Community Health Journal

Community Health Journal

Predicting Sexual Satisfaction Based on Early Maladaptive Schemas with the Mediating Role of Body Image and Cognitive Emotion Regulation in Cosmetic Procedure Applicants

Document Type : Original Article

Authors
H Abbasi Lahijani 1
S. M. H Mousavi Nasab 2
H Salehi 3
1 MSc Student of Clinical Psychology, Dept. of Psychology, Literature and Humanities Faculty, Shahid Bahonar University of Kerman, Kerman, Iran.
2 Associate Prof. of Health Psychology, Dept. of Psychology, Literature and Humanities Faculty, Shahid Bahonar University of Kerman, Kerman, Iran
3 Assistant Prof., Dept. of Surgery, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
10.22123/chj.2025.527122.2198
Abstract
Introduction: Given the importance of sexual satisfaction in community health and the increase in cosmetic procedure applicants, it is necessary to study sexual satisfaction in these individuals. The present study aimed to predict sexual satisfaction based on early maladaptive schemas with the mediating role of body image and cognitive emotion regulation in cosmetic procedure applicants.
Materials and Methods: The method of this research was descriptive and path analysis. The statistical population included all married people aged 20 to 55 years who applied for various cosmetic procedures and visited the offices of cosmetic doctors in Rafsanjan in 2024-2025. A total of 280 people were selected through convenience sampling from two cosmetic doctors' offices. The research tools included the Young Schema Questionnaire- short form, the Body Image Concern Inventory, the Cognitive Emotion Regulation Questionnaire, and the Sexual Satisfaction Questionnaire. The data were analyzed using Pearson’s correlation test and path analysis.
Results: Based on the findings, the domain of disconnection and rejection (β=-0.31, p=0.001), the impaired autonomy and performance (β=-0.20, p=0.005), and body image concern (β=-0.20, p=0.001) had a direct, negative, and significant effect on sexual satisfaction. Additionally, the domains of disconnection and rejection (β=-0.07, p= 0.003) and hypervigilance and inhibition (β= -0.04, p=0.01) had a significant, indirect effect on sexual satisfaction through body image concern.
Conclusion: It appears that Body image plays an important role in the relationship between early maladaptive schemas and sexual satisfaction. It is recommended that interventions be implemented to optimally change early maladaptive schemas and improve body image in cosmetic procedure applicants.
Keywords
Schema
Body image
Emotion regulation
Sexual satisfaction
Cosmetic procedure
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Community Health Journal
Volume 19, Issue 1
Summer 2025
Pages 15-30