A Pilot Study Evaluating a Self-esteem Group Therapy Intervention for Adolescent Inpatients With Eating Disorders
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Rosenberg Self-esteem Scale: assessing change in self-esteem
研究概览
简要总结
Self-esteem group is a novel, manualised group programme designed for adolescent inpatients with eating disorders.
Research questions:
Does the self-esteem group improve self-esteem in adolescent inpatients with eating disorders? Are any changes in self-esteem maintained at 4 week follow-up after the group? Does eating disorder psychopathology improve more during admission for those who complete the self-esteem group compared to those who do not complete the group?
Background:
Low self-esteem has been established as a strong predictor of onset, maintenance and relapse in eating disorders. For patients with low self-esteem, change can be particularly difficult to achieve. The intensity of their low self-esteem leads them to strive to control their eating, weight and shape to gain a sense of self-worth and the pervasive negative view of themselves results in them seeing little or no prospect of recovery. This suggests treatment of low self-esteem is clinically and financially important. Studies have shown cognitive behavioural based group therapies improve self esteem in adults with eating disorders; however research including adolescents is limited. This research will contribute to the evidence base for self-esteem interventions in adolescents and inform the effectiveness of a new treatment. The research will be funded by Newbridge House, an inpatient unit for children and adolescents with eating disorders.
Design:
Inpatients at Newbridge House aged 11 - 18, fulfilling DSM-V criteria for an eating disorder will be recruited.Participants will be randomly allocated to a case or control group. Cases will receive the 6 week self-esteem group in addition to treatment as usual (TAU) and will be compared with controls who receive TAU. Both groups will complete a questionnaire pre-group, post-group and 4 weeks post-group. Admission and discharge questionnaires routinely collected will be examined to assess change in eating disorder psychopathology.
详细描述
Low self-esteem has been established as a strong predictor of onset, maintenance and relapse in eating disorders. For patients with low self-esteem, change can be particularly difficult to achieve, with the potential for prolonged admissions and increased burden of illness to the individual and their family or carers. Significant low self-esteem can contribute to increased striving to control eating, weight and shape to gain a sense of self-worth. Furthermore, it can serve to maintain pervasive negative self- regard and a sense of little or no prospect of recovery. This suggests treatment of low self-esteem is both clinically and financially important. Studies have shown that cognitive behavioural based group therapies can improve self-esteem in adults with eating disorders; however research including adolescents is limited.
This study will contribute to the evidence base for self-esteem interventions in adolescents through evaluating the effectiveness of a new treatment. The self-esteem group intervention evaluated in this study is a novel, manualised group therapy programme designed specifically for adolescent inpatients with eating disorders.
The research will be funded and supported by Newbridge House, inpatient unit for children and adolescents with eating disorders.
Principal Research Question:
Does delivery of a manualised self-esteem group intervention improve self-esteem in adolescent inpatients with eating disorders?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 11 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Inpatients at Newbridge House
- •Primary diagnosis of any form of eating disorder
排除标准
- •Previously received self-esteem group at Newbridge House
- •Aged under 10 years
- •Moderate and severe learning disability
研究组 & 干预措施
Control: Treatment as Usual Only
Treatment as usual refers to the standard inpatient treatment programme at Newbridge House which includes: individual therapy, occupational therapy, drama therapy, family therapy, dietetic support, nursing support, yoga and medication prescribed by a consultant psychiatrist.
干预措施: Treatment as Usual (Behavioral)
Case: Self-esteem group + Treatment as Usual
Self-esteem group is based on a cognitive behavioral model of low self-esteem addressing thoughts, feelings and behaviour. The self-esteem group is designed to be administered in 6 weekly sessions.
Treatment as usual refers to the standard inpatient treatment programme at Newbridge House which includes: individual therapy, occupational therapy, drama therapy, family therapy, dietetic support, nursing support, yoga and medication prescribed by a consultant psychiatrist.Treatment as usual occurred alongside the self-esteem group.
干预措施: Self-esteem group (Behavioral)
结局指标
主要结局
Rosenberg Self-esteem Scale: assessing change in self-esteem
时间窗: Assessed at baseline, 6 weeks and 10 weeks.
A validated self-report measure assessing change in self-esteem. The measure consists of 10 questions.
次要结局
- Eating Disorder Examination Questionnaire: assessing change in eating disorder psychopathology(Assessed at baseline, 6 weeks and 10 weeks.)
研究者
Hannah Biney
Assistant Psychologist
Newbridge House