Body Image and Shame with Adult Attachment Mediation in War-Related Amputation: A Structural Model

Aims: This research was intended to provide a structural model of the feeling of shame of amputees due to war injuries, with a mediating role of adult attachment and a statistical population of amputees. Instrument Methods: The statistical population was male veterans who underwent onesided major amputation (above ankle or wrist) in Tehran, Iran, in 2020. A sample of 195 amputees was selected for the analysis, and the data were collected using the Attachment Style Scale, Multidimensional Body -Self Relations Questionnaire, and Internalized Shame Scale. Analysis was conducted with the Pearson correlation matrix, multiple regression and path analysis data by SPSS 25. Findings: The results showed that a body image of (p 0.05) has a significant effect on amputeeschr( 39 ) safe attachment and explains the 42.7% variance of this variable. As well, a body image of (p 0.05) has a substantial effect on amputeeschr( 39 ) avoidant attachment and explains the 35.5% variance of the variable, and a body image of (p 0.05) has a significant effect on amputeeschr( 39 ) anxiety attachment and explains the 20.1% of the variance of this variable. Furthermore, the results indicated that a safe attachment of p 0.05 substantially affects amputeeschr( 39 ) feelings of shame and explains the 5.7% of the variance of this variable. In addition, avoidant attachment (p 0.05) has a significant effect on amputeeschr( 39 ) feelings of shame and explains the 19.5% variance of this variable. Finally, anxiety attachment (p 0.05) does not have an important effect on amputeeschr( 39 ) feelings of shame. Conclusion: The findings verify the remarkable fit of the proposed model.