Farshi Jalali M, Kiamarsi A, Akbari B.
(2026). The Mediating Role of Ego Strength in the Relationship Between Childhood Trauma and Body Image Concerns among Women with Substance Use Disorder. Rooyesh. 15(3), 143-152.
URL: http://frooyesh.ir/article-1-6866-en.html
1- Department of Psychology, Ra.C., Islamic Azad University, Rasht, Iran.
2- Department of Psychology, Ra.C., Islamic Azad University, Rasht, Iran. , kiamarsi@iau.ac.ir
Abstract: (164 Views)
This study aimed to develop a structural model illustrating the relationship between childhood trauma and body image, mediated by ego strength, among women diagnosed with substance use disorder (SUD). The present research employed a descriptive-correlational design, utilizing Structural Equation Modeling (SEM). The population comprised all women with a history of childhood trauma who sought treatment for stimulant substance use disorder at addiction cessation centers in Tehran. A sample of participants was selected via purposive sampling. The instruments used included the Childhood Trauma Questionnaire (CTQ, Bernstein et al., 2003), the Body Image Shame Scale (BISS, Duarte et al., 2004), and the Ego Strength Scale (SES, Marxstrom, 1997). Data were analyzed using the Structural Equation Modeling technique. The results indicated an adequate model fit. Results indicated a significant positive direct effect of childhood trauma on body shame. Furthermore, indirect effects demonstrated that childhood trauma significantly influences body shame through the mediating role of ego strength. The findings confirm that childhood trauma directly and indirectly—via the mediation process of ego strength—increases body shame in stimulant-using women. Consequently, schema-based therapies and approaches that enhance core self-capacities are vital for effective clinical intervention.
Type of Article:
Research |
Subject:
addiction Received: 2025/12/31 | Accepted: 2026/02/28 | ePublished: 2026/05/30