Predicting Body Image Concern Based on Cognitive Fusion: The Mediating Role of Experiential Avoidance

Authors

    Hadi Ahmadi Department of psychology, Ar.C., Islamic Azad University, Arak, Iran
    Davood Taghvaei * Department of Psychology, Ar.C., Islamic Azad University, Arak, Iran d.taghvaei@iau.ac.ir
    Mohammad Mehdi Jahangiri Department of Psychology, Ar.C., Islamic Azad University, Arak, Iran.

Keywords:

Cognitive fusion, experiential avoidance, body image concern, high school students, Karaj

Abstract

Objective: The aim of this study was to examine the role of cognitive fusion in predicting body image concern, considering the mediating effect of experiential avoidance among female high school students in Karaj.

Methodology: This applied and survey-based quantitative research was conducted on a sample of 357 female high school students selected through multi-stage cluster sampling during the 2023–2024 academic year. Data were collected using the Body Image Concern Inventory, the Cognitive Fusion Questionnaire, and the Acceptance and Action Questionnaire (AAQ-II). Data analysis was carried out through SPSS and structural equation modeling in AMOS.

Findings: The results indicated that cognitive fusion had a significant positive direct effect on body image concern (β=0.53, p<0.001). Cognitive fusion also positively predicted experiential avoidance (β=0.47, p<0.001), and experiential avoidance directly predicted body image concern (β=0.50, p<0.001). Bootstrap analysis revealed that experiential avoidance partially mediated the relationship between cognitive fusion and body image concern (p=0.008). Model fit indices confirmed acceptable fit (RMSEA=0.07, CFI=0.91).

Conclusion: Both cognitive fusion and experiential avoidance play critical roles in predicting body image concern. The mediating effect of experiential avoidance suggests that reducing experiential avoidance could buffer the impact of cognitive fusion on body image concerns. These findings provide practical implications for third-wave cognitive-behavioral interventions targeting body image concerns in adolescent girls.

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References

Alessi, N., Coleman, H., & Rayner, G. (2023). Body image dissatisfaction: A novel predictor of poor quality of life in epilepsy. Epilepsy & Behavior, 141, 109149. https://doi.org/10.1016/j.yebeh.2023.109149

Alleva, J. M., Tylka, T. L., Martijn, C., Walden, M. I., & Webb, J. B. (2023). I'll never sacrifice me well-being again: The journey from negative to positive body image among women who perceive their body to deviate from societal norms. Body Image, 45, 153-171. https://doi.org/10.1016/j.bodyim.2023.03.001

Barney, J. L., Barrett, T. S., Lensegrav-Benson, T., Quakenbush, B., & Twohig, M. P. (2022). Examining a mediation model of body image-related cognitive fusion, intuitive eating, and eating disorder symptom severity in a clinical sample. Eating and Weight Disorders - Studies on Anorexia, Bulimia, and Obesity. https://doi.org/10.1007/s40519-021-01352-9

Brichacek, A. L., Murray, K., Neill, J. T., & Rieger, E. (2021). Contextual behavioral approaches to understanding body image threats and coping in youth: A qualitative study. Journal of Adolescent Research, 1-33. https://doi.org/10.1177/07435584211007851

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, 16519. https://doi.org/10.3390/ijerph192416519

Fiuza, A., & Rodger, R. (2023). The effects of brief diet and anti-diet social media videos on body image and eating concerns among young women. Eating behaviors, 51, 101811. https://doi.org/10.1016/j.eatbeh.2023.101811

Grogan, S. (2021). Body image: Understanding body dissatisfaction in men, women and children. Routledge. https://www.taylorfrancis.com/books/mono/10.4324/9781003100041/body-image-sarah-grogan

Hollett, R. C., & Challis, M. (2023). Experimental evidence that browsing for activewear lowers explicit body image attitudes and implicit self-esteem in women. Body Image, 46, 383-394. https://www.sciencedirect.com/science/article/pii/S1740144523001018

Hu, Z., Yu, H., Zou, J., Zhang, Y., Lu, Z., & Hu, M. (2021). Relationship among self‐injury, experiential avoidance, cognitive fusion, anxiety, and depression in Chinese adolescent patients with nonsuicidal self‐injury. Brain and Behavior, 11(12), e2419. https://onlinelibrary.wiley.com/doi/abs/10.1002/brb3.2419

José Quintero, P. S., Rodríguez Biglieri, R., Etchezahar, E., & Gillanders, D. T. (2022). The Argentinian version of the cognitive fusion questionnaire: Psychometric properties and the role of cognitive fusion as a predictor of pathological worry. Current Psychology, 41(5), 2546-2557. https://link.springer.com/article/10.1007/s12144-020-00767-4

Linardon, J., Andeson, 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

McComb, E. S., & Mills, J. S. (2021). Young women's body image following upwards comparison to Instagram models: The role of physical appearance perfectionism and cognitive emotion regulation. Body Image, 38, 49-62. https://doi.org/10.1016/j.bodyim.2021.03.012

Moran, O., Larsson, A., & McHugh, L. (2021). Investigating cognitive fusion, mindfulness and experiential avoidance in relation to psychosis-like symptoms in the general population. Journal of Contextual Behavioral Science, 21, 136-143. https://doi.org/10.1016/j.jcbs.2021.06.004

Paixão, C., Oliveira, S., & Ferreira, C. (2021). A comprehensive model of disordered eating among aesthetic athletic girls: Exploring the role of body image-related cognitive fusion and perfectionistic self-presentation. 40, 5727-5734. https://doi.org/10.1007/s12144-020-01142-z

Pehlivan, J. M., Shermanm, K., Wuthrich, V., Horn, M., Basson, M., & Duckworth, T. (2022). Body image and depression in endometriosis: Examining self-esteem and rumination as mediators. Body Image, 43, 463-473. https://doi.org/10.1016/j.bodyim.2022.10.012

Scardera, S., Sacco, S., Sante, J., & Booij, L. (2021). Body image-related cognitive fusion and disordered eating: the role of self-compassion and sad mood. Eating and Weight Disorders, 26(2), 483-490. https://doi.org/10.1007/s40519-020-00868-w

Servidio, R., Griffiths, M., Boca, S., & Demetrovics, Z. (2023). The serial mediation effects of body image-coping strategies and avatar-identification in the relationship between self-concept clarity and gaming disorder: A pilot study. Addictive Behaviors Reports, 17, 100482. https://doi.org/10.1016/j.abrep.2023.100482

Shahmohammadi, J., Mohagheghi, H., Farhadi, M., Yarmohammadi Vasal, M., & Zoghi Paydar, M. R. (2023). Experiential avoidance and body image concern in predicting positive attitude toward cosmetic surgery. Journal of Cognitive Psychology and Psychiatry, 10(1), 19-30. https://doi.org/10.32598/shenakht.10.1.19

Shirazi, F., Salehi, M., Hashemipour, F., & Karami, S. (2023). The role of cognitive emotion regulation, mindfulness, and cognitive fusion in predicting body image concern in women seeking cosmetic surgery. Journal of psychiatric nursing, 11(2), 52-63. http://ijpn.ir/browse.php?a_code=A-10-2120-2&slc_lang=fa&sid=1

Stojcic, I., Dong, X., & Ren, X. (2020). Body Image and Sociocultural Predictors of Body Image Dissatisfaction in Croatian and Chinese Women. Frontiers in psychology, 11, 731. https://doi.org/10.3389/fpsyg.2020.00731

Swami, V., Robinson, C., & Furnham, A. (2021). Associations between body image, social physique anxiety, and dating anxiety in heterosexual emerging adults. Body Image, 39, 305-312. https://doi.org/10.1016/j.bodyim.2021.10.004

Thomas, K. N., & Bardeen, J. R. (2020). The buffering effect of attentional control on the relationship between cognitive fusion and anxiety. Behaviour Research and Therapy, 132, 103653. https://doi.org/10.1016/j.brat.2020.103653

Yuan, W., Chen, L., Su, Y., Liu, J., Zhang, Y., Chen, M., Ma, Y., Guo, T., & Ma, J. (2023). Sleep time and quality associated with depression and social anxiety among children and adolescents aged 6-18 years, stratified by body composition. Journal of affective disorders, 338, 1321-1328. https://doi.org/10.1016/j.jad.2023.06.029

Zali, R., Esmaeili, A., & Saberi, H. (2022). The mediating role of cognitive flexibility styles in the relationship between anxiety and body image in women with breast cancer volunteering for mastectomy. Applied Family Therapy, 3(5), 567-580. https://doi.org/10.61838/kman.aftj.3.5.33

Zhang, C., Gangyan, X., Chung, P., Huang, Z., & Gucciardi, D. (2023). Examining the roles of experiential avoidance and cognitive fusion on the effects from mindfulness to athlete burnout: A longitudinal study. Psychology of Sport and Exercise, 64, 102341. https://doi.org/10.1016/j.psychsport.2022.102341

Zucchelli, F., White, P., & Williamson, H. (2020). Experiential avoidance and cognitive fusion mediate the relationship between body evaluation and unhelpful body image coping strategies in individuals with visible differences. Body Image, 32, 121-127. https://doi.org/10.1016/j.bodyim.2019.12.002

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Published

2025-09-21

Submitted

2025-04-05

Revised

2025-08-05

Accepted

2025-08-12

Issue

Section

Articles

How to Cite

Ahmadi, H. ., Taghvaei, D., & Jahangiri, M. M. (1404). Predicting Body Image Concern Based on Cognitive Fusion: The Mediating Role of Experiential Avoidance. Journal of Psychological Dynamics in Mood Disorders, 1-17. https://maherpub.com/pdmd/article/view/588