Eating Behavior, Self Harm, Weight Loss
Conditions
Brief summary
The purpose of this study is to examine the efficacy of an intervention aimed at promoting a healthy lifestyle and reducing risk factors associated with eating pathology, nonsuicidal self-injury, and suicidal behavior. We are also interested in assessing whether this intervention has the potential to prevent future symptoms of eating problems and self-harm urges and behaviors. The broader goal of this research is to identify factors that may help us better understand the prevention of self-harm behaviors and develop more effective treatments for these problems.
Detailed description
The current study was designed as a proof-of-concept study to test the association between weight suppression (WS; difference between one's highest and lowest weight) and non-suicidal self-injury (NSSI). Previous research has found an association between current WS and lifetime NSSI and that this association was mediated by depressive symptoms and drive for thinness. The current study therefore modified an existing online cognitive dissonance-based program (the e-Body Project) using mixed gender content (from the Body Project 4 All scripts) to target posited mediators, i.e., depressive symptoms and weight and shape concerns, in a sample of individuals with WS and engagement in current NSSI.
Interventions
BEHAVIORALBody Acceptance Program
The Body Acceptance Program is a mixed-gender modification of the eBody Project, an online intervention in which cognitive dissonance principals are used to reduce eating pathology.
Sponsors
Florida State University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-65 years old * At least 5 pounds weight suppression * Engaged in non-suicidal self-injury at least once in past month
Exclusion criteria
* Indicated being sure of suicide attempt on eligibility screener * Live outside of the United States * Currently pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline on the Self-Injurious Thoughts and Behaviors Interview-Short Form (self-report) at follow-up | Pre-assessment and post-assessment (after intervention or two weeks from baseline) | Self-harm frequency and likelihood |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline on the Body Esteem Scale: Weight subscale at follow-up | Pre-assessment and post-assessment (after intervention or two weeks from baseline) | Feelings about one's weight; scores are summed and range from 0-32, higher scores indicate greater weight esteem |
| Change from baseline on the Body Esteem Scale: Attribution subscale at follow-up | Pre-assessment and post-assessment (after intervention or two weeks from baseline) | Feelings about one's characteristics; scores are summed and range from 0-20, higher scores indicate greater self-esteem |
| Change from baseline on the Body Esteem Scale: Appearance subscale at follow-up | Pre-assessment and post-assessment (after intervention or two weeks from baseline) | Feelings about one's appearance; scores are summed and range from 0-40, higher scores indicate greater appearance esteem |
| Change from baseline on the Body Shape Questionnaire (8-item version #3) at follow-up | Pre-assessment and post-assessment (after intervention or two weeks from baseline) | Assessment of weight and shape concerns |
| Change from baseline on the Positive and Negative Affect Schedule at follow-up | Pre-assessment and post-assessment (after intervention or two weeks from baseline) | Captures current positive and negative affect |
| Change from baseline on the Beck Depression Inventory II at follow-up | Pre-assessment and post-assessment (after intervention or two weeks from baseline) | Depressive symptoms |
Outcome results
None listed