Reducing Suicide Risk Associated With Weight Loss
- Conditions
- Eating BehaviorSelf HarmWeight Loss
- Interventions
- Behavioral: Body Acceptance Program
- Registration Number
- NCT03541824
- Lead Sponsor
- Florida State University
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 59
- Age 18-65 years old
- At least 5 pounds weight suppression
- Engaged in non-suicidal self-injury at least once in past month
- Indicated being "sure" of suicide attempt on eligibility screener
- Live outside of the United States
- Currently pregnant
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Body Acceptance Program Body Acceptance Program 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.
- Primary Outcome Measures
Name Time Method 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 Outcome Measures
Name Time Method 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 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 "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 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 Beck Depression Inventory II at follow-up Pre-assessment and post-assessment (after intervention or two weeks from baseline) Depressive symptoms