Cognitive-Behavioral Therapy for Weight-related Bullying (Online Treatment)

Not Applicable

Completed

• Conditions: Weight, Body; Trauma, Psychological; Bullying
• Interventions: Behavioral: CBT for Weight Bullying

• Registration Number: NCT04587752
• Lead Sponsor: Yale University

Brief Summary

This study will perform a clinical trial with adolescent girls to pilot a new cognitive-behavioral treatment (CBT) for weight-related bullying testing (1) feasibility, (2) acceptability, and (3) initial efficacy. The treatment will be conducted via audio/video telehealth.

Detailed Description

Youth with obesity are more likely to be bullied than healthy-weight peers and weight-related bullying is the most common form of bullying. Treating bullying during childhood could reduce immediate and long-term health consequences, but there are no established individual-level treatments for weight-related bullying despite recommendations that they could improve children's health. This study will develop and test a new treatment for adolescent girls (11-17 years old) who have experienced bullying due to weight. The treatment will address traumatic stress and potentially co-occurring or developing problems with unhealthy weight-control behaviors, disordered eating, and weight. The treatment will be conducted via audio/video telehealth to increase accessibility and is therefore available to anyone in the United States who meets eligibility criteria.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2020-10-05
• Study First Submitted: 2020-10-13
• Study First Submitted QC: 2020-10-13
• Study First Posted: 2020-10-14
• Primary Completion: 2023-08-09
• Study Completion: 2023-08-09
• Status Verified: 2023-09
• Last Update Submitted: 2023-09-11
• Last Update Posted: 2023-09-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 30

Inclusion Criteria

To be included, adolescents must:

1. Be in the age range ≥11 years old and ≤17 years old;
2. Identify as female
3. Report experiencing weight-related bullying
4. Report current distress about weight-related bullying
5. Be otherwise-healthy youth (i.e., no uncontrolled or serious medical conditions);
6. Read, comprehend, and write English at a sufficient level to complete study-related materials;
7. Located in the United States and available for participation in the study for 3 months.

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Exclusion Criteria

Prospective participants will be excluded if the adolescent:

1. Has a medical or psychiatric condition that would require hospitalization or intensive care (e.g., severe anorexia, neurological disorder, psychotic disorders, suicidality);
2. Has uncontrolled medical condition(s) (e.g., uncontrolled diabetes or hypertension);
3. Is pregnant or breastfeeding;
4. Is taking medication(s) or participating in treatment(s) that could influence weight or appetite;
5. Is engaged in concurrent treatments that focus on trauma-related stress;
6. Began taking hormonal contraceptives less than 3 months prior;
7. Has a developmental or cognitive disorder (e.g., autism spectrum disorder);
8. Has avoidant/restrictive food intake disorder; or
9. Is participating in another clinical research study.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
CBT for Weight Bullying	CBT for Weight Bullying	Cognitive-Behavioral Therapy (CBT) for children who have experienced weight-related bullying

Primary Outcome Measures

Name	Time	Method
Stress	post (3 months)	Reductions in traumatic stress as measured by the Children's Revised Impact of Event Scale (total; scores range from 0 to 65 with higher scores indicative of more traumatic stress)

Secondary Outcome Measures

Name	Time	Method
Body Dissatisfaction	post (3 months)	Reductions in body dissatisfaction (weight and shape dissatisfaction) as measured by the brief Eating Disorder Examination Questionnaire (scores range from 0 to 6; higher scores are indicative of more concern)
Overvaluation	post (3 months)	Reductions in overvaluation of shape/weight as measured by the brief Eating Disorder Examination Questionnaire (scores range from 0 to 6; higher scores are indicative of more concern)

Trial Locations

Locations (1)

Yale University School of Medicine; 🇺🇸 New Haven, Connecticut, United States