The Effectiveness of Mode-Based Schema Therapy on Psychological Capital, Body Image, and Self-Esteem in Women with Symptoms of Histrionic Personality Disorder
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Objective: The present study was conducted to investigate the effectiveness of mode-based schema therapy on psychological capital, body image, and self-esteem in women seeking cosmetic surgery who exhibited symptoms of histrionic personality disorder.
Methods and Materials: This study used a quasi-experimental design with pre-test, post-test, and a two-month follow-up, along with a control group. The statistical population included women who attended cosmetic surgery clinics in the city of Isfahan during 2024–25. After screening and confirmation of eligibility, participants were assigned to two groups: the mode-based schema therapy group and the control group. Data were collected using the Psychological Capital Scale, the Body Image Questionnaire, and the Self-Esteem Scale, and were analyzed using mixed analysis of variance and Bonferroni post hoc tests.
Findings: Mode-based schema therapy significantly improved psychological capital, body image, and self-esteem over time. Significant time × group interaction effects were found for psychological capital (F = 29.735, p < 0.001, partial η² = 0.482), body image (F = 26.120, p < 0.001, partial η² = 0.449), and self-esteem (F = 26.684, p < 0.001, partial η² = 0.471). Bonferroni comparisons showed significant improvements from pretest to posttest and from pretest to follow-up in psychological capital (p = 0.001), body image (p = 0.001 and p = 0.003), and self-esteem (p = 0.001 and p = 0.003), with no significant decline from posttest to follow-up.
Conclusion: Mode-based schema therapy was effective in improving psychological capital, body image, and self-esteem among women seeking cosmetic surgery with histrionic personality symptoms.
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