@article{ref1,
title="Reducing anticipated non-suicidal self-injury by improving body esteem in individuals with weight suppression: a proof of concept study",
journal="International journal of eating disorders",
year="2019",
author="Kennedy, Grace A. and Jean Forney, Katherine and Pinner, Dennis and Martinez, Kimberly M. and Buchman-Schmitt, Jennifer M. and Keel, Pamela K.",
volume="52",
number="2",
pages="206-210",
abstract="OBJECTIVE: Research suggests that weight suppression (WS) is linked to non-suicidal self-injury (NSSI) and that drive for thinness and depression may explain this association. We conducted a proof-of-concept study using a randomized control trial design to determine if improving body esteem and reducing depressive symptoms reduced NSSI in individuals with WS. <br><br>METHOD: Weight suppressed participants (N = 60) who engaged in NSSI were recruited from the community and randomly assigned to an on-line intervention or control condition. The on-line intervention was adapted from a cognitive-dissonance intervention originally designed to reduce thin-ideal internalization in females to an intervention to reduce internalization of unhealthy body ideals in both genders. Participants' weight/shape concerns, depressive symptoms, and NSSI were assessed at pre- and post-intervention, or at baseline and 2-week follow-up for controls. <br><br>RESULTS: Compared to controls, participants in the treatment condition reported greater decreases in likelihood of future NSSI [Cohen's d (95% CI) = -0.38 (-0.90-0.15)], weight/shape concerns [-1.19 (-1.75 to -0.62)], depressive symptoms [-1.00 (-1.56 to -0.45)], and significant improvements in appearance [1.27 (0.70-1.84)] and weight esteem [1.38 (0.80-1.96)]. <br><br>DISCUSSION: Future work could test this intervention in a larger trial with an active alternative treatment condition.<br><br>© 2019 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0276-3478",
doi="10.1002/eat.23011",
url="http://dx.doi.org/10.1002/eat.23011"
}