I*DEAL (How I Deal With Body Dissatisfaction) – A Randomized Controlled Pilot Trial Investigating Virtually Delivered Body Project (vBP) Groups In The Context Of Body Dissatisfaction Among Young German Females - Info and Reading Options

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Eating disorders (EDs) are particularly widespread among young women. They are associated with far-reaching social and somatic impairments and often take a chronic course. This highlights the need for effective programs to prevent the manifestation of clinical eating disorders and symptoms relevant in the context of an ED. Current research consistently identifies dissatisfaction with one's own body as a key risk factor for the development of EDs. Body dissatisfaction is present in many women, with and without an ED, and is often associated with negative consequences such as stress, unhealthy weight control practices, and reduced quality of life as well as mental disorders (Stice & Shaw, 2002; Alcaraz-Ibáñez et al., 2021; Winkler et al., 2014; Steinhausen, 2002). Therefore, young women experiencing heightened body dissatisfaction represent a critical target group for ED prevention programs. The Body Project (BP; Stice, Mazotti, Weibel, & Agras, 2000) is a dissonance-based intervention including four sessions designed to increase body acceptance. Despite its effectiveness in reducing eating disorder symptoms and risk factors, as shown across various countries, the intervention’s effectiveness has not been examined in a German sample yet. However, Schneider et al. (2013) assessed Body Dissatisfaction in 144 German girls between 14 and 17 years and found that while 19 % (n=27) of the girls wanted to weigh more, 73 % (n=106) wished they were thinner. In order to investigate the efficacy of the German BP, a systematic approach is indicated. This pilot study is the first step towards this research goal as it aims to inform research decisions regarding adequate sample sizes of future efficacy RCTs. It is the first to apply the BP by using a virtual version of the intervention (vBP) in a German sample of young women, utilizing a German translation of the intervention manual. The active control group provides participants with educational materials on EDs and healthy nutrition, and includes an interactive cartoon called "Ninette". Both vBP and the control group will be spread out across four weeks. Primary outcome is change in body dissatisfaction from pre- to post-assessment. Secondary outcomes are changes in eating disorder symptoms, body image, depression, anxiety, self-esteem and interpretation bias.

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