The Effectiveness of Group Schema Therapy on Metacognitive Beliefs and Body Image Concern in Women Seeking Rhinoplasty
Keywords:
Metacognitive Beliefs, Body Image Concern, Schema Therapy, Rhinoplasty.Abstract
Objective: The present study aimed to determine the effectiveness of group schema therapy on metacognitive beliefs and body image concern in women seeking rhinoplasty.
Methods and Materials: This study employed a quasi-experimental design with a pretest-posttest and a control group. The statistical population included all women seeking cosmetic nose surgery in Tehran in 2020, from which 44 individuals were selected using purposive sampling. Among them, 22 participants were randomly assigned to the experimental group and 22 to the control group. Initially, a pretest was administered to both groups. Then, the experimental group participated in Young's schema therapy sessions, which consisted of ten sessions focused on cognitive strategies, experiential techniques, the therapeutic relationship, and behavioral pattern-breaking. Following the intervention, a posttest was administered to both groups. The research instruments included the Metacognitions Questionnaire-30 (MCQ-30) and the Fisher Body Image Scale (FBIS).
Findings: The data were analyzed using SPSS version 24 and the statistical method of analysis of covariance. The results indicated that schema therapy significantly improved metacognitive beliefs and reduced body image concern in participants in the experimental group compared to the control group.
Conclusion: It can be concluded that schema therapy, as an effective psychotherapeutic method utilizing diverse techniques and addressing core emotional needs, can help individuals with maladaptive metacognitive beliefs and body image concerns by reducing dysfunctional symptoms and improving their quality of life.
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References
Aliasgari, S., Farhangi, A., & Sedaghat, M. (2024). Comparison of the Effectiveness of Schema Therapy and Cognitive-Behavioral Therapy on Body Dysmorphic Disorder in Young Women with Body Dysmorphic Disorder. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1), 30-40. https://doi.org/10.22034/pdmd.2024.448850.1062
Alokandeh, R. S. (2024). Enhancing Emotion Regulation and Psychological Flexibility, and Body Image Concern in Girls With Body Image Dissatisfaction Through Schema Modes Therapy. Jarac, 6(2), 177-184. https://doi.org/10.61838/kman.jarac.6.2.22
Bahadori, A., Golkar, M. K., & Pashang, S. (2022). The Effectiveness of Schema Therapy Intervention in Weight, Body Image and Self-esteem of Obese People: A Randomized Controlled Trial. Hormozgan Medical Journal, 26(2), 82-87. https://doi.org/10.34172/hmj.2022.14
Hadinejad, A., Gardiner, S., Kralj, A., Scott, N., & Moyle, B. D. (2022). Cognition, metacognition and attitude to tourism destinations: The impact of emotional arousal and source credibility. Journal of Hospitality and Tourism Management, 51, 502-511. https://doi.org/https://doi.org/10.1016/j.jhtm.2022.05.005
Karimi Mohajeri, Z., Karbalaee Harfteh, F., Khalatbari, J., & Fardin, M. (2025). The effectiveness of integrating schema therapy and acceptance and commitment therapy on subjective well-being and body image concerns in women with breast cancer. Journal of Psychological Sciences, 24(145), 197-220. https://psychologicalscience.ir/browse.php?a_id=2564&sid=1&slc_lang=en
Ke, T., & Barlas, J. (2020). Thinking about feeling: Using trait emotional intelligence in understanding the associations between early maladaptive schemas and coping styles. Psychology and Psychotherapy: Theory, Research and Practice, 93(1), 1-20. https://doi.org/10.1111/papt.12202
Khoshini, F., Akbari, M., & Mohammadkhani, S. (2022). The structure relationship of body dysmorphic disorder (BDD) with early maladaptive schema and perceived emotional invalidation: the mediating Role of metacognition, body image and distress tolerance. Clinical Psychology and Personality, 19(2), 101-119. https://cpap.shahed.ac.ir/article_3451_en.html?lang=en
Liu, Y., Wang, L., Yu, C., Liu, M., Li, H., Zhang, Y., Yu, Y., Bao, J., Wang, T., Qi, Y., & Zhou, Q. (2022). How drug cravings affect metacognitive monitoring in methamphetamine abusers. Addictive behaviors, 132, 107341. https://doi.org/https://doi.org/10.1016/j.addbeh.2022.107341
Maes, C., & Vandenbosch, L. (2022). Adolescent girls’ Instagram and TikTok use: Examining relations with body image-related constructs over time using random intercept cross-lagged panel models. Body Image, 41, 453-459. https://doi.org/https://doi.org/10.1016/j.bodyim.2022.04.015
Markey, C. H., & Daniels, E. A. (2022). An examination of preadolescent girls’ social media use and body image: Type of engagement may matter most. Body Image, 42, 145-149. https://doi.org/https://doi.org/10.1016/j.bodyim.2022.05.005
Mohammadi, B., & Beige, N. A. (2017). Comparison of Early Maladaptive Schemas and Metacognitive Beliefs Between the Students With Social Phobia and the Ones With No Psychiatric Problems. Razavi International Journal of Medicine, In Press(In Press). https://doi.org/10.5812/rijm.12689
Negi, S. K., Rajkumari, Y., & Rana, M. (2022). A deep dive into metacognition: Insightful tool for moral reasoning and emotional maturity. Neuroscience Informatics, 2(4), 100096. https://doi.org/https://doi.org/10.1016/j.neuri.2022.100096
Nourizadeh Mirabadi, M., Hosseinzadeh Taghvaei, M., Moloodi, R., Sodagar, S., & Bahrami Hidaji, M. (2023). The efficacy of schema therapy on coping styles and body image concerns in obese binge-eating disorder: A single-subject study. Journal of Psychological Science, 21(120), 2501-2518. https://doi.org/10.52547/JPS.21.120.2501
Ostadian Khani, Z., Hassani, F., sepahmansour, s., & Keshavarziarshad, F. (2021). The comparison of the efficacy of therapy based on acceptance and commitment and schema therapy on body image flexibility of the body and impulsivity among women with Binge eating disorder. Journal of Applied Family Therapy, 2(4), 285-309. https://doi.org/10.22034/aftj.2021.307283.1215
Pakandish, S., Kraskyan, A., & Jomehri, F. (2020). Comparing the Effectiveness of Schema Therapy and Cognitive-Behavioral Therapy on Quality of Life and Body Image of Obese Women. Journal of Excellence in counseling and psychotherapy, 9(34), 20-32.
Prnjak, K., Jukic, I., Mitchison, D., Griffiths, S., & Hay, P. (2022). Body image as a multidimensional concept: A systematic review of body image facets in eating disorders and muscle dysmorphia. Body Image, 42, 347-360. https://doi.org/https://doi.org/10.1016/j.bodyim.2022.07.006
Sharpe, H., Newman, E., Robertson, M. D. A., Opitz, M.-C., Peebles, I., & Duffy, F. (2022). An 8-month longitudinal exploration of body image and disordered eating in the UK during the COVID-19 pandemic. Eating behaviors, 46, 101660. https://doi.org/https://doi.org/10.1016/j.eatbeh.2022.101660
Soleimani, M., Rostami, H., Ameri, M. A., & Ghasemi, S. (2024). The Effectiveness of Emotional Schema Therapy on Irrational Beliefs and Body Image of Women With Body Deformity Disorder. Medical Journal of Tabriz University of Medical Sciences, 46(2), 217-225. https://doi.org/10.34172/mj.2024.028
Vandenbosch, L., Fardouly, J., & Tiggemann, M. (2022). Social media and body image: Recent trends and future directions. Current opinion in psychology, 45, 101289. https://doi.org/https://doi.org/10.1016/j.copsyc.2021.12.002
Zaeske, L. M., Long, H., Kahnke, S. A., & Kerr, B. A. (2022). How personality moderates the relationships between childhood environment, flow metacognitions, and creative ideational behavior: A preliminary study. Thinking Skills and Creativity, 44, 101040. https://doi.org/https://doi.org/10.1016/j.tsc.2022.101040
Zanjani, Z., & Goudarzi, M. A. (2009). Investigating validity and reliability of standard image stimuli in a group of Shiraz University students, south of Iran. Journal of Principles of Mental Health, 10(2), 149-159.
Zolfaghari, D., Mohammadkhani, S., Mahdavian, A., & Akbari, M. (2021). Transdiagnostic model of healing from marital infidelity with emphasis on the role of metacognitions, schemas, intimacy, emotional efficiency and forgiveness. Clinical Psychology and Personality, 19(1), 27-39. https://doi.org/10.22070/cpap.2021.7279.0
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Copyright (c) 2025 Iman Hosseini (Author); Bita Bahrami (Corresponding Author); Seyed Abdolmajid Bahrainian (Author)

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