F50.0 F50.2 F33 F32 F40 F41 F45
Conditions
Interventions
Group 1: Arm 1 - experimental group
Exposure material: magazine representing the female thin ideal (Vogue) in the waiting room.
The study will be conducted with four groups of participants:
1) patie
Sponsors
Universität Fribourg, Schweiz Lehrstuhl für Klinische Psychologie und Psychotherapie
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria for the AN and BN group are based on DSM-5 assessed in face to face diagnostic interview (DIPS) and will be ascertained by the EDE-Q. For the mixed mental disorder group, depressive, somatoform and anxiety disorders will be evaluated using the DIPS and will be ascertained by BDI-II, SOMS and BAI. Inclusion criteria for the healthy control group are absence of past or present mental disorder according to the DIPS. For both, the healthy and the mixed mental disorders group the absence of EDs and the absence of a subclinical level of disordered eating behavior (EDE-Q general score below 2.5) is required. Further inclusion criteria that apply to all groups are of 18 to 35 years of age, female gender, availability for and capability of study participation; informed consent, sufficient German language skills.
Exclusion criteria
Exclusion criteria: Exclusion criteria are pregnancy, psychotic disorders, and serious medical conditions having an effect on eating and mood. Individuals are all asked to report whether they receive medical prescriptions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcome: Body image: FRS, VAS_Body Mood: ThreeAS Eating behavior: VAS_Eating Moderators: cognitive distortions (TSF) emotion regulation (ER) Time points: T1 (pre), T2 (3 month after pre) H1.1 We expect that exposure to thin ideal in contrast to neutral magazines causes an impairment of body image (FRS, VAS_body), affect (threeAS), and eating behavior (VAS_eating). H1.2 We expect that exposure to thin ideal in contrast to neutral magazines is related to more pronounced negative body image (FRS, VAS_body), negative affect (threeAS), and disordered eating behavior (VAS_eating) in individuals with AN (Anorexia Nervosa), BN (Bulimia Nervosa), and the clinical control group (depression, somatoform and anxiety disorders) compared to the healthy control group, both at T1 and less at T2. H1.3 We expect that exposure to thin ideal in contrast to neutral magazines is related to more pronounced negative body image (FRS, visual VAS_body), negative affect (threeAS), and disordered eating behavior (VAS_eating) in individuals with AN and BN compared to the clinical control group, both at T1 and less at T2. H1.4 We expect that the impact of thin ideal exposure on negative body image (FRS, VAS_body), negative affect (threeAS), and disordered eating behavior (VAS_eating) is moderated by cognitive style (TSFstate/ TSFtrait) and ER capacity. We expect stronger responses for participants with high TSF and low ER capacity. | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcome: Stress response: salivary cortisol and alpha-amylase; heart rate and heart rate variability Moderators: cognitive distortions (TSF) and emotion regulation H2.1 We expect that exposure to thin ideal in contrast to neutral magazines causes a physiological stress response (increase in mean salivary cortisol and alpha-amylase concentrations, heart rate and decrease in heart rate variability). H2.2 We expect that exposure to thin ideal in contrast to neutral magazines is related to a more pronounced stress response (increase in mean salivary cortisol and alpha-amylase concentrations, heart rate and decrease in heart rate variability) in clinical groups compared to the healthy control group, both at T1 and T2. H2.3 We expect that the impact of thin ideal exposure is related to a more pronounced stress response (increase in mean salivary cortisol and alpha-amylase concentrations, heart rate and decrease in heart rate variability) in individuals with AN and BN compared to the clinical control group, at T1 and T2. H2.4 We expect that the impact of thin ideal exposure on stress response (mean salivary cortisol and alpha-amylase concentrations, heart rate and heart rate variability) is moderated by cognitive style (TSFstate/ TSFtrait) and ER capacity. | — |
Countries
Germany, Switzerland
Contacts
Public ContactSimone Munsch
Universität Fribourg, SchweizLehrstuhl für Klinische Psychologie und Psychotherapie
Outcome results
None listed