The Role of Early Maladaptive Schema and Perfectionism on Body Dysmorphic Disorder Mediating Through Thought Fusion, Meta-worry, Anxiety, and Attributional Style: A Structural Model

Abstract

Anxiety is one of the variables that can affect the onset and severity of body dysmorphic disorder. Objectives: The purpose of this study was to determine the role of early maladaptive schema and perfectionism on body dysmorphic disorder mediating thought fusion, meta-worry, anxiety, and attributes style. Materials and Methods: This is descriptive-correlational research implemented using a structural equation model. The statistical population included all women referring to Ghaemshahr Dermatology centers in the first half of 2018. Of them, a sample of 300 women was selected based on the number of study variables (50 samples for each variable). For data collection, body dysmorphic disorder questionnaire, the short version of the initial maladaptive schema, perfectionism, anxiety test, documentary questionnaire, and anxiety questionnaire were used. Results: By increasing the amount of mixed thinking variables, anxiety, meanwhile and documentary style as intermediary variables, the effect of the early maladaptive schema on disordered body disorder was 0.48, 0.44, 0.44, and 0.51, respectively (0.42), and the impact of perfectionism through the mediation of thought mixing, anxiety, metaphor, and documentary variables were (0.53), (0.48), (0.50) and (0.50), which is more than the direct relation between them (0.45). Conclusion: Early maladaptive schema and perfectionism have a predictive role in body dysmorphic disorder mediating thought fusion, meta-worry, anxiety, and attributional style.