A randomized controlled trial of an online single session intervention for body image in individuals with recurrent binge eating.
eating disorders
randomized controlled trial
treatment
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
15 Apr 2024
15 Apr 2024
Historique:
revised:
27
03
2024
received:
09
02
2024
accepted:
28
03
2024
medline:
15
4
2024
pubmed:
15
4
2024
entrez:
15
4
2024
Statut:
aheadofprint
Résumé
Theoretical models highlight body image disturbances as central to the maintenance of eating disorders, with empirical evidence finding negative body image to be a robust predictor of treatment nonresponse, relapse and symptom persistence. Accessible, scalable, and inexpensive interventions that can effectively target negative body image across the eating disorders are needed. We developed an online single session intervention (SSI) for negative body image and evaluated its acceptability and efficacy in a randomized controlled trial in individuals with recurrent binge eating. Participants with recurrent binge eating were randomly assigned to the SSI (n = 99) or a waitlist (n = 101). Assessments were conducted at baseline, 4 week follow-up, and 8 week follow-up. 81% of participants accessed the SSI, demonstrating reasonable uptake. However, issues with attrition were apparent; a 32% study dropout rate was observed at posttest, while a 58% dropout rate was observed at follow-up. 87% of participants who completed satisfaction measures would recommend the SSI. SSI participants experienced greater improvements in negative body image at both 4 (d = -0.65) and 8 week (d = -0.74) follow-up. Significant between-group effects were also observed on most other secondary symptom measures, though no differences were found for motivations and help-seeking beliefs and intentions. Body image-focused self-guided SSIs for recurrent binge are largely accepted by those who are retained in the trial, but are associated with significant attrition. Although SSIs are not intended to replace standard treatment, they may help with short-term symptom management and could play an important role in eating disorder care. Single session interventions (SSI) are a potentially accessible, scalable, and cost-effective way to deliver evidence-based treatment content to people with eating disorders. This study shows that an online (SSI) designed to target body image among people with recurrent binge eating is accepted and produced short-term symptom relief.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National Health and Medical Research Council
ID : APP1196948
Informations de copyright
© 2024 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.
Références
Ágh, T., Kovács, G., Pawaskar, M., Supina, D., Inotai, A., & Vokó, Z. (2015). Epidemiology, health‐related quality of life and economic burden of binge eating disorder: A systematic literature review. Eating and Weight Disorders, 20, 1–12. https://doi.org/10.1007/s40519-014-0173-9
Alleva, J. M., Tylka, T. L., & Van Diest, A. M. K. (2017). The Functionality Appreciation Scale (FAS): Development and psychometric evaluation in US community women and men. Body Image, 23, 28–44. https://doi.org/10.1016/j.bodyim.2017.07.008
Basarkod, G., Sahdra, B., & Ciarrochi, J. (2018). Body Image–Acceptance and Action Questionnaire–5: An abbreviation using genetic algorithms. Behavior Therapy, 49, 388–402. https://doi.org/10.1016/j.beth.2017.09.006
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. https://doi.org/10.1037/0033-2909.112.1.155
Cohen, K., Dobias, M., Morris, R., & Schleider, J. (2023). Improving uptake of mental health crisis resources: Randomized test of a single‐session intervention embedded in social media. Journal of Behavioral and Cognitive Therapy, 33, 24–34.
Cro, S., Morris, T. P., Kenward, M. G., & Carpenter, J. R. (2016). Reference‐based sensitivity analysis via multiple imputation for longitudinal trials with protocol deviation. The Stata Journal, 16, 443–463. https://doi.org/10.1177/1536867X1601600211
Denison‐Day, J., Appleton, K. M., Newell, C., & Muir, S. (2018). Improving motivation to change amongst individuals with eating disorders: A systematic review. International Journal of Eating Disorders, 51, 1033–1050.
Evans, C., & Dolan, B. (1993). Body Shape Questionnaire: Derivation of shortened “alternate forms”. International Journal of Eating Disorders, 13, 315–321.
Fairburn, C. G. (2013). Overcoming binge eating. Guilford Press.
Fairburn, C. G., & Beglin, S. (1994). Assessment of eating disorders: Interview or self‐report questionnaire? International Journal of Eating Disorders, 16, 363–370. https://doi.org/10.1002/1098-108X
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A "transdiagnostic" theory and treatment. Behavior Research and Therapy, 41, 509–528. https://doi.org/10.1016/S0005-7967(02)00088-8
Feingold, A. (2017). Meta‐analysis with standardized effect sizes from multilevel and latent growth models. Journal of Consulting and Clinical Psychology, 85, 262–266.
Fitzsimmons‐Craft, E. E., Taylor, C. B., Graham, A. K., Sadeh‐Sharvit, S., Balantekin, K. N., Eichen, D. M., Goel, N. J., Monterubio, G. E., Flatt, R. E., Karam, A. M., Firebaugh, M. L., Jacobi, C., Jo, B., Trockel, M. T., & Wilfley, D. E. (2020). Effectiveness of a digital cognitive behavior therapy–guided self‐help intervention for eating disorders in college women: A cluster randomized clinical trial. JAMA Network Open, 3, e2015633.
Forbush, K. T., Wildes, J. E., Pollack, L. O., Dunbar, D., Luo, J., Patterson, K., Pollpeter, M., Petruzzi, L., Miller, H., Stone, A., Bright, A., & Watson, D. (2013). Development and validation of the Eating Pathology Symptoms Inventory (EPSI). Psychological Assessment, 25, 859–878.
Furukawa, T., Noma, H., Caldwell, D., Honyashiki, M., Shinohara, K., Imai, H., Hunot, V., Chen, P., & Churchill, R. (2014). Waiting list may be a nocebo condition in psychotherapy trials: A contribution from network meta‐analysis. Acta Psychiatrica Scandinavica, 130, 181–192.
Grilo, C. M., Ivezaj, V., & Gueorguieva, R. (2024). Overvaluation of shape/weight at posttreatment predicts relapse at 12‐month follow‐up after successful behaviorally‐based treatment of binge‐eating disorder. International Journal of Eating Disorders. https://doi.org/10.1002/eat.24141
Högdahl, L., Birgegård, A., Norring, C., de Man Lapidoth, J., Franko, M. A., & Björck, C. (2023). Internet‐based cognitive behavioral therapy for bulimic eating disorders in a clinical setting: Results from a randomized trial with one‐year follow‐up. Internet Interventions, 31, 100598.
Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2009). An ultra‐brief screening scale for anxiety and depression: The PHQ–4. Psychosomatics, 50, 613–621. https://doi.org/10.1016/S0033-3182(09)70864-3
Linardon, J. (2018). Meta‐analysis of the effects of cognitive‐behavioral therapy on the core eating disorder maintaining mechanisms: Implications for mechanisms of therapeutic change. Cognitive Behaviour Therapy, 47, 107–125. https://doi.org/10.1080/16506073.2018.1427785
Linardon, J. (2023). Rates of attrition and engagement in randomized controlled trials of mindfulness apps: Systematic review and meta‐analysis. Behaviour Research and Therapy, 170, 104421. https://doi.org/10.1016/j.brat.2023.104421
Linardon, J., Brennan, L., & de la Piedad Garcia, X. (2016). Rapid response to eating disorder treatment: A systematic review and meta‐analysis. International Journal of Eating Disorders, 49, 905–919.
Linardon, J., & Fuller‐Tyszkiewicz, M. (2020). Attrition and adherence in smartphone‐delivered interventions for mental health problems: A systematic and meta‐analytic review. Journal of Consulting and Clinical Psychology, 88, 1–13. https://doi.org/10.1037/ccp0000459
Linardon, J., & Fuller‐Tyszkiewicz, M. (2023). The promise of single session interventions for eating disorders: Lessons to be learned from research on digital mental health. Commentary on Schleider et al. (2023). International Journal of Eating Disorders, 56, 867–870. https://doi.org/10.1002/eat.23947
Linardon, J., Rosato, J., & Messer, M. (2020). Break binge eating: Reach, engagement, and user profile of an internet‐based psychoeducational and self‐help platform for eating disorders. International Journal of Eating Disorders, 53, 1719–1728. https://doi.org/10.1002/eat.23356
Linardon, J., Shatte, A., McClure, Z., & Fuller‐Tyszkiewicz, M. (2022). A broad v. focused digital intervention for recurrent binge eating: A randomized controlled non‐inferiority trial. Psychological Medicine, 53, 1–12. https://doi.org/10.1017/S0033291722001477
Linardon, J., Shatte, A., Messer, M., Firth, J., & Fuller‐Tyszkiewicz, M. (2020). E‐mental health interventions for the treatment and prevention of eating disorders: An updated systematic review and meta‐analysis. Journal of Consulting and Clinical Psychology, 88, 994–1007. https://doi.org/10.1037/ccp0000575
Linardon, J., Shatte, A., Rosato, J., & Fuller‐Tyszkiewicz, M. (2020). Efficacy of a transdiagnostic cognitive‐behavioral intervention for eating disorder psychopathology delivered through a smartphone app: A randomized controlled trial. Psychological Medicine, 1‐12, 1679–1690. https://doi.org/10.1017/S0033291720003426
Loucas, C. E., Fairburn, C. G., Whittington, C., Pennant, M. E., Stockton, S., & Kendall, T. (2014). E‐therapy in the treatment and prevention of eating disorders: A systematic review and meta‐analysis. Behaviour Research and Therapy, 63, 122–131. https://doi.org/10.1016/j.brat.2014.09.011
!‐‐Query ID="Q4" Text="AUTHOR: Please note that the following citations Fairburn, 2008; Nemesure et al (2013) are cited in the text, but missing in the references list. Please provide complete details in the list or delete the citations from the text."‐‐>McClure, Z., Fuller‐Tyszkiewicz, M., Messer, M., & Linardon, J. (2023). Predictors, mediators, and moderators of response to digital interventions for eating disorders: A systematic review. International Journal of Eating Disorders. https://doi.org/10.1002/eat.24078
Messer, M., Eckley, T., Milesi, M., Storey, L., & Linardon, J. (2024). An inflexible adherence to food rules mediates the longitudinal association between shape/weight overvaluation and binge eating. Journal of Psychiatric Research, 169, 378–381.
Mitchison, D., Touyz, S., González‐Chica, D. A., Stocks, N., & Hay, P. (2017). How abnormal is binge eating? 18‐year time trends in population prevalence and burden. Acta Psychiatrica Scandinavica, 136, 147–155. https://doi.org/10.1111/acps.12735
Nemesure, M. D., Park, C., Morris, R. R., Chan, W. W., Fitzsimmons‐Craft, E. E., Rackoff, G. N., Taylor, C. B., Fowler, L. A., & Jacobson, N. C. (2023). Evaluating change in body image concerns following a single session digital intervention. Body Image, 44, 64–68.
Osborn, T. L., Rodriguez, M., Wasil, A. R., Venturo‐Conerly, K. E., Gan, J., Alemu, R. G., Arango, G. S., Roe, E., Otieno, B. H., Wasanga, C. M., Shingleton, R., & Weisz, J. R. (2020). Single‐session digital intervention for adolescent depression, anxiety, and well‐being: Outcomes of a randomized controlled trial with Kenyan adolescents. Journal of Consulting and Clinical Psychology, 88, 657–668.
Pook, M., Tuschen‐Caffier, B., & Brähler, E. (2008). Evaluation and comparison of different versions of the body shape questionnaire. Psychiatry Research, 158, 67–73.
Rozental, A., Castonguay, L., Dimidjian, S., Lambert, M., Shafran, R., Andersson, G., & Carlbring, P. (2018). Negative effects in psychotherapy: Commentary and recommendations for future research and clinical practice. BJPsych Open, 4, 307–312.
Rubin, D. B. (1988). An overview of multiple imputation. Paper presented at the Proceedings of the survey research methods section of the American statistical association.
Schleider, J. L., Mullarkey, M. C., Fox, K. R., Dobias, M. L., Shroff, A., Hart, E. A., & Roulston, C. A. (2021). A randomized trial of online single‐session interventions for adolescent depression during COVID‐19. Nature Human Behaviour, 6, 1–11.
Schleider, J. L., Smith, A. C., & Ahuvia, I. (2023). Realizing the untapped promise of single‐session interventions for eating disorders. International Journal of Eating Disorders, 56, 853–863.
Smith, A. C., Ahuvia, I., Ito, S., & Schleider, J. L. (2023). Project body neutrality: Piloting a digital single‐session intervention for adolescent body image and depression. International Journal of Eating Disorders, 56, 1554–1569.
Stice, E. (2001). A prospective test of the dual‐pathway model of bulimic pathology: Mediating effects of dieting and negative affect. Journal of Abnormal Psychology, 110, 124–135. https://doi.org/10.1037/0021-843X.110.1.124
Stice, E., Marti, C. N., Shaw, H., & Rohde, P. (2019). Meta‐analytic review of dissonance‐based eating disorder prevention programs: Intervention, participant, and facilitator features that predict larger effects. Clinical Psychology Review, 70, 91–107.
Stice, E., Nemeroff, C., & Shaw, H. E. (1996). Test of the dual pathway model of bulimia nervosa: Evidence for dietary restraint and affect regulation mechanisms. Journal of Social and Clinical Psychology, 15, 340–363. https://doi.org/10.1521/jscp.1996.15.3.340
Torous, J., Bucci, S., Bell, I. H., Kessing, L. V., Faurholt‐Jepsen, M., Whelan, P., Carvalho, A. F., Keshavan, M., Linardon, J., & Firth, J. (2021). The growing field of digital psychiatry: Current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry, 20, 318–335. https://doi.org/10.1002/wps.20883
Tregarthen, J., Kim, J. P., Sadeh‐Sharvit, S., Neri, E., Welch, H., & Lock, J. (2019). Comparing a tailored self‐help Mobile app with a standard self‐monitoring app for the treatment of eating disorder symptoms: Randomized controlled trial. JMIR Mental Health, 6, e14972. https://doi.org/10.2196/14972
Tylka, T. L., Linardon, J., Wood‐Barcalow, N. L., Daníelsdóttir, S., & Fuller‐Tyszkiewicz, M. (2022). Short forms of the Body Appreciation Scale‐2 (BAS‐2SF): Item selection and psychometric evaluation. Body Image, 41, 308–330. https://doi.org/10.1016/j.bodyim.2022.04.001
Vall, E., & Wade, T. D. (2015). Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta‐analysis. International Journal of Eating Disorders, 48, 946–971. https://doi.org/10.1002/eat.22411
van Straten, A., Hill, J., Richards, D., & Cuijpers, P. (2015). Stepped care treatment delivery for depression: A systematic review and meta‐analysis. Psychological Medicine, 45, 231–246.
Wade, T. D., Kay, E., de Valle, M. K., Egan, S. J., Andersson, G., Carlbring, P., & Shafran, R. (2019). Internet‐based cognitive behaviour therapy for perfectionism: More is better but no need to be prescriptive. Clinical Psychologist, 23, 196–205. https://doi.org/10.1111/cp.12193
Wagner, B., Penelo, E., Wanner, C., Gwinner, P., Trofaier, M. L., Imgart, H., & Karwautz, A. F. (2013). Internet‐delivered cognitive‐behavioural therapy v. conventional guided self‐help for bulimia nervosa: Long‐term evaluation of a randomised controlled trial. British Journal of Psychiatry, 202, 135–141. https://doi.org/10.1192/bjp.bp.111.098582
Weissman, R. S., & Rosselli, F. (2017). Reducing the burden of suffering from eating disorders: Unmet treatment needs, cost of illness, and the quest for cost‐effectiveness. Behaviour Research and Therapy, 88, 49–64. https://doi.org/10.1016/j.brat.2016.09.006
Zhou, Y., Pennesi, J. L., & Wade, T. D. (2020). Online imagery rescripting among young women at risk of developing an eating disorder: A randomized controlled trial. International Journal of Eating Disorders, 53, 1906–1917. https://doi.org/10.1002/eat.23370