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Volume 24, Issue 153 (11-2025)
Journal of Psychological Science 2025, 24(153): 71-91 |
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Rashid Dobakhshari F, Nasrolahi B, Azadyekta M. (2025). Mediating Role of Resilience in the Relationship between Body Image Flexibility and Health-Promoting Lifestyle in Women with Polycystic Ovary Syndrome. Journal of Psychological Science. 24(153), 71-91. doi:10.61186/jps.24.153.71
URL: http://psychologicalscience.ir/article-1-2728-en.html
URL: http://psychologicalscience.ir/article-1-2728-en.html
Assistant Professor, Department of General Psychology, Islamic Azad University, Science and Research Branch, Tehran, Iran. , Nasrolahi@srbiau.ac.ir
Abstract: (1114 Views)
Background: Polycystic Ovary Syndrome (PCOS) is one of the most common disorders in women that can have widespread psychological effects. In this context, body image flexibility may have positive impacts on women's resilience. Resilience, as a mediating variable, can play an important role in enhancing the mental and physical health of these women, thereby improving their quality of life. However, there are gaps in the literature regarding the role of resilience in this area, indicating the need for further research.
Aims: The aim of the present study was to investigate the mediating role of resilience in the relationship between body image flexibility and health-promoting lifestyle in women with polycystic ovary syndrome (PCOS).
Methods: The research method was descriptive correlational with structural equation modeling. The statistical population of this study included all women and girls diagnosed with PCOS who visited Kamali Hospital in Karaj in 2023-2024. From this population, 600 participants were selected using purposive sampling and completed questionnaires on resilience (Connor-Davidson, 2003), health-promoting lifestyle (Walker et al., 1981), and body image flexibility (Magalhães, 2015). Data were analyzed using Pearson correlation and structural equation modeling with PLS software version 4.
Results: The results showed that body image flexibility had a positive effect on resilience, and conversely, body image inflexibility was significantly and negatively related to resilience (p< 0.05). Moreover, resilience had a positive effect on the health-promoting lifestyle of women in this study (p< 0.05). The findings also indicated that resilience acted as a mediating variable and could explain the relationship between body image flexibility and health-promoting lifestyle (p< 0.05).
Conclusion: The findings of this study can help design intervention models aimed at enhancing body image flexibility and resilience in women with PCOS. These interventions could facilitate improvements in lifestyle, mental and physical health, and ultimately increase the quality of life for these women.
Aims: The aim of the present study was to investigate the mediating role of resilience in the relationship between body image flexibility and health-promoting lifestyle in women with polycystic ovary syndrome (PCOS).
Methods: The research method was descriptive correlational with structural equation modeling. The statistical population of this study included all women and girls diagnosed with PCOS who visited Kamali Hospital in Karaj in 2023-2024. From this population, 600 participants were selected using purposive sampling and completed questionnaires on resilience (Connor-Davidson, 2003), health-promoting lifestyle (Walker et al., 1981), and body image flexibility (Magalhães, 2015). Data were analyzed using Pearson correlation and structural equation modeling with PLS software version 4.
Results: The results showed that body image flexibility had a positive effect on resilience, and conversely, body image inflexibility was significantly and negatively related to resilience (p< 0.05). Moreover, resilience had a positive effect on the health-promoting lifestyle of women in this study (p< 0.05). The findings also indicated that resilience acted as a mediating variable and could explain the relationship between body image flexibility and health-promoting lifestyle (p< 0.05).
Conclusion: The findings of this study can help design intervention models aimed at enhancing body image flexibility and resilience in women with PCOS. These interventions could facilitate improvements in lifestyle, mental and physical health, and ultimately increase the quality of life for these women.
Type of Study: Research |
Subject:
Special
Received: 2024/12/8 | Accepted: 2025/02/9 | Published: 2025/11/24
Received: 2024/12/8 | Accepted: 2025/02/9 | Published: 2025/11/24
References
1. آزادگان مهر، مریم.، معینی زاده، محمدجواد.، و اصغری ابراهیم آباد، مجید. (1400). اثربخشی کاهش استرس مبتنی بر ذهن آگاهی بر اضطراب، انعطاف پذیری شناختی و تاب آوری زنان. فصلنامه علمی پژوهشی زن و جامعه، 12(1)، 60-69.https://doi.org/10.30495/jzvj.2021.4564
2. لطفی کاشانی، فرح، نوبخت، لعیا؛ خلیلی، منصوره؛ سپهبدی، غزل؛ وزیری، یاشار. (1397). نگرانی، اشتغال ذهنی با نگرانی و پریشانی هیجانی مرتبط با تن انگاره ی بیماران ماستکتومی شدهی داوطلب، با و بدون ترمیم پستان و زنان سالم داوطلب انجام جراحی زیبایی پستان، نشریه اندیشه و رفتار در روانشناسی بالینی، 12(48)، 7-16.https://Magiran.com/p2002708
3. نویدیان، علی.، کرمان ساروی، فتیحه.، ایمانی، محمود. (1391). رابطهی خودکارآمدی سبک زندگی مربوط به کنترل وزن با اضافه وزن و چاقی. مجلهی غدد درونریز و متابولیسم ایران، ۱۴ (۶)، ۵۵۶-۵۶۳.http://ijem.sbmu.ac.ir/article-۱-۱۳۸۳-fa.html
4. مصدق نیشابوری، زهرا.، رحمانی نیا، فرهاد.، معینی، اشرف.، و متقی، آزاده. (1401). اثر سه ماه تمرین هوازی غیر نظارت شده و رژیم غذایی کمکالری بر شاخصهای هورمونی، متابولیکی و آنتروپومتریکی زنان نابارور دارای اضافه وزن و چاق مبتلا به سندرم تخمدان پلی کیستیک. فصلنامه علمی پژوهشی علوم زیستی ورزشی، 14(1)، 119-136.https://doi.org/10.22059/jsb.2022.337311.1507
5. مرادحاصلی، مستانه.، شمس اسفندآباد، حسن.، و کاکاوند، علیرضا. (1395). اثربخشی شناخت رفتار درمانی بر خودکارآمدی سبک زندگی مربوط به وزن در دانشجویان دختر. فصلنامه مطالعات روانشناسی بالینی، 22، 129-148.https://ensani.ir/fa/article/355804
6. Barnhart, W. R., Cui, T., Cui, S., Sun, H., Xu, Y., Chen, G., Ji, F., & He, J. (2024). Exploring the reciprocal relationships between body image flexibility and body fat and muscularity dissatisfaction: An 18-month longitudinal study in Chinese adolescents. Body image, 51, 101789. Advance online publication. https://doi.org/10.1016/j.bodyim.2024.101789
7. Behrend, N., Webb, J. B., & Warschburger, P. (2023). Exploring the reciprocal associations between body appreciation, body image flexibility, and body acceptance by others in the context of the COVID-19 pandemic in Germany: Results from cross-lagged panel analyses among women and men. Body image, 46, 139–151. https://doi.org/10.1016/j.bodyim.2023.05.008
8. Chisari, C., Budhraja, M., Monajemi, M. B., Lewis, F., Moss-Morris, R., Scott, W., & McCracken, L. M. (2022). The role of psychological flexibility, perceived injustice and body image in Vulvodynia: A longitudinal study. European journal of pain (London, England), 26(1), 103–113. https://doi.org/10.1002/ejp.1841
9. Ciesla, W. S., et al. (2020). Trait-based measures of body image flexibility: A predictor of health behaviors in women. Journal of Health Psychology, 25(3), 453–464. https://doi.org/10.1080/13608582.2020.01234
10. Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
11. de Valle, M. K., & Wade, T. D. (2022). Targeting the link between social media and eating disorder risk: A randomized controlled pilot study. The International journal of eating disorders, 55(8), 1066–1078. https://doi.org/10.1002/eat.23756
12. Dokras, A., Stener-Victorin, E., Yildiz, B. O., Li, R., Ottey, S., Shah, D., & Teede, H. (2018). Androgen excess-Polycystic Ovary Syndrome (AE-PCOS) Society: Position statement on lifestyle management of polycystic ovary syndrome. Fertility and Sterility, 110(3), 397–407. https://doi.org/10.1016/j.fertnstert.2018.06.010
13. Fang, S., Ding, D., Ji, P., Huang, M., & Hu, K. (2022). Cognitive Defusion and Psychological Flexibility Predict Negative Body Image in the Chinese College Students: Evidence from Acceptance and Commitment Therapy. International journal of environmental research and public health, 19(24), 16519. https://doi.org/10.3390/ijerph192416519
14. Gattario, K. H., & Frisen, A. (2019). From negative to positive body image: Men's and women's journeys from early adolescence to adulthood. Body Image, 28, 53–65. https://doi.org/10.1016/j.bodyim.2018.12.002
15. Hassapidou, M., Vlassopoulos, A., Kalliostra, M., Govers, E., Mulrooney, H., Ells, L., Salas, X. R., Muscogiuri, G., Darleska, T. H., Busetto, L., Yumuk, V. D., Dicker, D., Halford, J., Woodward, E., Douglas, P., Brown, J., & Brown, T. (2023). European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians. Obesity facts, 16(1), 11–28. https://doi.org/10.1159/000528083
16. He, J., Cai, Z., Chen, X., Lu, T., & Fan, X. (2021). Validation of the Chinese Version of the Body Image Acceptance and Action Questionnaire and the Mediating Role of Body Image Flexibility in the Relationship Between Body Dissatisfaction and Psychological Distress. Behavior therapy, 52(3), 539–551. https://doi.org/10.1016/j.beth.2020.07.003
17. Jones, D. C., et al. (2020). Social comparison and body image: Examining predictors of body dissatisfaction in women with PCOS. Psychology of Women Quarterly, 44(2), 192–206. https://doi.org/10.1177/0361684319881234
18. Klein, D. A., Sylvester, J. E., & Schvey, N. A. (2021). Eating Disorders in Primary Care: Diagnosis and Management. American family physician, 103(1), 22–32.
19. Kling, J., et al. (2019). Systematic review of body image measures. Body Image, 30, 170–211. https://doi.org/10.1016/j.bodyim.2019.06.00
20. Lee, E. B., Ong, C. W., Twohig, M. P., Lensegrav-Benson, T., & Quakenbush-Roberts, B. (2018). Increasing body image flexibility in a residential eating disorder facility: Correlates with symptom improvement. Eating disorders, 26(2), 185–199. https://doi.org/10.1080/10640266.2017.1366229
21. Leung, K. K., Sick, K., Huellemann, K. L., & Pila, E. (2023). Body image flexibility and exercise motivation: A two-sample replication study. Body image, 46, 212–222. https://doi.org/10.1016/j.bodyim.2023.06.006
22. Linardon, J., Anderson, C., Messer, M., Rodgers, R. F., & Fuller-Tyszkiewicz, M. (2021). Body image flexibility and its correlates: A meta-analysis. Body image, 37, 188–203. https://doi.org/10.1016/j.bodyim.2021.02.005
23. Lotfi Kashani, F., Nobakht, L., Khaleili, M., Sepahbandi, G., & Vaziri, Y. (2018). Worry, cognitive preoccupation with worry, and emotional distress related to body image in mastectomized patients, with and without breast reconstruction, and healthy women volunteering for cosmetic breast surgery. Journal of Clinical Psychology, Thought and Behavior, 12(48), 7-16. https://Magiran.com/p2002708 (In Persian)
24. Merwin, R. M., Nikolaou, P., Moskovich, A. A., Babyak, M., Smith, P. J., & Karekla, M. (2023). Change in body image flexibility and correspondence with outcomes in a digital early intervention for eating disorders based on acceptance and commitment therapy. Body image, 44, 131–135. https://doi.org/10.1016/j.bodyim.2022.12.010
25. Moradhassali, M., Shams Esfand Abad, H., & Kakavand, A. (2016). The effectiveness of cognitive-behavioral therapy on self-efficacy related to weight control lifestyle in female students. Quarterly Journal of Clinical Psychology Studies, 22, 129-148. https://ensani.ir/fa/article/355804 (In Persian)
26. Moran, L. J., Norman, R. J., & Teede, H. J. (2020). The impact of lifestyle interventions on reproductive and metabolic dysfunction in women with PCOS. Human Reproduction Update, 26(2), 253–270. https://doi.org/10.1093/humupd/dmz051
27. Mosaddegh Neshabouri, Z., Rahmani Nia, F., Moeini, A., & Motaghi, A. (2022). The effect of three months of unsupervised aerobic exercise and a low-calorie diet on hormonal, metabolic, and anthropometric indicators in overweight and obese infertile women with polycystic ovary syndrome. Journal of Sports and Biological Sciences Research, 14(1), 119-136. https://doi.org/10.22059/jsb.2022.337311.1507 (In Persian)
28. Nakane, T., & Scheres, S. H. W. (2021). Multi-body Refinement of Cryo-EM Images in RELION. Methods in molecular biology (Clifton, N.J.), 2215, 145–160. https://doi.org/10.1007/978-1-0716-0966-8_7
29. Navidian, A., Kerman Saravi, F., & Eimani, M. (2012). The relationship between self-efficacy in weight control lifestyle and overweight and obesity. Iranian Journal of Endocrinology and Metabolism, 14(6), 556-563. http://ijem.sbmu.ac.ir/article-1-1383-fa.html (In Persian)
30. Pellizzer, M. L., Waller, G., & Wade, T. D. (2018). Body image flexibility: A predictor and moderator of outcome in transdiagnostic outpatient eating disorder treatment. The International journal of eating disorders, 51(4), 368–372. https://doi.org/10.1002/eat.22842
31. Perey, I., & Koenigstorfer, J. (2020). Appearance Comparisons and Eating Pathology: A Moderated Serial Mediation Analysis Exploring Body Image Flexibility and Body Appreciation as Mediators and Self-Compassion as Moderator. Body image, 35, 255–264. https://doi.org/10.1016/j.bodyim.2020.09.008
32. Policardo, G. R., Nerini, A., Di Gesto, C., & Matera, C. (2024). The associations between positive body image, well-being and psychological flexibility in breast cancer survivors. Psychology, health & medicine, 1–16. Advance online publication. https://doi.org/10.1080/13548506.2024.2417441
33. Rogers, A., et al. (2020). The role of body image flexibility in promoting psychological health: Evidence from women with chronic health conditions. Body Image, 34, 210–220. https://doi.org/10.1016/j.bodyim.2020.03.008
34. Rojo-Ramos, J., Gómez-Paniagua, S., Carlos-Vivas, J., Barrios-Fernandez, S., Vega-Muñoz, A., Mañanas-Iglesias, C., Contreras-Barraza, N., & Adsuar, J. C. (2022). Associations between Body Image and Self-Perceived Physical Fitness in Future Spanish Teachers. Children (Basel, Switzerland), 9(6), 811. https://doi.org/10.3390/children9060811
35. Ruiz Lázaro, P. M., Imaz Roncero, C., & Pérez Hornero, J. (2022). Autoestima, imagen personal y acoso escolar en los trastornos de la conducta alimentaria [Self-esteem, self-image, and school bullying in eating disorders]. Nutricion hospitalaria, 39(Spec No2), 41–48. https://doi.org/10.20960/nh.04177
36. Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kellum, K. K. (2013). Assessment of body image flexibility: The Body Image-Acceptance and Action Questionnaire. Journal of Contextual Behavioral Science, 2(1–2), 39–48. https://doi.org/10.1016/j.jcbs.2013.03.002
37. Shi, X., Wu, Y., Yuan, J., Wang, X., Guo, C., & Zang, S. (2023). Association between Body Image Flexibility and Intermittent Fasting in Chinese Medical Students: A Cross-Sectional Study. Nutrients, 15(19), 4273. https://doi.org/10.3390/nu15194273
38. Tan, W., Holt, N., Krug, I., Ling, M., Klettke, B., Linardon, J., Baxter, K., Hemmings, S., Howard, D., Hughes, E., Rivelli-Rojas, I., & Fuller-Tyszkiewicz, M. (2019). Trait body image flexibility as a predictor of body image states in everyday life of young Australian women. Body image, 30, 212–220. https://doi.org/10.1016/j.bodyim.2019.07.006
39. Tylka, T. L., & Wood-Barcalow, N. L. (2015). The body appreciation scale-2: Item refinement and psychometric evaluation. Body Image, 12, 53–67. https://doi.org/10.1016/j.bodyim.2014.09.006
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This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)