Evidence map›Paper›PMID 27813208›Full record

Trial reportBritish journal of health psychology2017

An interactive training programme to treat body image disturbance.

Lucinda J Gledhill, Katri K Cornelissen, Piers L Cornelissen, Ian S Penton-Voak, Marcus R Munafò, Martin J Tovée

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of health psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Lucinda J GledhillInstitute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
Katri K CornelissenDepartment of Psychology, Northumbria University, Newcastle upon Tyne, UK.
Piers L CornelissenDepartment of Psychology, Northumbria University, Newcastle upon Tyne, UK.
Ian S Penton-VoakSchool of Experimental Psychology, University of Bristol, UK.
Marcus R MunafòSchool of Experimental Psychology, University of Bristol, UK.
Martin J TovéeSchool of Psychology, University of Lincoln, UK.ORCID http://orcid.org/0000-0001-9642-4462
Northumbria University · GBUniversity of Bristol · GBKing's College London · GBUniversity of Lincoln · GB

Funding

Medical Research Council MC_UU_12013/6
6 · The paper itself

Abstract

objectivesAnorexia nervosa (AN) is a life-threatening mental health condition. A core feature is a disturbance of body image, such that sufferers see themselves as fatter than they actually are.

designWe tested the effectiveness of a novel training programme to recalibrate our participants' perception of body size.

methodsIn a novel adaptation of a cognitive bias training programme, participants judged the body size of a series of female bodies and were given feedback to improve their accuracy over four daily training sessions. In Study 1, we recruited young women with high concerns about their body size for a randomized controlled study. In Study 2, we then applied the training programme to a case series of women with atypical AN.

resultsIn Study 1, the training programme significantly improved the body size judgements of women with high body concerns compared to controls. We also found evidence of improved body image and reduced eating concerns in this group. In Study 2, the programme again recalibrated the body size judgements of women with atypical AN. We also saw evidence of a clinically meaningful reduction in their body size and eating-disordered concerns.

conclusionsThis training has the potential to be a valuable treatment used together with more traditional talking therapies. Statement of contribution What is already known on this subject? A core feature of anorexia nervosa (AN) is an overestimation of body size; sufferers believe themselves to be larger than they are in reality. This study shows that an individual's perceptual boundary between what they classify as a fat versus a thin body is not immutable; it can be changed through a cognitive bias training programme. What does this study add? This means that body size overestimation may now be treatable. Critically, as well as improving the accuracy of body size judgements, we also found a clinically significant improvement in participants' eating-disordered concerns. This demonstrates that a targeted behavioural training regime can change body perception, and the central role that body overestimation has in eating-disordered beliefs.

Indexed as

AdolescentAdultAnorexia NervosaBody Dysmorphic DisordersBody ImageCognitive Behavioral TherapyFemaleHumansJudgmentSelf ConceptYoung Adultanorexia nervosaanorexia nervosa syndrome disorderbody size judgementsbody size training

Identifiers

PMID27813208
PMCPMC5248599
OpenAlexW2547028800

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.