The Effectiveness of Group Cognitive Behavioral Therapy Based on Cash’s Eight-Step Model in Body Image of Primiparous Women

Abstract

Background: Prevalence of body image disorder in postpartum period, especially in primiparous women is relatively high. This study aimed to determine the effectiveness of cognitive behavioral group therapy based on the cash's eight-step model in body image of primiparous women. Objective: This study aimed to determine the effectiveness of cognitive behavioral group therapy based on the cash's eight-step model in body image of primiparous women. Methods: This research was a pretest-posttest quasi-experimental study in which, 61 primiparous women referring to health centers in Zahedan were selected according to convenience sampling method and randomly assigned into intervention and control groups. The multidimensional body-self relations questionnaire (MBSRQ) was used to collect data. The intervention group received group cognitive behavioral body image therapy based on the Cash model and the control group remained pending. After six weeks, both groups completed the MBSRQ again. Data analysis was performed using descriptive statistics and analysis of covariance in SPSS 22. Results: Analysis of covariance showed that the mean scores on appearance evaluation (P = 0.0001), body areas satisfaction (P = 0.0001), and the total score of body image (P = 0.0001) in the intervention group were significantly higher than those in the control group. However, in terms of appearance orientation, fitness evaluation, fitness orientation, and subjective weight, there was no significant difference between the two groups (P > 0.05). Conclusions: Due to the effectiveness of cognitive behavioral therapy based on Cash model in primiparous women's body image, it is recommended to use this method of consultation in health care programs after child birth to improve the women's body image and prevent subsequent psychological problems.

The Effect of Counseling With Cognitive Behavior Approach on Self-esteem and Body Image in Lactating Mothers: Randomized Clinical Trial

“…The frequency of exclusive breastfeeding was signi cantly higher in the intervention group than in the control group in the present study. In Navidian's study [46], the breastfeeding rate was also examined, and no signi cant difference between two groups was discovered, which differed from the ndings of the present study. The probable causes of this difference are cultural differences and different socioeconomic levels of the study populations in two studies.…”

“…In the present study, cognitive-behavioral counseling improved body image in women in the intervention group. Similarly, in a study conducted by Navidian et al ( 2016) [46] on women aged 20 to 40 three months after delivery, CBT resulted in improved body image in the intervention group compared to the control group. Ahmadi et al ( 2017) [47] conducted a study on the effects of CBT on infertile women's body image and concluded that CBT improved body image.…”

“…The subscale appearance orientation investigates appearance-related biases and attitudes. The tness evaluation also relates to the general tness assessment and a self-classi ed weight evaluation examines the concern of the individual regarding his/her weight [46]. CBT was also effective in improving women's body image after mastectomy in a study by Fadaei et al (2011) [50].…”

Pengaruh Terapi Perilaku Koqnitif Terhadap Gambaran Diri: Sistematika Review

“…Cognitive behavioral therapy dapat meningkatkan kepuasan terhadap area tubuh (Navidian, et al, 2017). Lewer et al (2017) menyebutkan cognitive behavioral therapy berbasis body image signifikan dalam menurunkan gejala seperti ketidakpuasan terhadap tubuh, depresi, harga diri rendah pada kelompok wanita dengan kelebihan berat badan (BMI > 25 kg/m2) dengan binge eating disorder (BED).…”

The Effect of Antepartum Yoga Sequences on Anxiety Levels, Vital Sign Values, and Fetal Heart Rate in Third-Trimester Primigravida

“…Physical conditions such as fatigue are related to the mother's fear of childbirth due to feelings of worry, anxiety, and fear of the condition of pregnancy before delivery. 2,3 Physical and psychic stressors can result in anxiety that will affect the hypothalamic axis of the adrenal pituitary (HPA axis) thereby stimulating the formation of the hormone cortisol. This increase in activity, if it continues to occur, will cause the production of cortisol to increase, which can damage neuron cells in the hypothalamus so that hypothalamic atrophy occurs and as a result, can give rise to cognitive disorders, for example anxiety.…”