The Mediating Role of Self-Concept in the Relationship Between Body Dysmorphic Disorder and Social Well-Being

Namadmaliani Zadeh , Zeinab; Johari Fard ,  Reza; Talebzadeh Shoushtari , Marzieh

doi:10.61186/jbrms.12.2.37

[Home ] [Archive]

Journal of Basic Research in Medical Sciences

Main Menu

Home

About Journal

Editorial Board

Articles Archive

Indexing Databases

To Authors

To Reviewers

Registration

Submit Your Article

Policies and Publication Ethics

Archiving Policy

Site Facilities

Contact Us

Google Scholar Metrics

	All	Since 2020
Citations	857	641
h-index	13	11
i10-index	20	15

Search in website

Receive site information

Registered in

Volume 12, Issue 2 (4-2025)

jbrms 2025, 12(2): 37-45

Back to browse issues page

The Mediating Role of Self-Concept in the Relationship Between Body Dysmorphic Disorder and Social Well-Being

Zeinab Namadmaliani Zadeh

, Reza Johari Fard

, Marzieh Talebzadeh Shoushtari

Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran. , rjoharfard@gmail.com

Abstract: (294 Views)

Introduction: Body dysmorphic disorder (BDD) is a mental disorder that can have significant psychosocial consequences, making it important to identify factors involved in its development and maintenance. The present study aimed to investigate the mediating role of self-concept in the relationship between social well-being and BDD in individuals seeking treatment at beauty clinics in Ahvaz City.
Materials & Methods: A descriptive-analytical cross-sectional correlational design was utilized in this study to examine the relationships among BDD, self-concept, and social well-being. Participants were 180 individuals diagnosed with BDD who sought treatment at beauty clinics in Ahvaz, Iran, in 2022. A convenience sample was employed for participant recruitment. Data were collected using the Body Dysmorphic Metacognitive Questionnaire, Self-Concept Questionnaire, and Social Well-being Questionnaire. Structural Equation Modeling (SEM) was conducted using AMOS, complemented by Pearson correlation analysis using SPSS version 16, to test the proposed theoretical model. All statistical analyses were conducted with a significance level of 0.05.
Results: The results of the study indicated that the model fit indices were within the acceptable range. There was a significant negative correlation between BDD and both social well-being (r = -0.34) and self-concept (r = 0.22). Moreover, the indirect relationship between social well-being and BDD, mediated by self-concept, was significant (P = 0.010).
Conclusion: : The results indicate a robust association between BDD, self-concept, and social well-being. Specifically, findings suggest that individuals with heightened BDD symptoms tend to report lower self-concept and diminished social well-being.

Keywords: Body dysmorphic disorder, Body image, Well-being, Self-concept

Full-Text [PDF 737 kb] (120 Downloads)

Type of Study: Research | Subject: Psychology
Received: 2024/08/4 | Accepted: 2024/11/5 | Published: 2025/04/18

References

1. Singh AR, Veale D. Understanding and treating body dysmorphic disorder. Indian J Psychiatry. 2019;61(Suppl1):S131-S135. doi:10.4103/psychiatry.IndianJPsychiatry_528_18.

2. Castle D, Beilharz F, Phillips KA, Brakoulias V, Drummond LM, Hollander E, et al. Body dysmorphic disorder: a treatment synthesis and consensus on behalf of the International College of Obsessive-Compulsive Spectrum Disorders and the Obsessive Compulsive and Related Disorders Network of the European College of Neuropsychopharmacology. Int Clin Psychopharmacol. 2021;36(2):61-75. doi: 10.1097/yic.0000000000000342.

3. Bjornsson AS, Didie ER, Phillips KA. Body dysmorphic disorder. Dialogues Clin Neurosci. 2010;12(2):221-232. doi:10.31887/DCNS.2010.12.2/abjornsson.

4. Sindi SA, Alghamdi MK, Sindi EE, Bondagji MF, Baashar DS, Malibary JA, et al. The Prevalence and Characteristics of Body Dysmorphic Disorder Among Adults in Makkah City, Saudi Arabia. A Cross-Sectional Study. Cureus. 2023;15(2):e35316.

5. Nabavizadeh SS, Naseri R, Sadeghi E, Afshari A, Dehdari Ebrahimi N, Sadeghi A. Prevalence of body dysmorphic disorder in rhinoplasty candidates: A systematic review and meta-analysis. Health Sci Rep. 2023;6(8):e1495. doi: 10.1002/hsr2.1495.

6. Rabaioli L, Oppermann PO, Pilati NP, Klein CFG, Bernardi BL, Migliavacca R, et al. Evaluation of postoperative satisfaction with rhinoseptoplasty in patients with symptoms of body dysmorphic disorder. Braz J Otorhinolaryngol. 2022;88(4):539-45. doi: 10.1016/j.bjorl.2020.07.013.

7. Ahmadi V, Khajehdin N, Firoozi A A, Mirshekar S, Menati W, Eydi Baygi M et al. Eating attitudes, body image concept and exercise reasons in female athletes. J Basic Res Med Sci. 2014;1(2):1-7.

8. Malcolm A, Labuschagne I, Castle D, Terrett G, Rendell PG, Rossell SL. The relationship between body dysmorphic disorder and obsessive-compulsive disorder: A systematic review of direct comparative studies. Aust N Z J Psychiatry. 2018;52(11):1030-1049. doi:10.1177/0004867418799925.

9. Musavimoghadam S R, Sari T, Heidarihasanabadi S. The relationship of spiritual understanding and self-esteem with suicidal thoughts. J Basic Res Med Sci. 2017;4(3):19-25. doi: 10.29252/jbrms.4.3.19.

10. Möller J, Zitzmann S, Helm F, Machts N, Wolff F. A Meta-Analysis of Relations Between Achievement and Self-Concept. Rev Edu Res. 2020;90(3):376-419. doi: 10.3102/0034654320919354.

11. Davai NR, Kalantar-Hormozi A, Ganji K, Abbaszadeh-Kasbi A. The Impact of Cosmetic Surgery on Women's Marital Satisfaction and Self-Concept. World J Plast Surg. 2018;7(3):337-344. doi:10.29252/wjps.7.3.337.

12. Niknam M, Khodi Z, Khodi M. The Relationship Between Body Image, Self-concept and Happiness among Women Seeking Cosmetic Surgery in Tehran. J Shahid Sadoughi Uni of Med Sci. 2019;27(1):1110-1117. doi: 10.18502/ssu.v27i1.868.

13. Permwonguswa S, Khuntia J, Yim D, Gregg D, Kathuria A. Knowledge Sharing in a Health Infomediary: Role of Self-concept, Emotional Empowerment, and Self-esteem. Health Syst (Basingstoke). 2018;7(3):181-194. doi:10.1080/20476965.2017.1405875.

14. Vizgaitis AL, Lenzenweger MF. Pierced identities: Body Modification, Borderline Personality Features, Identity, and Self-concept Disturbances. Personal Disord. 2019;10(2):154-162. doi:10.1037/per0000309.

15. Marsh HW, Pekrun R, Parker PD, Murayama K, Guo J, Dicke T, et al. The murky Distinction between Self-concept and self-Efficacy: Beware of Lurking Jingle-Jangle Fallacies. J Edu Psychol. 2019;111(2):331–353. doi: 10.1037/edu0000281.

16. Ahmadpanah M, Arji M, Arji J, Haghighi M, Jahangard L, Sadeghi Bahmani D, et al. Sociocultural Attitudes towards Appearance, Self-Esteem and Symptoms of Body-Dysmorphic Disorders among Young Adults. Int J Environ Res Public Health. 2019;16(21). doi: 10.3390/ijerph16214236.

17. Tuzovic S, Kabadayi S. The Influence of Social Distancing on Employee Well-being: A Conceptual Framework and Research Agenda. J Servic Manag. 2021;32(2):145-60. doi: 10.1108/JOSM-05-2020-0140.

18. Keyes CL. Social well-being. Soc Psychol Quarter. 1998;1:121-40.

19. Salehi AMMP, Marzban MM, Sourosh MP, Sharif FP, Nejabat MM, Imanieh MHM. Social Well-Being and Related Factors in Students of School of Nursing and Midwifery. Int J Community Based Nurs Midwifery. 2017;5(1):82-90.

20. Das KV, Jones-Harrell C, Fan Y, Ramaswami A, Orlove B, Botchwey N. Understanding Subjective Well-being: Perspectives from Psychology and Public Health. Public Health Rev. 2020;41(1):25. doi:10.1186/s40985-020-00142-5.

21. Siedlecki KL, Salthouse TA, Oishi S, Jeswani S. The Relationship Between Social Support and Subjective Well-Being Across Age. Soc Indic Res. 2014;117(2):561-576. doi:10.1007/s11205-013-0361-4.

22. Ray TK. Work Related Well-being is Associated with Individual Subjective Well-being. Ind Health. 2022;60(3):242-252. doi:10.2486/indhealth.2021-0122.

23. Fahami F, Amini-Abchuyeh M, Aghaei A. The Relationship between Psychological Wellbeing and Body Image in Pregnant Women. Iran J Nurs Midwifery Res. 2018;23(3):167-171. doi:10.4103/ijnmr.IJNMR_178_16.

24. Fan KL, Graziano F, Economides JM, Black CK, Song DH. The Public's Preferences on Plastic Surgery Social Media Engagement and Professionalism: Demystifying the Impact of Demographics. Plast Reconstr Surg. 2019;143(2):619-630. doi:10.1097/PRS.0000000000005205

25. Rabiei M, Salahian A, Bahrami F, Palahang H. Construction and Standardization of the Body Dysmorphic Metacognition Questionnaire. J Mazandaran Univ Med Sci. 2011;21(83):43-52.

26. Chen F, Garcia OF, Fuentes MC, Garcia-Ros R, Garcia F. Self-Concept in China: Validation of the Chinese Version of the Five-Factor Self-Concept (AF5) Questionnaire. Symmetry. 2020; 12(5):798. doi:10.3390/sym12050798.

27. Hosseini A, Mousavi SH, Hajibabaee F, Haghani S. The Relationship Between Workplace Bullying and Professional Self-concept in Iranian Nurses. Nurs Open. 2020;8(1):232-240. doi:10.1002/nop2.622.

28. Mozaffari N, Dadkhah B, Shamshiri M, Mohammadi MA, Dehghan Nayeri N. The Status of Social Well-being in Iranian Nurses: A Cross- Sectional Study. J Caring Sci. 2014;3(4):239-246. doi:10.5681/jcs.2014.026.

29. Fang A, Hofmann SG. Relationship Between Social Anxiety Disorder and Body Dysmorphic Disorder. Clin Psychol Rev. 2010;30(8):1040-8. doi: 10.1016/j.cpr.2010.08.001.

30. Haim-Litevsky D, Komemi R, Lipskaya-Velikovsky L. Sense of Belonging, Meaningful Daily Life Participation, and Well-Being: Integrated Investigation. Int J Environ Res Public Health. 2023;20(5):4121. doi:10.3390/ijerph20054121.

31. Allen LM, Roberts C, Zimmer-Gembeck MJ, Farrell LJ. Exploring the Relationship Between Self-Compassion and Body Dysmorphic Symptoms in Adolescents. J Obsessi Relat Disord. 2020;25:100535. doi: 10.1016/j.jocrd.2020.100535.

32. Kuck N, Cafitz L, Bürkner PC, Hoppen L, Wilhelm S, Buhlmann U. Body dysmorphic Disorder and Self-esteem: A Meta-analysis. BMC Psychiatr. 2021;21(1):310. doi: 10.1186/s12888-021-03185-3.

Send email to the article author

Add your comments about this article

‎ 10.61186/jbrms.12.2.37

Mendeley

Zotero

RefWorks

Namadmaliani Zadeh Z, Johari Fard R, Talebzadeh Shoushtari M. The Mediating Role of Self-Concept in the Relationship Between Body Dysmorphic Disorder and Social Well-Being. jbrms 2025; 12 (2) :37-45
URL: http://jbrms.medilam.ac.ir/article-1-880-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 12, Issue 2 (4-2025)

Back to browse issues page

Persian site map - English site map - Created in 0.15 seconds with 41 queries by YEKTAWEB 4701