Comparing the efficacy of emotion-focused cognitive-behavioral therapy with mindfulness based cognitive therapy on body image and cognitive fusion in adolescent girls interested in cosmetic surgery

Background and Aim: Cosmetic surgery as a special and common form of bodybuilding culture has always been a controversial topic in contemporary society. The purpose of this study was to compare the efficacy of emotion-focused cognitive-behavioral therapy with mindfulness based cognitive therapy on body image and cognitive fusion in adolescent girls seeking cosmetic surgery. Methods: This was a quasi- experimental intervention study with pretest-posttest design with control group. The statistical population of the study consisted of all female secondary school students in the 1st District of Tehran in the academic year 1397-98. From this community, 30 students were selected based on cluster sampling and randomly divided into three groups: 10 in the first group, 10 in the second group and 10 in the control group (8 sessions with mindfulness programs occasionally). Data were gathered through Multidimensional Self-Body Questionnaire (MBSRQ), Cognitive Fusion Questionnaire (CFQ) and multivariate analysis of covariance. Results: The results showed that cognitive behavioral therapy and mindfulness treatment were effective in improving the body image of adolescent girls seeking cosmetic surgery (P<0.05) and there was no significant difference between the two treatments (P<0.662). Conclusion: Cognitive-behavioral therapy and mindfulness therapy are both effective to improve body image and reduce cognitive interference.