The Relationship between Body Dysmorphic Disorder Symptoms and Sexual Functioning in Women mediated by Self-esteem
Journal of Research in Psychopathology
مقاله 2 ، دوره 7، شماره 2 - شماره پیاپی 24 ، مرداد 2026، صفحه 11-17 اصل مقاله (833.51 K )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2025.17162.1304
نویسندگان
Majid Mahmoud Alilou 1 ؛ Anita Mozafari* 2
1 Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran
2 MSC in clinical psychology, Department of psychology, Faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran.
چکیده
The aim of the present study was to determine the relationship between body dysmorphic disorder symptoms and sexual functioning in women, through self-esteem. There fore, 378 married female students from University of Tabriz were selected using a multi-stage random sampling method. Data were collected using the Rosen Women's Sexual Functioning Questionnaire, the Littleton Body Image concern inventory (BICI), and the Rosenberg Self-Esteem Scale (RSES). After statistical calculations using AMOS24 software and Structural equation metod. Data analysis indicated that the measured model had a good fit with the theoretical model, and self-esteem fully mediated the relationship. The results showed that there is no significant direct relationship between body dysmorphic disorder and sexual functioning in women. Additionally, there was a significant negative relationship between body dysmorphic disorder and self-esteem, as well as a significant positive relationship between self-esteem and sexual functioning in women. hence, it can be concluded that a decrease in self-esteem levels in women with body dysmorphic disorder may lead to the emergence or exacerbation of their sexual functioning issues, and by increasing self-esteem in these women, it is possible to prevent a decline in their sexual functioning.
کلیدواژهها
Body dysmorphic disorder ؛ Sexual dysfunction ؛ Self-esteem
مراجع
American Psychiatric Association (2013): Diagnostic and statistical manual of mental disorders. 4 ed. American Psychiatric Association.
Arji, M., Borjali, A., Sohrabi, F. & Farrokhi, N. A. (2016). Role of perfectionism and body image in the prediction of body dysmorphic disorder symptoms. Avicenna Journal of Neuro Psycho Physiology , 3(3), 62-65. doi:2010.5812/ajnpp.42560
Bassak Nejad, S. & Ghafari, M. (2008). The relationship between body dysmorphic concern and psychological problems among University students. International Journal of Behavioral Sciences , 1(2), 179-187. [In Persian] https://www.behavsci.ir/%26url/x3dhttp://www.behavsci.ir/article_67573.html
Basson, R., & Gilks, T. (2018). Women’s sexual dysfunction associated with psychiatric disorders and their treatment. Women's health , 14, 1745506518762664. doi:10.1177/1745506518762664
Blakey, S. M., Abramowitz, J. S., & Mahaffey, B. L. (2016). Do obsessive beliefs predict body image disturbance?. Journal of Obsessive-Compulsive and Related Disorders , 11, 96-100. doi:10.1016/j.jocrd.2016.08.007
Brennan, K. A. & Shaver, P. R. (1998). Attachment styles and personality disorders: Their connections to each other and to parental divorce, parental death, and perceptions of parental caregiving. Journal of personality , 66(5), 835-878. doi:10.1111/1467-6494.00034
Cash, T. F., & Smolak, L. (Eds.). (2011). Body image: A handbook of science, practice, and prevention. Guilford press . [Link]
Chesli, S. R., Khalesi, Z. B., & Chenari, S. S. (2024). The role of sexual self-esteem, sexual desire, and sexual assertiveness in the female sexual function. Psicologia: Reflexão e Crítica , 37, 21. doi:10.1186/s41155-024-00303-4
Cihan, A. & Cihan, E. (2023). Self-esteem and positive body image to overcome female sexual dysfunction. Call for Papers , 52(4), 170-171. doi:10.47102/annals-acadmedsg.202381
Cole, F. L. (1997). The role of self-esteem in safer sexual practices. Journal of the Association of Nurses in AIDS Care , 8(6), 64-70. doi:10.1016/S1055-3290(97)80059-3
Erdős, C., Kelemen, O., Pócs, D., Horváth, E., Dudás, N., Papp, A., & Paulik, E. (2023). Female sexual dysfunction in association with sexual history, sexual abuse and satisfaction: A cross-sectional study in Hungary. Journal of Clinical Medicine , 12(3), 1112. doi:10.3390/jcm12031112
Fardouly, J., Levin, T., Vartanian, L. R., & Rapee, R. M. (2024). Isolating the effects of body size and sexualisation in social media images on body image-related constructs among young women. Body Image , 51, 101800. doi:10.1016/j.bodyim.2024.101800
Ghosh, T., & Blair, E. (2025). The management of body dysmorphic disorder in adolescents: A systematic literature review. Open Health , 6(1), 20250057. doi:10.1515/ohe-2025-0057
Gökçe, E.,& Karakaş,S.(2024).The relationship between body image and sexual satisfaction in women who have undergone hysterectomy. Revista da Associação Médica Brasileira , 70, e20240776. doi:10.1590/1806-9282.20240776
Haghtalab, T., Ahmadpanah, M., & Madanchi, F. (2022). Prediction of Female Sexual Dysfunction Based on Perceived Stress and Body Dysmorphic Disorder. Avicenna Journal of Neuro Psycho Physiology , 9(3), 131-136. doi:10.32592/ajnpp.2022.9.3.106
Hartmann, A. S., Thomas, J. J., Greenberg, J. L., Elliott, C. M., Matheny, N. L., & Wilhelm, S. (2015). Anorexia nervosa and body dysmorphic disorder: A comparison of body image concerns and explicit and implicit attractiveness beliefs. Body Image , 14, 77-84. doi:10.1016/j.bodyim.2015.03.013
Herder, T., Spoelstra, S. K., Peters, A. W. M., & Knegtering, H. (2023). Sexual dysfunction related to psychiatric disorders: a systematic review. The Journal of Sexual Medicine , 20(7), 965-976. doi:10.1093/jsxmed/qdad074
Houshyar, Z. (2018). Investigating the relationship between mental image of the body and sexual performance and satisfaction in middle-aged women. [Master's Thesis]. Ahvaz: Jundi Shapur Ahvaz Health And Medical Services . doi:10.32592/ajnpp.2022.9.3.106
Kendler, K. S., Myers, J. M., & Neale, M. C. (2000). A multidimensional twin study of mental health in women. American Journal of Psychiatry , 157(4), 506-513. doi:10.1176/appi.ajp.157.4.506
Kong, L. V., Ting, R. S. K., Chung, K. R., Hidayat, W., Ooi, W. L., & Goh, P. H. (2024). Bidimensional self-esteem and sexual functioning among young adults: A systematic review. Current Psychology , 43(6), 4930-4944. doi:10.1007/s12144-023-04699-7
Koolwal, A., Agarwal, S., Manohar, S., Koolwal, G. D., & Gupta, A. (2020). Obsessive–compulsive disorder and sexuality: A narrative review. Journal of Psychosexual Health , 2(1), 37-43. doi:10.1177/2631831819896171
Kuck, N., Cafitz, L., Bürkner, P. C., Hoppen, L., Wilhelm, S., & Buhlmann, U. (2021). Body dysmorphic disorder and self-esteem: a meta-analysis. BMC psychiatry , 21(1), 310. doi:10.1186/s12888-021-03185-3
Littleton, H. L., Axsom, D., & Pury, C. L. (2005). Development of the body image concern inventory. Behaviour Research and therapy , 43 (2), 229-241. doi:10.1016/j.brat.2003.12.006
Mataix-Cols, D., de la Cruz, L. F., Isomura, K., Anson, M., Turner, C., Monzani, B., ... & Krebs, G. (2015). A pilot randomized controlled trial of cognitive-behavioral therapy for adolescents with body dysmorphic disorder. Journal of the American Academy of Child & Adolescent Psychiatry , 54(11), 895-904. doi:10.1016/j.jaac.2015.08.011
Mikaeili, N., Teymoori, R. & Salmani, A. (2023). The relationship between the emotional nature, adult attachment and aggression in depressed patients. Journal of Research in Psychopathology , 4 (11), 40-46. doi:10.22098/jrp.2023.9601.1043
Mikaeili, N., Salmani, A. & Sharei, A. (2025). The Effectiveness of Emotion-Focused Therapy on Parenting Self-Efficacy and Distress Tolerance in Mothers with Insecure Attachment Styles. Journal of Family Relations Studies , 5 (3), 1-11. doi:10.22098/jfrs.2025.17963.1255
Minty, A., & Minty, G. (2021). The prevalence of body dysmorphic disorder in the community: a systematic review. Global Psychiatry Archives , 4(2), 130-154. doi:10.52095/gp.2021.8113
Moghadam, M. M., Moradi, M., Najmabadi, K. M., Ramezani, M. A., & Shakeri, M. T. (2024). The Effect of Counseling based on PLISSIT Model Focused on Dysfunctional Sexual Beliefs among Women with Sexual Dysfunction: A Randomized Clinical Trial. Journal of Midwifery & Reproductive Health , 12 (4), 4414-4423. doi:10.22038/jmrh.2024.63053.1846
Mojtabaee, M., Saberi, H., & Alizadeh, A. (2014). Women sexual function: the role of sexual–self schema and body image. Health Psychology , 3(9), 45-60. dor:20.1001.1.23221283.1393.3.9.5.2
Mufassery, M. R., Asadnia, S., Agashte, M., Torabzade, N., Shahini, S., & Shahini, P. (2025). Developing a causal model of Body Dysmorphic Disorder with Obsessive-Compulsive Disorder: the mediating role of distress tolerance. Journal of Research in Psychopathology , 6 (1), 14-22. doi:10.22098/jrp.2024.14076.1211
Murad, O. S. (2020). Social Anxiety in Relation to Self-Esteem among University Students in Jordan. International Education Studies , 13 (2), 96-103. doi:10.5539/ies.v13n2p96
Noroozi Dashtaki, M., Zamani Zarchi, M. S., Hosseinzadeh Oskouei, A., Baghbani Nader, M., & Kianimoghadam, A. S. (2024). Body Image Concern and Sexual Function Relationship in the Postpartum Period: The Mediating Role of Sexual Self-esteem. Journal of Holistic Nursing And Midwifery , 34(3), 245-253. doi:10.32598/jhnm.34.3.2621
Pavanello Decaro, S., Anzani, A., Di Sarno, M., Di Pierro, R., & Prunas, A. (2024). Men’s sexual distress: the role of body image and vulnerable narcissistic traits. Sexual and Relationship Therapy , 39(2), 458-472. doi:10.1080/14681994.2022.2124404
Phillips, K. A & Kelly, M. M. (2017). Update on body dysmorphic disorder: clinical features, epidemiology, pathogenesis, assessment, and treatment. Psychiatric Annals , 47(11), 552-558. doi:10.3928/00485713-20171004-02
Phillips, K. A., Pagano, M. E., Menard, W., & Stout, R. L. (2006). A 12-month follow-up study of the course of body dysmorphic disorder. American Journal of Psychiatry , 163(5), 907-912. doi:10.1176/ajp.2006.163.5.907
Pozza, A., Veale, D., Marazziti, D., Delgadillo, J., Albert, U., Grassi, G., ... & Dèttore, D. (2020). Sexual dysfunction and satisfaction in obsessive compulsive disorder: protocol for a systematic review and meta-analysis. Systematic Reviews , 9 (1), 1-13. doi:10.1186/s13643-019-1262-7
Salari, N., Hasheminezhad, R., Hosseinian-Far, A., & Mohammadi, M. (2025). Global prevalence of female sexual dysfunction based on physical activity: a systematic review and meta-analysis. BMC Women's Health , 25 (1), 200. doi:10.1186/s12905-025-03738-8
Sharifi Daramadi, J. (1999). Factor stucture and psychometric properties of the Rosenberg self steem scale in iranian students. psychological Quarterly . [In Persian]
Tabrizi Shahrovi, Z. (2023). The effect of weak and strong self-esteem on self-efficacy. International conference on psychology of education sciences and lifestyle. [In Persian] https://sid.ir/paper/1082596/en
Tafarodi, R. W., & Swann Jr, W. B. (2001). Two-dimensional self-esteem: Theory and measurement. Personality and individual Differences , 31 (5), 653-673. doi:10.1016/S0191-8869(00)00169-0
Thakurta, R. G., Dhar, O. P. S. P., Sarkar, S., Ray, P., & Mallick, A. K. (2016). Prevalence and nature of sexual dysfunctions in OCD in a tertiary medical college. East J Psychiatry , 17 (2), 20-30.
Tiggemann, M. (2004). Body image across the adult life span: Stability and change. Body image , 1(1), 29-41. doi:10.1016/S1740-1445(03)00002-0
Tran, L. (2024). The Mediating Role of Self-disgust on the Relationship Between Negative Body Image and Sexual Dysfunction (Master's thesis). https://studenttheses.uu.nl/handle/20.500.12932/46486
Veale, D. (2004). Advances in a cognitive behavioural model of body dysmorphic disorder. Body image , 1(1), 113-125. doi:10.1016/S1740-1445(03)00009-3
Yahag, M., Abdolpour, G., Lashkari, A., & Rezai, M. (2024). Sexual functioning in women based on sexual shame and sexual dysfunctional beliefs. Journal of Research in Psychopathology , 5 (16), 52-59. doi:10.22098/jrp.2024.12360.1165
Yamamiya, Y., Cash, T. F., & Thompson, J. K. (2006). Sexual experiences among college women: The differential effects of general versus contextual body images on sexuality. Sex Roles , 55, 421-427. doi:10.1007/s11199-006-9096-x
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