The Effect of Cognitive Behavioral Group Therapy on the Improvement of Postmenopausal Women’s Body Image: A Randomized Clinical Trial

IF 0.5 Q4 PSYCHIATRY

Iranian Journal of Psychiatry and Behavioral Sciences Pub Date : 2023-10-12 DOI:10.5812/ijpbs-135098

Marziyeh Hosseini, Nahid Javadifar, Amal Saki Malehi, Nasser Behroozi

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Abstract

Background: The physiological changes in postmenopausal women, especially age-related physical changes, may lead to negative experiences in body image among these women. Objectives: This study aimed to determine the effectiveness of cognitive behavioral group therapy on the negative body image of postmenopausal women. Methods: This parallel randomized clinical trial study was conducted on 22 eligible postmenopausal women attending a health care center in Ahvaz, Iran, in 2018. They were randomly selected and assigned to intervention and control groups (n = 11 per group). The intervention group attended eight 90-minute sessions of cognitive behavioral therapy (CBT) based on the Cash 8-step model. All participants completed the body image concern inventory (BICI) and Multidimensional Body-Self Relations Questionnaire (MBSRQ) before, immediately after, and 1 month after the intervention. The chi-square test, independent t-test, and repeated measures test were used to investigate the trend of changes in BICI and MBSRQ and their domains over time in both groups. P values less than 0.05 were considered statistically significant for all tests. Results: Before the intervention, there were no statistically significant differences in demographic characteristics (such as age, age of menopause, and body mass index (BMI)) between the 2 groups; also, there were no statistically significant differences in the mean scores of MBSRQ and BICI between the 2 groups (P < 0.05). After the intervention, a significant increase was observed in the mean scores of MBSRQ and its 3 out of 6 domains (appearance evaluation (AE), appearance orientation (AO), and body areas satisfaction (BAS); P < 0.05), while a significant decrease was observed in the mean scores of BICI in the intervention group compared with the control group (P < 0.05). Conclusions: Cognitive behavioral group therapy based on the Cash 8-step model in postmenopausal women can promote satisfaction with their body image.

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认知行为团体治疗对改善绝经后妇女身体形象的影响:一项随机临床试验

背景:绝经后妇女的生理变化，特别是与年龄相关的生理变化，可能导致这些妇女对身体形象的负面体验。目的:探讨认知行为团体治疗对绝经后妇女身体负面形象的影响。方法:这项平行随机临床试验研究对2018年在伊朗阿瓦士一家医疗中心就诊的22名符合条件的绝经后妇女进行了研究。他们被随机选择并分配到干预组和对照组(每组n = 11)。干预组参加了8次90分钟的认知行为疗法(CBT)，该疗法基于Cash八步模型。所有参与者在干预前、干预后和干预后1个月分别完成身体形象关注量表(BICI)和多维身体自我关系问卷(MBSRQ)。采用卡方检验、独立t检验和重复测量检验探讨两组患者BICI和MBSRQ及其域随时间的变化趋势。P值小于0.05被认为具有统计学意义。结果:干预前，两组患者的人口学特征(如年龄、绝经年龄、体重指数(BMI))比较，差异均无统计学意义;两组患者MBSRQ和BICI平均得分差异无统计学意义(P <0.05)。干预后，MBSRQ及其6个领域中的3个领域(外观评价(AE)、外观取向(AO)和身体区域满意度(BAS)的平均得分均显著提高;P & lt;0.05)，干预组BICI平均评分较对照组显著降低(P <0.05)。结论:基于Cash八步模型的认知行为团体治疗可提高绝经后妇女对身体形象的满意度。

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来源期刊

Iranian Journal of Psychiatry and Behavioral Sciences PSYCHIATRY-

CiteScore

1.20

自引率

10.00%

发文量

期刊介绍： The Iranian Journal of Psychiatry and Behavioral Sciences (IJPBS) is an international quarterly peer-reviewed journal which is aimed at promoting communication among researchers worldwide and welcomes contributions from authors in all areas of psychiatry, psychology, and behavioral sciences. The journal publishes original contributions that have not previously been submitted for publication elsewhere. Manuscripts are received with the understanding that they are submitted solely to the IJPBS. Upon submission, they become the property of the Publisher and that the data in the manuscript have been reviewed by all authors, who agree to the analysis of the data and the conclusions reached in the manuscript. The Publisher reserves copyright and renewal on all published material and such material may not be reproduced without the written permission of the Publisher. Statements in articles are the responsibility of the authors.