psychology, 70(1), 25-34.
Fogelkvist, M., Parling, T., Kjellin, L. & Aila Gustafsson, S. A. (2016). A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy. Journal of Eating Disorders, 4(1), 1-29.
Forman, E. M., Butryn, M. L., Hoffman, K. L. & Herbert, J. D. (2009). An open trial of an acceptance based behavioral intervention for weight loss. Cognitive and Behavioral Practice, 16(2), 223-235.
Forman, E. M., Hoffman, K. L., McGrath, K. B., Herdert, J. D., Brandsma, L. L. & Lowe, M. R. (2007). A comparison of acceptance and control based strategies for coping with food cravings: An analog study. Behavior Research and Therapy, 45(10), 2372-2386.
Freda, I. & Gamze, A. (2004). Social Phobia among university students and its relation to self-esteem and body image. Canadian Journal of Psychiatry, 49(9), 630-635.
Gholamhoseini, B., Khodabakhshi Koolaee, A. & Taghvaee, D. (2015). The effectiveness of acceptance and commitment group therapy on depression and body image in female with obesity. Community Health, 2(2), 72-79. [Persian]
Harris, R. (2009). ACT made simple: An easy-to- read primer on acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.
Hasanzadeh Amoiy, M. (2007). Study of validity and reliability if Social Phobia Scale. Unpublished testis Dissertation in Clinical Psychology, Firdausi University, Shahed University. [Persian]
Hashemi, T., Ahmadbeigi, N., Parvaz, S. & KarimiShahbazi, R. (2015). The role of attachment style in social anxiety according to moderate effect of self-esteem. Journal of Psychological Achievements, 22(1), 47-66. [Persian]
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A. & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes, and outcomes. Behavior Research and Therapy, 44(1), 1-25.
Hayes, S. C., Strosahl, K. D. & Wilson, K. G. (1999). Acceptance and Commitment therapy: An Experimental Approach to Behavior change. New York: Guilford Press.
Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: a preliminary test of a working model. Psychological Record, 54(4), 553-578.
Hooper, N., Sandoz, E. K., Ashton, J., Clarke, A. & McHugh, L. (2012). Comparing thought suppression and acceptance as coping techniques for food cravings. Eating Behaviors, 13(1), 62-64.
Ivanova, E., Lindner, P., Ly, K. H., Dahlin, M., Vernmark, K., Andersson, G., et al. (2016). Guided and unguided Acceptance and Commitment Therapy for social anxiety disorder and/or panic disorder provided via the Internet and a smartphone application: A randomized controlled trial. Journal of Anxiety Disorders, 44(1), 27-35.
Jafari, A. & Shahabi, S. R. (2017). Effectiveness of mindfulness-based stress reduction on state/trait anxiety and quality of life in women with obesity. Feyz, 21(1), 83-93. [Persian]
Juncos, D. G., Heinrichs, G. A., Towle, P., Duffy, K., Grand, S. M, Morgan, M. C., et al (2017). Acceptance and commitment therapy for the treatment of music performance anxiety: A pilot study with student vocalists. Frontiers in Psychology, 8, 1-16.
Kelly, T., Yang, W., Chen, C. S., Reynolds, K. & He, J. (2008). Global burden of obesity in 2005 and projections to 2030. International Journal of Obesity, 32(9), 1431-1437.
Latner, J. D. & Wilson, R. E. (2011). Obesity and body image in adulthood. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice, and prevention (pp. 189-197). New York: Guilford Press.
Lillis, J., Hayes, S., Bunting, K. & Masuda, A. (2009). Teaching Acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37(1), 58-69.
Makara-Studzińska, M. & Zaborska, A. (2009). Obesity and body image. Psychiatria Polska, 43(1), 109-114.
Markham, A. P., Thompson, T. & Bowling, A. C. (2005). Determinants of body-image shame. Personality and Individual Differences, 38(7), 1529-1541.
Mirza, N. M., Davis, D. & Yanovski, J. A. (2005). Body dissatisfaction, self-esteem, and overweight among inner-city Hispanic children and adolescents. Journal of Adolescents Health, 36(3), 16-20.
Moghimi-Dehkordi, B., Safaee, A., Vahedi, M., Pourhoseingholi, M. A, Pourhoseingholi, A & Zal,i M. R. (2012). The prevalence of obesity and its associated demographic factors in Tehran, Iran. Journal of Health Development, 1(1), 22-30. [Persian]
Mohammadi, N. & Sajadinejad, M. (2007). The relationship among body image concern, fear of negative evaluation and self-esteem with social anxiety. Journal of Modern Psychological Researches, 2(5), 60-67. [Persian]
Murphy, K. R. & Myors, B. (2004). Statistical Power Analysis: A Simple and General Model for Traditional and Modern Hypothesis Tests (2nd ed.). Mahwah, NJ: Erlbaum.
Nagata, T., Nakajima, T., Teo, A. R. Yamada, H. & Yoshimura, C. (2013). Psychometric properties of the Japanese version of the Social Phobia Inventory. Psychiatry and Clinical Neuroscience, 67(3), 160-166.
Neimeier, H., Leahey, T, Reed, K., Brown, R & Wing, R. (2012). An acceptance-based behavioral intervention for weight loss: A pilot study. Behavior Therapy, 43(2), 427-435.
Osavac, S. S. & Posavac, H. D. (2002). Predictors of women's concern with body weight: the roles of perceived self-media ideal discrepancies and self-esteem. Eating Disorders, 10(2), 153-60.
Ostrovsky, N. W., Swencionis, C., Wylie-Rosett, J. & Isasi, C. R. (2013). Social anxiety and disordered overeating: an association among overweight and obese individuals. Eating Behaviors, 14(2), 145-148.
Parandavar, N., Badieh-Paimaie Jahromi, J., Taheri, M. & Farjam, S. (2015). Comparison of obesity in Iran with other countries. International Congress of Mother obesity and Child. 15 & 16 July, Oromia, Iran. [Persian]
Parizadeh, H. (2012). Study and comparison the effect of existential group therapy and reality group therapy on depression, anxiety, Stress and resolving the Body image of Mastectomy women. Unpublished testis Dissertation in Clinical Psychology, Firdausi University. [Persian]
Pearson, A. N., Follette, V. M. & Hayes, S. C. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19(1), 181-197.
Pinquart, M. (2013). Body image of children and adolescents with chronic illness: a met analytic comparison with healthy peers. Body Image, 10(2), 141-8.
Powell, L. H. & Calvin, J. E. (2007). Effective obesity treatments. American Psychologists, 62(3), 234-246.
Rajabzadeh, F., MakvandiHoseini, S., Talebian Sharif, J. & Ghanbari Hashemabadi, B. (2015). The effect of new group reality therapy based on selective theory on social anxiety disorder of students. Journal of Psychological Achievements, 22(1), 133-152. [Persian]
Salici, A. G., Sisman, P., Gul, O. O., Karayel, T., Cander, S. & Ersoy, C. (2017). The prevalence of obesity and related factors: An urban survey study. 19th European Congress of Endocrinology, Lisbon, Portugal, 20 - 23 May 2017.
Shah, K., Amin, N., Patel, K., Shah, C., Sorani, P. & Rokad, M. (2014). Screening of social anxiety disorder in the overweight and obese subjects attending obesity clinic. Scholars Journal of Applied Medical Sciences, 2(6), 2078-2082.
Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W. & Moore, L. (2009). Exploratory randomized controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52(2), 396-404.
Tarkhan, M., Esmaeilpour, M. & Tizdast, T. (2013). A study of the relationship between social anxiety, social self-efficacy and body image in the girl students of the Islamic Azad University at Tonekabon Branch. European Online Journal of Natural and Social Sciences, 2(4), 510-515.
Tunceli, K., Li, K. & Williams, L. (1999). Long‐term effects of obesity on employment and work limitations among US adults, 1986 to 1999. Obesity, 14(9), 1637-1646.
Twells, L. K., Gregory, D. M., Reddigan, J. & Midodzi, W. K. (2014). Current and predicted prevalence of obesity in Canada: A trend analysis. CMAJ Open, 2(1), 18-26.
Webster, J. & Tiggeman, M. (2003). The relationship between women's body satisfaction and self-image across the life span: The role of cognitive control. Journal of Genetic Psychology, 164(2), 241-253.
Weinberger, N. A., Kersting, A., Riedel-Heller, S. G. & Luck-Sikorski, C. (2016). Body dissatisfaction in individuals with obesity compared to normal-weight individuals: A systematic review and meta-analysis. Obesity Facts, 9(6), 424–441.
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