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 amputees’ 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 amputees’ avoidant attachment and explains the 35.5% variance of the variable, and a body image of (p<0.05) has a significant effect on amputees’ 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 amputees’ 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 amputees’ 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 amputees’ feelings of shame. Conclusion The findings verify the remarkable fit of the proposed model.