The Role of Ego Strength and Alexithymia in Predicting Body Image
Keywords:
Ego strength, alexithymia, body imageAbstract
The present study was conducted to examine the role of ego strength and alexithymia in predicting body image. The research employed a descriptive–correlational design. The statistical population consisted of all individuals referring to therapeutic clinics located in Lahijan County in 2025. A total of 180 participants were selected using voluntary sampling. Data were analyzed using SPSS software, Version 26. Data collection instruments included the DSM-5-TR–based Psychological Disorders Screening Form (researcher-made), the Psychological Inventory of Ego Strengths (PIES), the Toronto Alexithymia Scale (TAS-20), the Multidimensional Body-Self Relations Questionnaire (MBSRQ), and the Bowel Symptom Severity and Frequency Scale (BSS-FS). Data were analyzed using Pearson correlation and multiple regression analyses. The findings indicated a significant correlation between ego strength, alexithymia, and body image (p < .05). Furthermore, regression analysis demonstrated that ego strength and alexithymia significantly predicted body image (p < .05). The findings of this study may be applied in the design of psychological interventions and multidimensional therapeutic approaches targeting negative body image.
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1. Yadav M. Navigating the Complexities of Body Image in Young Adults and Their Self-Acceptance. Interdisciplinary Journal of Management and Social Sciences. 2025;6(1):160-71. doi: 10.3126/ijmss.v6i1.75401.
2. Vatankhah S, Bakhshipour Roodsari A, Hashemi Nosratabad T, Shalchi B. The Effectiveness of Emotion-Focused Therapy (EFT) on Body Image Dissatisfaction, Cognitive Emotion Regulation and Impulsivity in Women with Bulimia Nervosa: A Single Case Study. Journal of Clinical Psychology. 2025;17(65).
3. Prince T, Mulgrew KE, Driver C, McLoughlin LT, Mills L, Boyes A, et al. The Body Image Related Cyberbullying Picture Series (BRC-PicS): Developed for Use in Research Relating to Cyberbullying, Body Image and Eating Disorders Among Female Adolescents. Current Psychology. 2025;44(4):2747-60. doi: 10.1007/s12144-025-07316-x.
4. Dehghan Ardekani Z, Mostafavi Rad F. Predicting mental health based on personality traits and body image in adolescent girls. Woman and Society. 2019;10(1):331-64.
5. Eskandarnajad M. The role of physical activity in body image bias and dissatisfaction with body image in women. Social Cognition. 2018;7(2):51-70.
6. Rezvanian L, Rahimzadeh S. The role of internet addiction in mental health and body image. Clinical and Personality Psychology. 2024;22(1).
7. Davoodi A, Fattahinia M, Zarraar Y. Comparison of perfectionism, alexithymia, and mental health in patients with Irritable Bowel Syndrome and healthy individuals. Psychological Achievements. 2010;4(2):213-34.
8. Silvestro O, Ricciardi L, Catalano A, Vicario CM, Tomaiuolo F, Pioggia G, et al. Alexithymia and asthma: a systematic review. Frontiers in Psychology. 2023;14(1221648):1221648-. doi: 10.3389/fpsyg.2023.1221648.
9. Asar Kashani H, Roshan R, Khalaj A, Mohammadi J. Comparison of emotional alexithymia and body image in obese, overweight, and normal-weight individuals. Health Psychology. 2012;1(2):70-80.
10. Kazemi Zahrani H, Ebrahimi Jozdani F, Hashemi Najafabadi SA, Farahmand H. The mediating role of dispositional alexithymia in predicting body image concerns based on the ambivalence of emotional expression. Journal of Psychological Sciences. 2019;18(84):2303-9.
11. Farrokhi Moghadam M, Abdolsamad N, Ismailnejad M. The relationship between emotional alexithymia and self-compassion with body image concerns in middle school girls. Child Emotional Development Psychology. 2025;1(4):1-e231188.
12. Poursojadj F, Jarareh J. Examining the relationship between alexithymia, ambivalence of expression, and emotion control with the mental health of high school students in Dezful. Advances in Behavioral Sciences Journal. 2021;6(54):430-44.
13. Khabbaz Sabt S, Poladi Rishahri A, Keykhosravani M, Bahrani M. Structural model of the relationships between tendency for cosmetic surgery with maladaptive schemas and fashion tendency, mediated by emotion regulation in women seeking cosmetic surgery in Bushehr. Social Cognition. 2022;11(1):147-60.
14. Ovisi H, Monirpour N, Zargham Hajbi M. Ego strength model based on object relations and the mediating role of personality organization in individuals seeking cosmetic facial surgery. Psychology of Growth. 2023;12(1):145-54.
15. Favaro A, Santonastaso P, Manara R, Bosello R, Bommarito G, Tenconi E. Disruption of visuospatial and somatosensory functional connectivity in anorexia nervosa. Biological Psychiatry. 2012;70(10):864-70. doi: 10.1016/j.biopsych.2012.04.025.
16. Lambie GW, Milsom A. A narrative analysis of the role of ego strength in counseling. Journal of Counseling & Development. 2010;88(3):284-91. doi: 10.1002/j.1556-6678.2010.tb00025.x.
17. Toopchi Y, Roshan Chesli R, Janbozorgi M. Predicting ego strength and its characteristics based on attachment styles. Clinical and Personality Psychology. 2023;21(2):13-26.
18. Narimani M, Parnian Khoy M. The role of ego strength and parenting styles in predicting vulnerability to addiction with the mediating role of emotional suppression in adolescent boys. Addiction Research. 2021;15(61):145-66. doi: 10.52547/etiadpajohi.15.61.145.
19. Besharat MA. Emotional inadequacy and defense styles. Scientific Research Journal of Mental Health Principles. 2008;10(3):181-90.
20. Bahmaninia M, Sohrabi Shaghafti N. Comparison of ego strength, defense mechanisms, and object relations in individuals with depression and healthy individuals. Clinical and Personality Psychology. 2024;22(1):99-110.
21. Eini S, Narimani M, Atadokht A, Basharpour S, Sadeghi Movahhed F. The effectiveness of cognitive-analytic therapy on ego strength and object relations in individuals with Borderline Personality Disorder. Journal of Urmia Medical Sciences. 2018;29(1):1-11.
22. Jafari S, Johari Fard R. The effectiveness of brief dynamic psychotherapy on emotional expressiveness, defense styles, and ego strength in patients with Irritable Bowel Syndrome: A quasi-experimental study. Journal of Rafsanjan University of Medical Sciences. 2023;22(3):243-58. doi: 10.52547/jrums.22.3.4.
23. Mohammadi M, Shahgholian M, Abdollahi MH, Geramipour M. The mediating role of ego strength in the impact of attachment styles on executive functions in individuals with mild psychopathology. Cognitive Science News. 2023;25(4):17-32.
24. Sabkzei A, Nastizaei N, Shahmardi S, Pour Ebrahim T, Habibi MB. The relationship of meaning in life, spiritual well-being, and ego strength with coronavirus anxiety Structural equation modeling of emotional alexithymia based on family emotional climate and attachment styles, mediated by differentiation and body image of married individuals. Unknown. 2023;19(3):439. doi: 10.52547/rbs.19.3.439.
25. Tahvildarbidarouni N, Zarei I, Tajeri B, Dehghanpour M. Explaining mental health based on the need for intimacy and ego strength in prisoners of Bandar Abbas city. Unknown. 2016.
26. Khalesi M, Nasiri A. The role of anthropometric indices and spiritual intelligence in predicting body image satisfaction in young girls. Scientific Research Quarterly of Woman and Society. 2024;15(57):127-38.
27. Rajabi F, Etemadi Mehr H, Rouhi F, Ali Nia M, Alimehdi M. The effectiveness of Acceptance and Commitment Therapy on body image and emotion regulation in patients with mastectomy surgery. Journal of Psychology of Growth. 2024;13(3):225-34.
28. Rasoulian B, Nouhi S, Jan Bozorgi M, Rezvani A. Determining the effectiveness of a spiritual multidimensional therapy focused on emotion regulation on cognitive flexibility and ego strength in individuals with psychological distress. Disability Studies. 2024;14:78-.
29. Sedigh Arfaei F, Heydaripour A. Explaining the role of ego strength and employment status in the tendency towards suicide in divorced women. Applied Psychology. 2024;18(1):230-50.
30. De Rick A, Vanheule S. Alexithymia and DSM-IV personality disorder traits in alcoholic inpatients: a study of the relation between both constructs. Personality and Individual Differences. 2007;43(4):119-29. doi: 10.1016/j.paid.2006.11.013.
31. Faramarzi Rad B, Rabat Milli S, Abolmaali Alhosseini K, Zare Bahramabadi M. Structural model for predicting emotional alexithymia based on early maladaptive schemas mediated by emotional self-disclosure. Journal of Psychological Sciences. 2023;22(123):539-56.
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Copyright (c) 2026 Aliyeh Ghorbani (Author); Azam Roshandel
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