The Cognitive Behavioral Model of Eating Disorders in Iranian Women Students

AuthorReza Moloodien
AuthorMaryam Mahmoodien
AuthorZinat Mohammadpouren
AuthorFarnush Naghashianen
AuthorHanieh Alastien
AuthorZahra Babaeeen
AuthorZeinab Salehen
AuthorParia Ahmadien
AuthorMasoumeh Baranien
AuthorHanieh Hosseinien
OrcidMasoumeh Barani [0000-0002-3997-8458]en
Issued Date2026-03-31en
AbstractBackground: The cognitive-behavioral model of eating disorders (EDs) has not been thoroughly investigated among women in Eastern societies, including Iran. Objectives: This study assessed the validity of the cognitive-behavioral model of eating disorders among Iranian female students. Methods: A cross-sectional study was conducted from September 2021 to February 2022 at Tehran University of Medical Sciences, Azad Islamic University, and the University of Social Welfare and Rehabilitation Sciences. A total of 516 female students aged 18 - 42 years were selected using cluster sampling and completed validated Farsi versions of the Eating Disorder Examination Questionnaire (EDE-Q 6.0), Binge Eating Scale (BES), Clinical Perfectionism Questionnaire (CPQ), Distress Tolerance Scale (DTS), Inventory of Interpersonal Problems-32 (IIP-32), and the Rosenberg Self-Esteem Scale (RSES). Data were analyzed using path analysis in AMOS 23, and confirmatory factor analysis (CFA) was conducted to validate the measurement model. Goodness-of-fit indices, including RMSEA, CFI, and GFI, were used to assess model fit. Results: Path analysis indicated that the enhanced CB-BN model provided the best fit to the data (RMSEA = 0.06, CFI = 0.96, GFI = 0.98). In this model, clinical perfectionism (β = 0.36, P < 0.01), interpersonal problems (β = 0.30, P < 0.01), distress tolerance (β = -0.28, P < 0.01), and low self-esteem (β = -0.45, P < 0.001) were significantly associated with overvaluation of weight and shape, which in turn predicted dietary restraint, binge eating, and purging. The study was conducted in a community sample of 516 Iranian female university students (mean age = 23.7 years). Conclusions: These results provide initial support for the cross-cultural applicability of the revised and original CB-BN models in the Iranian community. Accordingly, these models may help advance the understanding of eating-related concerns and their management among Iranian women.en
DOIhttps://doi.org/10.5812/ijpbs-147147en
URIhttps://brieflands.com/journals/ijpbs/articles/147147en
KeywordEating Disordersen
KeywordCognitive Behavioral Therapyen
KeywordSelf-Esteemen
KeywordBody Imageen
KeywordBinge-Eating Disorderen
KeywordInterpersonal Relationsen
KeywordPsychological Distressen
KeywordStudentsen
KeywordIranen
PublisherBrieflandsen
TitleThe Cognitive Behavioral Model of Eating Disorders in Iranian Women Studentsen
TypeResearch Articleen

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