Department of Psychology, Stony Brook University, Stony Brook, New York, USA.
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Int J Eat Disord. 2023 Aug;56(8):1554-1569. doi: 10.1002/eat.23976. Epub 2023 May 2.
Eating disorders and depression impact youth at alarming rates, yet most adolescents do not access support. Single-session interventions (SSIs) can reach youth in need. This pilot examines the acceptability and utility of a SSI designed to help adolescents improve functionality appreciation (a component of body neutrality) by focusing on valuing one's body based on the functions it performs, regardless of appearance satisfaction.
Pre- to post-intervention data were collected, and within-group effect sizes and 95% confidence intervals were computed, to evaluate the immediate effects of the SSI on hopelessness, functionality appreciation, and body dissatisfaction. Patterns of use, demographics, program feedback, and responses from within the SSI were collected.
The SSI and all questionnaires were completed by 75 adolescents (ages: 13-17 years, 74.70% White/Caucasian, 48.00% woman/girl) who reported elevated body image and mood problems. Analyses detected significant pre-post improvements in hopelessness (d = 0.60, 95% CI: 0.35-0.84; d = 0.77, 95% CI: 0.51-1.02), functionality appreciation (d = 0.72, 95% CI: 0.46-0.97; d = 0.94, 95% CI: 0.67-1.21), and body dissatisfaction (d = 0.61, 95% CI: 0.36-0.86; d = 0.76, 95% CI: 0.50-1.02). The SSI was rated as highly acceptable, with a mean overall score of 4.34/5 (SD = 0.54). Qualitative feedback suggested adolescents' endorsement of body neutrality concepts, including functionality appreciation, as personally-relevant, helpful targets for intervention.
This evaluation supports the acceptability and preliminary effectiveness of the Project Body Neutrality SSI for adolescents with body image and mood concerns.
Results suggest the acceptability and utility of a digital, self-guided, single-session intervention-Project Body Neutrality-for adolescents experiencing co-occurring depressive symptoms and body image disturbances. Given the intervention's low cost and inherent scalability, it may be positioned to provide support to youth with limited access to traditional care.
饮食失调和抑郁症以惊人的速度影响着年轻人，但大多数青少年无法获得支持。单次疗程干预（SSI）可以接触到有需要的年轻人。这项试点研究检验了一种 SSI 的可接受性和实用性，该 SSI 旨在通过关注基于身体执行的功能而不是外观满意度来帮助青少年提高功能欣赏（身体中立的一个组成部分）。
收集了干预前后的数据，并计算了组内效应大小和 95%置信区间，以评估 SSI 对绝望、功能欣赏和身体不满的即时影响。收集了使用模式、人口统计学、项目反馈以及 SSI 内的反应。
75 名青少年（年龄：13-17 岁，74.70%为白种人/高加索人，48.00%为女性/女孩）完成了 SSI 和所有问卷，他们报告了身体形象和情绪问题。分析检测到绝望（d=0.60，95%CI：0.35-0.84；d=0.77，95%CI：0.51-1.02）、功能欣赏（d=0.72，95%CI：0.46-0.97；d=0.94，95%CI：0.67-1.21）和身体不满（d=0.61，95%CI：0.36-0.86；d=0.76，95%CI：0.50-1.02）显著的前后改善。SSI 被评为高度可接受，总体平均得分为 4.34/5（SD=0.54）。定性反馈表明，青少年对身体中立概念的认可，包括功能欣赏，作为个人相关、有帮助的干预目标。
本评估支持针对身体形象和情绪问题的青少年的 Project Body Neutrality SSI 的可接受性和初步有效性。
结果表明，一种数字、自我引导、单次疗程干预措施——Project Body Neutrality——对于同时患有抑郁症状和身体形象障碍的青少年来说是可以接受和实用的。鉴于该干预措施的低成本和固有可扩展性，它可能适合为获得传统护理机会有限的年轻人提供支持。
