1부산대학교 심리학과 석사
2부산대학교 심리학과 교수
1Graduate of Master’s Degree, Department of Psychology, Pusan National University, Busan, Korea
2Professor, Department of Psychology, Pusan National University, Busan, Korea
Copyright © 2024 Korean Society of Stress Medicine.
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The intervention was constructed based on the manual of structured CBT for preventing eating disorders [43].
Level of therapist support |
||||
---|---|---|---|---|
Low | Medium | High | ||
Type of provided therapist support | Session schedule alerts and reminder | ○ | ○ | ○ |
Non-personalized feedback | × | ○ | ○ | |
Personalized feedback | × | × | ○ |
Variables | Sources | SS | DF | MS | F | ƞ2p | |
---|---|---|---|---|---|---|---|
BSQ | Between-subjects | Group | 3047.62 | 2 | 1523.81 | 0.4 | 0.673 |
Error | 98610.57 | 26 | 3792.71 | ||||
Within-subjects | Time | 28249.48 | 1.9 | 14854.87 | 40.53a) | 0.61 | |
Time*group | 861.53 | 3.8 | 226.52 | 0.62 | 0.05 | ||
Error | 18119.87 | 49.44 | 366.47 | ||||
EDE-Q | Between-subjects | Group | 5036.16 | 2 | 2518.08 | 1.36 | 0.09 |
Error | 48266.08 | 26 | 1856.39 | ||||
Within-subjects | Time | 21575.94 | 1.92 | 11243.56 | 46.63a) | 0.64 | |
Time*group | 816.95 | 3.84 | 212.86 | 0.88 | 0.06 | ||
Error | 12030.05 | 49.89 | 241.12 | ||||
KEAT-26 | Between-subjects | Group | 1416.07 | 2 | 708.04 | 1.18 | 0.08 |
Error | 15535.88 | 26 | 597.53 | ||||
Within-subjects | Time | 7156.56 | 1.81 | 3943.07 | 51.54a) | 0.66 | |
Time*group | 22.11 | 3.63 | 6.09 | 0.08 | 0.01 | ||
Error | 3610.56 | 47.19 | 76.51 | ||||
PHQ-9 | Between-subjects | Group | 112.22 | 2 | 56.11 | 0.4 | 0.03 |
Error | 3616.75 | 26 | 139.11 | ||||
Within-subjects | Time | 376.59 | 3 | 125.53 | 9.84a) | 0.27 | |
Time*group | 57.65 | 6 | 9.61 | 0.75 | 0.05 | ||
Error | 995.18 | 78 | 12.76 | ||||
GAD-7 | Between-subjects | Group | 26.02 | 2 | 13.01 | 0.12 | 0.01 |
Error | 2753.02 | 26 | 105.89 | ||||
Within-subjects | Time | 165.31 | 3 | 55.1 | 8.87a) | 0.25 | |
Time*group | 21.35 | 6 | 3.56 | 0.57 | 0.04 | ||
Error | 484.51 | 78 | 6.21 |
Session | Agenda | Contents |
---|---|---|
1 | Preparing for change | Psychological theories about body image and disordered eating behaviors / Exploring positive and negative motivations for change / Introducing self-monitoring / Setting therapeutic goals |
2 | Giving up diets | Raise awareness of the dangers of disordered eating behaviors / Exploring the meaning of giving up on diets / Planning a healthy diet |
Normalizing eating habits | ||
3 | The relationship between emotions and eating behavior | Exploring the connection between emotions and eating behaviors / Strategies for controlling impulsive eating: distraction activities, imagery training, relaxation training |
4 | Sociocultural pressures and body image and self-esteem | Effects of sociocultural pressures on self-esteem and body image / Relationship between Self-esteem and body image / Exploring body comparison / Midterm survey |
5 | Self-talk about your body and yourself | Examining and challenging negative self-talk / Training to change self-talk |
6 | Unhealthy cognitive error | Psychoeducation about cognitive errors / Challenging core beliefs / Exploring cognitive errors and core beliefs |
7 | Developing problem-solving skills | 7 Steps for problem solving / Activities for body image improvement |
Improving body image | ||
8 | Planning to prevent relapses | Relapse prevention strategies and planning / Reflecting on intervention participation / Post-intervention survey |
Level of therapist support |
||||
---|---|---|---|---|
Low | Medium | High | ||
Type of provided therapist support | Session schedule alerts and reminder | ○ | ○ | ○ |
Non-personalized feedback | × | ○ | ○ | |
Personalized feedback | × | × | ○ |
Type of therapist support |
||||
---|---|---|---|---|
Session schedule alerts | Reminder | Non-personalized feedback | Personalized feedback | |
Delivery timing | On the day of the session | Day after session | Session end date | Session end date |
Fixed time in the morning | Fixed time in the afternoon | After assignments are submitted | After assignments are submitted | |
Delivery methods | Google classroom | Google classroom | Google classroom | Google classroom |
Posting announcements function | Posting announcements function | Adding comments function | Returning assignment function | |
Contents | Notice the session schedule | Encourage session attendance | Summarize session highlights | Elaborated feedback about on assignments |
Encouragement and support | Encouragement and support |
Variables | Level of therapist support |
F | p | ||
---|---|---|---|---|---|
Low (n=12) | Medium (n=12) | High (n=12) | |||
M (SD) | M (SD) | M (SD) | |||
Age | 26.75 (5.68) | 26.42 (6.19) | 24.75 (6.2) | 0.38 | .69 |
BMI | 19.54 (2.2) | 20.52 (2.69) | 21.6 (3.32) | 1.64 | .21 |
Body image disturbance | |||||
BSQ | 140.08 (28.3) | 148.83 (29.21) | 140.83 (18.23) | 0.43 | .66 |
EDE-Q | 95 (21.34) | 94.92 (17.98) | 90.92 (13.1) | 0.21 | .82 |
Disordered eating behaviour | |||||
KEAT-26 | 35.83 (11.94) | 37 (14.41) | 33.5 (9.8) | 0.26 | .78 |
Depression (PHQ-9) | 10.33 (6.18) | 11.42 (7.89) | 9.33 (5.94) | 2.9 | .75 |
Anxiety (GAD-7) | 8.33 (5.31) | 8.75 (7.05) | 7.67 (3.68) | 0.12 | .89 |
Variables | Sources | SS | DF | MS | F | ƞ2p | |
---|---|---|---|---|---|---|---|
BSQ | Between-subjects | Group | 3047.62 | 2 | 1523.81 | 0.4 | 0.673 |
Error | 98610.57 | 26 | 3792.71 | ||||
Within-subjects | Time | 28249.48 | 1.9 | 14854.87 | 40.53 |
0.61 | |
Time*group | 861.53 | 3.8 | 226.52 | 0.62 | 0.05 | ||
Error | 18119.87 | 49.44 | 366.47 | ||||
EDE-Q | Between-subjects | Group | 5036.16 | 2 | 2518.08 | 1.36 | 0.09 |
Error | 48266.08 | 26 | 1856.39 | ||||
Within-subjects | Time | 21575.94 | 1.92 | 11243.56 | 46.63 |
0.64 | |
Time*group | 816.95 | 3.84 | 212.86 | 0.88 | 0.06 | ||
Error | 12030.05 | 49.89 | 241.12 | ||||
KEAT-26 | Between-subjects | Group | 1416.07 | 2 | 708.04 | 1.18 | 0.08 |
Error | 15535.88 | 26 | 597.53 | ||||
Within-subjects | Time | 7156.56 | 1.81 | 3943.07 | 51.54 |
0.66 | |
Time*group | 22.11 | 3.63 | 6.09 | 0.08 | 0.01 | ||
Error | 3610.56 | 47.19 | 76.51 | ||||
PHQ-9 | Between-subjects | Group | 112.22 | 2 | 56.11 | 0.4 | 0.03 |
Error | 3616.75 | 26 | 139.11 | ||||
Within-subjects | Time | 376.59 | 3 | 125.53 | 9.84 |
0.27 | |
Time*group | 57.65 | 6 | 9.61 | 0.75 | 0.05 | ||
Error | 995.18 | 78 | 12.76 | ||||
GAD-7 | Between-subjects | Group | 26.02 | 2 | 13.01 | 0.12 | 0.01 |
Error | 2753.02 | 26 | 105.89 | ||||
Within-subjects | Time | 165.31 | 3 | 55.1 | 8.87 |
0.25 | |
Time*group | 21.35 | 6 | 3.56 | 0.57 | 0.04 | ||
Error | 484.51 | 78 | 6.21 |
The intervention was constructed based on the manual of structured CBT for preventing eating disorders [
M: mean, SD: standard deviation, BMI: Body Mass Index, BSQ: Body Shape Questionnaire, EDE-Q: Eating Disorder Examination Questionnaire, KEAT-26: The Korean Version of Eating Attitudes Test-26, PHQ-9: Patient Health Questionnaire-9, GAD-7: Generalized Anxiety Disorder-7.
p<.001. SS: Sum Square, DF: Degree of Freedom, MS: Mean Square, BSQ: Body Shape Questionnaire, EDE-Q: Eating Disorder Examination Questionnaire, KEAT-26: The Korean Version of Eating Attitudes Test-26, PHQ-9: Patient Health Questionnaire-9, GAD-7: Generalized Anxiety Disorder-7.