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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Body Acceptance Program | Experimental | The Body Acceptance Program (BAP) is the active condition. Participants engage in an online intervention during which they complete online and offline activities designed to challenge the appearance-ideal. |
|
| Waitlist control | No Intervention | Participants in the waitlist control group completed baseline and follow-up assessments with no intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Body Acceptance Program | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline on the Self-Injurious Thoughts and Behaviors Interview-Short Form (self-report) at follow-up | Self-harm frequency and likelihood | Pre-assessment and post-assessment (after intervention or two weeks from baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline on the "Body Esteem Scale: Appearance" subscale at follow-up | Feelings about one's appearance; scores are summed and range from 0-40, higher scores indicate greater appearance esteem | Pre-assessment and post-assessment (after intervention or two weeks from baseline) |
| Change from baseline on the "Body Esteem Scale: Weight" subscale at follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pamela Keel, Ph.D. | Florida State University | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33884617 | Derived | Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2. |
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Participants' responses to measures collected during the study will be shared with the funding body, the Military Suicide Research Consortium, as part of their Core Data Elements project, a centralized database of data from all MSRC funded projects. All participant responses are deidentified and are uploaded to the MSRC through a secure upload.
Study protocol and informed consent forms will be shared during and after study recruitment. Participants' responses to measures collected during the study will be shared at the end of participant completion.
Once data is uploaded to the Core Data Element (CDE) project, it may be combined with data from other projects for greater power to conduct statistical analyses, including, but not limited to, regression analyses and scale development. The following link (https://msrc.fsu.edu/members/request-access-msrc-database) describes steps that investigators must take in order to access the data. In addition, the study protocols and consent forms are reviewed and approved by the Department of Defense Human Research Protection Office (HRPO) throughout the study.
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| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D016728 | Self-Injurious Behavior |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D001522 | Behavior, Animal |
| D001519 | Behavior |
| D001526 | Behavioral Symptoms |
| D001836 | Body Weight Changes |
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|
Feelings about one's weight; scores are summed and range from 0-32, higher scores indicate greater weight esteem |
| Pre-assessment and post-assessment (after intervention or two weeks from baseline) |
| Change from baseline on the "Body Esteem Scale: Attribution" subscale at follow-up | Feelings about one's characteristics; scores are summed and range from 0-20, higher scores indicate greater self-esteem | Pre-assessment and post-assessment (after intervention or two weeks from baseline) |
| Change from baseline on the Beck Depression Inventory II at follow-up | Depressive symptoms | Pre-assessment and post-assessment (after intervention or two weeks from baseline) |
| Change from baseline on the Body Shape Questionnaire (8-item version #3) at follow-up | Assessment of weight and shape concerns | Pre-assessment and post-assessment (after intervention or two weeks from baseline) |
| Change from baseline on the Positive and Negative Affect Schedule at follow-up | Captures current positive and negative affect | Pre-assessment and post-assessment (after intervention or two weeks from baseline) |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |