Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, The Netherlands.
Department of Dermatology, Erasmus MC Sophia Children's Hospital, The Netherlands.
Body Image. 2022 Jun;41:298-307. doi: 10.1016/j.bodyim.2022.03.003. Epub 2022 Apr 1.
Adolescents with a visible difference can experience difficult social situations, (e.g., people staring or making unwanted comments) and are at risk for mental health problems. Unfortunately, interventions for adolescents with a visible difference experiencing appearance-related distress are scarce and lack an evidence-base. This study tests the acceptability and feasibility of YP Face IT, an innovative online psychological intervention using social skills training and cognitive behavioural therapy, to Dutch adolescents. Adolescents aged 12-17 with a visible difference and access to an internet-enabled computer or tablet participated. They completed YP Face IT (eight sessions) and questionnaires were administered pre- and post-intervention. After completing YP Face IT, participants were interviewed to assess the acceptability and feasibility of YP Face IT and study procedures. Overall, 15 adolescents consented to participation, one person dropped out after one session. Most adolescents appreciated the intervention and all would recommend it to other adolescents experiencing appearance-related distress. Everyone reported learning experiences after following the sessions. Some struggled with motivation, but reminders by the website and research team were helpful. The Dutch YP Face IT intervention may be acceptable and the current study design is feasible to use. An RCT should be conducted to assess the effectiveness of the intervention.
青少年有明显的差异，可能会经历困难的社交场合（例如，人们盯着看或发表不想要的评论），并面临心理健康问题的风险。不幸的是，针对有明显差异的青少年体验与外貌相关的困扰的干预措施很少，并且缺乏证据基础。本研究测试了 YP Face IT 的可接受性和可行性，YP Face IT 是一种使用社交技能培训和认知行为疗法的创新在线心理干预措施，适用于荷兰青少年。有明显差异且可以使用互联网的计算机或平板电脑的 12-17 岁青少年参与了这项研究。他们完成了 YP Face IT（八节课），并在干预前后进行了问卷调查。完成 YP Face IT 后，对参与者进行了访谈，以评估 YP Face IT 的可接受性和可行性以及研究程序。总的来说，有 15 名青少年同意参与，有 1 人在完成 1 节课程后退出。大多数青少年都很欣赏该干预措施，并且所有人都会向其他经历与外貌相关困扰的青少年推荐它。每个人都报告了在完成课程后的学习经验。有些人在动机方面遇到了困难，但网站和研究团队的提醒很有帮助。荷兰的 YP Face IT 干预措施可能是可以接受的，目前的研究设计也可行。应该进行 RCT 来评估干预措施的有效性。
