Pilot Intervention for Social Biases in Eating Disorders
Condition: Eating Disorders; Anorexia Nervosa; Bulimia Nervosa; Binge-Eating Disorder
MeSH terms: Anorexia; Bulimia; Feeding and Eating Disorders; Anorexia Nervosa; Binge-Eating Disorder; Bulimia Nervosa
Study type: Interventional

Summary: 
      Both behavioral, psychological, and cognitive differences related to social cognitive
      function have been related to illness-state in eating disorders, but interventions that
      directly target these problems are limited. This pilot intervention explores whether a brief
      art-therapy team-building intervention coupled with psychoeducation about social behavior can
      change self-concept or clinical symptoms in patients with eating disorders. Participants will
      complete pre-treatment assessments related to social behaviors and clinical symptoms, attend
      four two-hour group sessions, and provide two follow-up post-treatment assessments at 1-4
      weeks after the treatment and 3-5 months later. Comparisons between the pre-intervention data
      and the first follow-up will be the primary outcome measures. The primary hypotheses are that
      participants will show increases in self-esteem and positive self-attributions and decreases
      in eating disorder symptoms after the intervention. The secondary hypothesis is that other
      clinical symptoms (depression, anxiety) will be improved after the intervention. Feedback
      from participants about their experience with the study will assess perceived benefits as
      well as acquisition of the psychoeducation targets.
    

Detailed description: 
      This project will recruit subjects with eating disorders in the Dallas Fort Worth area.
      Pre-assessment measures of anxiety, self-esteem, depression, eating disorder symptoms, and
      attributional style will be completed before the intervention. Participants attend four
      weekly sessions of a group psychoeducational intervention. The intervention includes an art
      therapy experiential activity, psychoeducation on social function, reflection and discussion
      of sample videos and scripts, homework assignments, and guided discussions. Post-assessments
      will be completed 1-4 weeks and 3-5 months after the interventions is completed.

      A. Intake and Screen: Screening checklist for ED symptoms. Demographic Sheet; Clinical
      History (low BMI); Mini-International Neuropsychiatric Interview for DSM-V (MINI); Eating
      Disorder Assessment for DSM-V (EDA-5); Wechsler Abbreviated Scale of Intelligence (WASI)

      B. Pre/Post Measures (Done at three time points, Pre:1-4 weeks before intervention; Post1:
      1-4 weeks after intervention; and Post2: 3-5 months after intervention).

        1. Internal, Personal, and Situational Attribution Questionnaire, (IPSAQ)

        2. State Self-Esteem Scale (SSE)

        3. Trait Self-Esteem Scale (TSE)

        4. Eating Disorder Examination Questionnaire, (EDE-Q)

        5. The Quick Inventory of Depression, Clinician-Rated (QIDS)

        6. Structured Interview Guide for Hamilton Anxiety Scale (SIGH-A)

      C. Feedback about the intervention is obtained from queries immediately after the last
      session and at the follow-up visits.
    

Intervention name(s): Self-Blame and Perspective-Taking Intervention
Intervention type(s): Behavioral
Intervention description(s): The intervention is a group therapy that consists of experiential art tasks followed by psychoeducation about social behaviors with weekly homework. There are four sessions, each one week apart.
Intervention model: Single Group Assignment
Intervention model description: Self-concept measures (Attribution Biases, Self-Esteem) and psychological symptoms (Eating, depression, anxiety) will be assessed before and after completion of the group.
Masking: None (Open Label)
Primary purpose: Treatment