None listed
Conditions
Brief summary
This study aims to examine the neurobiological underpinning of body image dissatisfaction in women aged 18-35 years old, and whether Eye Movement Desensitization and Reprocessing (EMDR) therapy is effective and acceptable in reducing body image dissatisfaction in this population. Through accessing secondary data from individuals with low levels of body dissatisfaction, we will compare neurological responses to images of self and other to a high body dissatisfaction group collected as part of this study, It is hypothesised that there will be neurobiological differences in those with high and low body image dissatisfaction. Further, it is hypothesised that EMDR will be effective at reducing distress associated with body image memories.
Interventions
Eye Movement Desensitization and Reprocessing (EMDR) Therapy:
Description of the Intervention: This trial will use the Standard EMDR Protocol, an 8-phase structured treatment that incorporates bilateral stimulation, typically in the form of eye movements.
Procedure:
The treatment protocol is comprised of the following phases:
Phase 1 History Taking: Understanding participants’ backgrounds, current experiences associated with body image dissatisfaction and distress, as well as impact.
Phase
Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Description of the Intervention: This trial will use the Standard EMDR Protocol, an 8-phase structured treatment that incorporates bilateral stimulation, typically in the form of eye movements. Procedure: The treatment protocol is comprised of the following phases: Phase 1 History Taking: Understanding participants’ backgrounds, current experiences associated with body image dissatisfaction and distress, as well as impact. Phase 2 Preparation: Providing psychoeducational to clients regarding EMDR and supporting the client to develop resources and coping strategies for subsequent phases of treatment. Phase 3 Assessment: Identifying appropriate body image-related target memories, identifying associated beliefs, emotions and physical sensations. Phase 4 Desensitization: Using bilateral stimulation (commonly eye movements) to process distressing body image memories. Phase 5 Installation: Positive beliefs and cognitions are installed using bilateral stimulation. Phase 6 Body Scan: At the conclusion of installation, bodily sensations are identified and processed using bilateral stimulation. Phase 7 Closure: Supporting clients to feel safe and grounded following processing. Phase 8 Re-evaluation: Assessing progress, re-checking target memories and associated distress. Intervention Delivery: Providers: The intervention will be delivered by a clinical psychologist trained in EMDR, supervised by an EMDR consultant. Mode of Delivery: The therapy will be provided individually and in-person. It will be delivered in a clinical setting at a University. Fidelity: Fidelity to the intervention will be assessed by a EMDR consultant. Each session will be video recorded, and the consultant willl review 10% of sessions and assess according to the pre-established EMDR fidelity checklist. Number of Sessions and Duration: Session Schedule: The intervention will consist of 5 90-minute sessions. Frequency: The sessions will be scheduled weekly.
Sponsors
Swinburne University of Technology
Study design
Allocation
Non-randomised trial
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
Participants must be right-handed women, aged 18 and 35 years old with English proficiency. To identify those with high BID, individuals must score >4 on both the body image subscales of the EDE-Q.
Exclusion criteria
Exclusion criteria include a past or present diagnosis of a restrictive ED, be medically unstable due to an ED, a diagnosis of a neurodegenerative disorder, schizophrenia-spectrum or bipolar disorder, obsessive compulsive disorder, developmental disorder (e.g., ADHD or Autism), a present substance use disorder, ocular conditions, major depressive disorder, an anxiety disorder and acute suicidality. Participants exhibiting MRI contraindications (e.g., immoveable ferromagnetic objects in/on the body) will be excluded.
Outcome results
None listed