[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit ::
Main Menu
Journal Information::
Articles Archive::
Guide for Authors::
For Reviewers::
Ethical Statements::
Site Facilities::
Contact us::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
Copyright Policies




Open Access Policy

This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

:: Volume 11, Issue 4 (Autumn 2023) ::
Shefaye Khatam 2023, 11(4): 42-53 Back to browse issues page
The Mediating Role of Mental Toughness in the Relationship between Mindfulness and Body Image Concern in Amputees
Afrooz Pourfahimi , Ali Khaneh Keshi * , Alireza Homayouni
Islamic Azad University,Behbahan Branch , Alikh2447@gmail.com
Abstract:   (417 Views)
Introduction: Body image is one of the most important aspects of individual mental health. People with limb amputation may face various problems related to body image. Therefore, this study aimed to develop the structural relations between mindfulness and body image concerns in individuals with amputations with the mediating role of Mental Toughness. Materials and Methods: This study was a descriptive-correlational study with structural equation modeling. The statistical population of this research was made up of amputees who referred to the comprehensive rehabilitation center of the Red Crescent Society of Tehran between April and October of 2022, and 260 people were selected by purposive sampling. To collect data, Littleton's Body Image Concern questionnaire, Baer's Five Facet Mindfulness questionnaire, and Clough's Mental Toughness questionnaire were used. Results: Our findings showed that the research model has a good fit and the causal model of the relationship between mindfulness, mental Toughness, and body image concern in people with amputations. Furthermore, mindfulness and mental toughness have a direct effect on body image concerns. Moreover, mindfulness has an indirect effect on body image concerns through mental toughness. Conclusion: Our results indicate the importance of the role of mindfulness and mental toughness in body image concerns of people with amputations. Implementation of programs to improve mindfulness and mental toughness in people with amputation can lead to a reduction in their body image concerns.
Keywords: Mindfulness, Population, Surveys and Questionnaires
Full-Text [PDF 1364 kb]   (148 Downloads)    
Type of Study: Research --- Open Access, CC-BY-NC | Subject: Psycology
1. Jo S-H, Kang S-H, Seo W-S, Koo B-H, Kim H-G, Yun S-H. Psychiatric understanding and treatment of patients with amputations. Yeungnam University Journal of Medicine. 2021; 38(3): 194-201. [DOI:10.12701/yujm.2021.00990]
2. Sarroca N, Valero J, Deus J, Casanova J, Luesma MJ, Lahoz M. Quality of life, body image and self-esteem in patients with unilateral transtibial amputations. Scientific reports. 2021; 11(1): 12559. [DOI:10.1038/s41598-021-91954-1]
3. Sadeghi N, Faraji E, Allami M. Body image and amputation: Evaluation of psychometric properties of the Amputee Body Image Scale (ABIS). Journal of Dermatology and Cosmetic. 2020; 11(3): 192-204.
4. Khan MJ, Dogar SF, Masroor U. Family relations, quality of life and post-traumatic stress among amputees and prosthetics. Pakistan Armed Forces Medical Journal. 2018; 68(1): 125-30.
5. Cerea S, Bottesi G, Grisham JR, Ghisi M. Non-weight-related body image concerns and body dysmorphic disorder prevalence in patients with anorexia nervosa. Psychiatry research. 2018; 267: 120-5. [DOI:10.1016/j.psychres.2018.05.068]
6. Almahariq F, Raguz M, Romic D, Dlaka D, Oreskovic D, Sesar P, et al. A biphasic tumor in posterior cranial fossa and the pineal region in young adult. Surgical Neurology International. 2020; 11. [DOI:10.25259/SNI_288_2019]
7. McDonald S, Sharpe L, MacCann C, Blaszczynski A. The role of body image on psychosocial outcomes in people with diabetes and people with an amputation. Frontiers in psychology. 2021; 11: 614369. [DOI:10.3389/fpsyg.2020.614369]
8. Golmohammadian M, Morovati F, Rashidi A. To predict the concern of body image based on mindfulness, experiential avoidance and metacognition beliefs in high school students. Iran J Health Educ Health Promot. 2018; 6(2): 168-78.
9. Seekis V, Bradley GL, Duffy AL. Does a Facebook-enhanced Mindful Self-Compassion intervention improve body image? An evaluation study. Body Image. 2020; 34: 259-69. [DOI:10.1016/j.bodyim.2020.07.006]
10. Swami V, Barron D, Todd J, Horne G, Furnham A. Nature exposure and positive body image:(Re-) examining the mediating roles of connectedness to nature and trait mindfulness. Body image. 2020; 34: 201-8. [DOI:10.1016/j.bodyim.2020.06.004]
11. Hosseinpour H, Akbari M, Hassani J, Zargar F. The Efficacy of Pharmacotherapy Combined with Short-Term Mindfulness Therapy on the Reduction of Migraine Disability and Improvement of Sleep Quality. The Neuroscience Journal of Shefaye Khatam. 2020; 8(2): 18-28. [DOI:10.29252/shefa.8.2.18]
12. Baer R, Crane C, Miller E, Kuyken W. Doing no harm in mindfulness-based programs: conceptual issues and empirical findings. Clinical psychology review. 2019; 71: 101-14. [DOI:10.1016/j.cpr.2019.01.001]
13. PourAfrouz E, Setayeshi S, Bigdeli I, Pedram M. Predicting mindfulness effect on irritability with Bayesian models, regression and neural network. The Neuroscience Journal of Shefaye Khatam. 2021; 9(2): 35-47. [DOI:10.52547/shefa.9.2.35]
14. Rezayi M, Sardary B. The Effectiveness of Mindfulness Intervention on Response Inhibition in Children With Attention Deficit/Hyperactivity Disorders. The Neuroscience Journal of Shefaye Khatam. 2020; 9(1): 45-55. [DOI:10.52547/shefa.9.1.45]
15. Potok B. How Mindfulness Can Improve Your Amputee Life 2020. Available from: https://amputeestore.com/blogs/amputee-life/how-mindfulness-can-improve-your-amputee-life.
16. Clough P, Earle K, Sewell D. Mental toughness: The concept and its measurement. Solutions in sport psychology. 2002; 1: 32-45.
17. Razavian F-S, Imani S, nourbakhsh smk. Effectiveness of mental toughness on distress tolerance and mental vitality in parents of children with leukemia. Journal of Applied Psychology. 2021; 15(3): 422-03. [DOI:10.52547/apsy.2021.222302.1062]
18. Farahbakhsh Beh S, Mehrinejad A, Moazedian A. Structural model of quality of life in patients with breast cancer: The role of psychological hardiness, religious orientation, perceived social protection and self-efficacy with mediation of resilience and death anxiety. The Neuroscience Journal of Shefaye Khatam. 2019; 8(1): 86-98. [DOI:10.29252/shefa.8.1.86]
19. Fasczewski KS, Powell SM, Stevens NR, Skinner JW. "Strong, fearless, tough, enduring": Collegiate male wrestlers' perceptions of body image and masculinity. Performance Enhancement & Health. 2022; 10(1): 100212. [DOI:10.1016/j.peh.2021.100212]
20. Cater JK. Traumatic amputation: psychosocial adjustment of six Army women to loss of one or more limbs. Journal of Rehabilitation Research & Development. 2012; 49(10). [DOI:10.1682/JRRD.2011.12.0228]
21. Keeling M, Williamson H, Williams VS, Kiff J, Evans S, Murphy D, et al. Body image and psychosocial well-being among UK military personnel and veterans who sustained appearance-altering conflict injuries. Military psychology. 2023; 35(1): 12-26. [DOI:10.1080/08995605.2022.2058302]
22. Naemi AM. The resiliency, hardiness, life satisfaction and body image in high school female students of Sabzevar. Women in Development and Politics. 2016; 14(4): 535-52.
23. Mousazadeh H, Raiszadeh Bejstani M, Memshlo Z. The effectiveness of mindfulness training on the quality of life and mental stamina of mothers with mentally disabled children. Fourth International Conference on Recent innovations in Psychology, Counseling and Behavioral Sciences; Tehran2017.
24. Ajilchi B, Rahmani J, Zokhi L. Predicting mindfulness based on cognitive abilities and its sub-components in Naja students. Scientific Research Quarterly Journal of Law Enforcement Medicine. 2018; 8(2): 93-8.
25. Peshtjini F, Ethical Fard M, Ainipour J. Investigating the relationship between mindfulness and mental endurance and dealing with stressful situations among students of Islamic Azad University, Karaj branch. The first national conference of future studies, educational sciences and psychology; Shiraz2021.
26. Jalilean Kaseb F, Rashidi A, Hojat Khah M. The role of religious orientation, self-concept and self-efficacy in predicting tendency to addiction with mediation by psychological hardiness in male students. Scientific Quarterly Research on Addiction. 2017; 10(40): 145-60.
27. Salim J, Wadey R, Diss C. Examining the relationship between hardiness and perceived stress-related growth in a sport injury context. Psychology of Sport and exercise. 2015; 19: 10-7. [DOI:10.1016/j.psychsport.2014.12.004]
28. Shaw L, Hansen H, St Clair-Thompson H. Mental toughness is a mediator of the relationship between positive childhood experiences and wellbeing. European Journal of Developmental Psychology. 2023; 20(1): 130-46. [DOI:10.1080/17405629.2022.2058485]
29. Naghipour Ghezeljeh M, Khalatbari J, Ghorban Shiroudi S, Tizdast T. Investigate the model of predicting competitive anxiety based on perfectionism by considering the mediating role of psychological hardiness in national team athletes. Razi Journal of Medical Sciences. 2020; 27: 86-95.
30. Hooman H. Structural equation modeling using LISREL software. Tehran: SAMT Publication; 2014.
31. HL L. Development of the body image concern inventory. Behav Res Ther. 2005; 43(2): 229-41. [DOI:10.1016/j.brat.2003.12.006]
32. Edalat A, Makvandi B. Effectiveness of positive thinking training on stress, rumination and body image concern in mastectomized women. Iranian Journal of Rehabilitation Research. 2019; 6(1): 69-76.
33. Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, et al. Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment. 2008; 15(3): 329-42. [DOI:10.1177/1073191107313003]
34. Pickard JA, Caputi P, Grenyer BF. Mindfulness and emotional regulation as sequential mediators in the relationship between attachment security and depression. Personality and Individual Differences. 2016; 99: 179-83. [DOI:10.1016/j.paid.2016.04.091]
35. Sadoughi M, Mehrzad V, Mohammad Salehi Z. The Relationship between Psychological Capital and Quality of Life among Patients with Breast Cancer. RJMS. 2017; 24(156): 111-9.
36. Afshana Porak SA, Vaez Mousavi SMK. Validity and reliability of Persian version of Mental Toughness Questionnaire 48 (MTQ48). Sports management and movement behavior research paper. 2014; 10(19): 39-54.
37. Perry JL, Clough PJ, Crust L, Earle K, Nicholls AR. Factorial validity of the mental toughness questionnaire-48. Personality and individual differences. 2013; 54(5): 587-92. [DOI:10.1016/j.paid.2012.11.020]
38. Moradi S, Lotfei M, Asgharnejad Farid A, Pirmoradi M. The Role of Perceived Stress, Social Support and Body Image in Predicting the Severity of Depressive Symptoms in Ostomy Patients. Iranian Journal of Psychiatry and Clinical Psychology. 2020; 26(1): 32-43. [DOI:10.32598/ijpcp.26.1.3020.1]
39. Farhadi M, Vaziri S, Pasandideh MM. Evaluation of Effectiveness of Mindfulness, Logotherapy, and Schema therapy on Stress, Anxiety, and Depression in Patients with Multiple Sclerosis. Iranian Journal of Health Psychology; Vol. 2021; 4(1).
40. Ganji M. Mental Psychopathology based on DSM5. Tehran: Savalan Publication; 2014.
41. Chiesa A, Malinowski P. Mindfulness‐based approaches: Are they all the same? Journal of clinical psychology. 2011; 67(4): 404-24. [DOI:10.1002/jclp.20776]
42. Akbarpour M, Sharifiyan Ghazijahani M, Esmkhani Akbarinejhad H. Comparison of the Effectiveness of Mindfulness- Based Cognitive Therapy with Compassion-Focused Therapy on Resilience and Psychological Well-Being of Subjects with Multiple Sclerosis. The Neuroscience Journal of Shefaye Khatam. 2021; 9(4): 60-70. [DOI:10.52547/shefa.9.4.60]
43. Segal Z, Williams M, Teasdale J. Mindfulness-based cognitive therapy for depression. . Guilford publications. 2018; 4.
44. Alleva JM, Sheeran P, Webb TL, Martijn C, Miles E. A meta-analytic review of stand-alone interventions to improve body image. PLoS One. 2015; 10(9): e0139177. [DOI:10.1371/journal.pone.0139177]
45. Shad Gahraz S, Atadokht A, Hajiloo N. Structural equation model of psychological hardiness and perceived social support in psychological distress with the mediating role of body image dissatisfaction in women with breast cancer. Psychology of Woman Journal. 2022; 3(4): 22-37. [DOI:10.52547/psychowoman.3.4.22]
46. Young J, Pearce A. Teaching mental toughness in tennis. Journal of Science and Medicine in Sport. 2010; 13: e44. [DOI:10.1016/j.jsams.2010.10.555]
47. Gilg AC. The impact of amputation on body image. 2016.
48. Li J, Li C, Puts M, Wu Y-c, Lyu M-m, Yuan B, et al. Effectiveness of mindfulness-based interventions on anxiety, depression, and fatigue in people with lung cancer: A systematic review and meta-analysis. International Journal of Nursing Studies. 2023; 140: 104447. [DOI:10.1016/j.ijnurstu.2023.104447]
49. Fredrickson BL. The broaden-and-build theory of positive emotions. Philosophical transactions of the royal society of London Series B: Biological Sciences. 2004; 359(1449): 1367-77. [DOI:10.1098/rstb.2004.1512]
50. Nassif TH, Adrian AL, Gutierrez IA, Dixon AC, Rogers SL, Jha AP, et al. Optimizing performance and mental skills with mindfulness-based attention training: Two field studies with operational units. Military medicine. 2023; 188(3-4): e761-e70. [DOI:10.1093/milmed/usab380]
51. Wang Y, Tian J, Yang Q. On mindfulness training for promoting mental toughness of female college students in endurance exercise. Evidence-Based Complementary and Alternative Medicine. 2021; 2021. [DOI:10.1155/2021/5596111]
52. Andersen M. Whos mental, whos tough and whos both? Mutton constructs dressed up as lamb. Mental toughness in sport: Developments in theory and research. 2011: 69-88.
53. Jones MI, Parker JK. Mindfulness mediates the relationship between mental toughness and pain catastrophizing in cyclists. European journal of sport science. 2018; 18(6): 872-81. [DOI:10.1080/17461391.2018.1478450]
54. Jones G, Hanton S, Connaughton D. A framework of mental toughness in the world's best performers. The sport psychologist. 2007; 21(2): 243-64. [DOI:10.1123/tsp.21.2.243]
55. Hosseini K, Shahqalian M, Abdulahi MH. Hardiness, defense mechanisms, negative self-image in applicants and non-applicants of plastic-cosmetic surgery. The first international comprehensive psychology congress of Iran; Tehran2015.

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pourfahimi A, Khaneh Keshi A, Homayouni A. The Mediating Role of Mental Toughness in the Relationship between Mindfulness and Body Image Concern in Amputees. Shefaye Khatam 2023; 11 (4) :42-53
URL: http://shefayekhatam.ir/article-1-2413-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 11, Issue 4 (Autumn 2023) Back to browse issues page
مجله علوم اعصاب شفای خاتم The Neuroscience Journal of Shefaye Khatam
Persian site map - English site map - Created in 0.1 seconds with 45 queries by YEKTAWEB 4652