Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children's Hospital, Rotterdam, Netherlands.
Department of Dermatology, Centre of Pediatric Dermatology, Erasmus MC-Sophia Children's Hospital, Rotterdam, Netherlands.
BMJ Open. 2021 Jan 22;11(1):e041449. doi: 10.1136/bmjopen-2020-041449.
This paper outlines the study protocol for the Dutch Young People (YP) Face IT Study. Adolescents with a visible difference (ie, disfigurement) often experience challenging social situations such as being stared at, receiving unwanted questions or being teased. As a consequence, some of these adolescents experience adverse psychosocial outcomes and appearance-related distress. To address this appearance-related distress, an online psychotherapeutic intervention, YP Face IT, has been developed. YP Face IT uses social interaction skills training and cognitive-behavioural therapy. The Dutch YP Face IT Study tests whether this intervention is effective in reducing social anxiety and improving body esteem.
Participants are adolescents aged 12-18 with a visible difference and experiencing appearance-related distress. In this two-armed randomised controlled trial, 224 adolescents will be randomised to care as usual or YP Face IT. Adolescents will complete questionnaires at baseline, at 13 weeks and at 25 weeks. Primary outcomes are differences in social anxiety and body esteem between YP Face IT and care as usual. Secondary outcomes are differences in aspects of self-worth, perceived stigmatisation, health-related quality of life, life engagement, appearance-related distress and depressive symptoms between the two groups.
Research ethics approval was obtained from the medical ethics review committee in Rotterdam (reference number MEC-2018-052/NL63955.078.18). Findings will be disseminated through academic peer-reviewed publications, conferences and newsletters to patient associations and participants of the study.
The Netherlands Trial Register (NL7626).
本文概述了荷兰青少年（YP）直面差异研究的研究方案。有明显外貌差异（即毁容）的青少年经常会遇到具有挑战性的社交情境，例如被人盯着看、被人问一些不想要的问题或被人嘲笑。因此，一些青少年会经历不良的心理社会后果和与外貌相关的困扰。为了解决这种与外貌相关的困扰，我们开发了一种在线心理治疗干预措施，即 YP 直面差异。YP 直面差异采用社交互动技能训练和认知行为疗法。荷兰青少年直面差异研究旨在测试这种干预措施是否能有效降低社交焦虑和改善身体自尊。
参与者为 12-18 岁有明显外貌差异且经历与外貌相关困扰的青少年。在这项双臂随机对照试验中，将 224 名青少年随机分为常规护理组或 YP 直面差异组。青少年将在基线、13 周和 25 周时完成问卷。主要结局指标是 YP 直面差异和常规护理组之间社交焦虑和身体自尊的差异。次要结局指标是两组之间自我价值感、感知污名化、健康相关生活质量、生活参与度、与外貌相关的困扰和抑郁症状等方面的差异。
研究伦理获得鹿特丹医学伦理审查委员会的批准（注册号 MEC-2018-052/NL63955.078.18）。研究结果将通过学术同行评议出版物、会议和通讯向患者协会和研究参与者传播。
荷兰试验注册库（NL7626）。
