Brief cognitive behavioural therapy for extreme shape concern: an evaluation

Br J Clin Psychol. 2009 Mar;48(Pt 1):79-92. doi: 10.1348/014466508X360755. Epub 2008 Oct 11.

Abstract

Objectives: This study was designed to evaluate a new brief cognitive-behavioural intervention to reduce concerns about body shape.

Design: Women with high levels of shape concern (N=50) were randomly assigned to cognitive behaviour therapy or applied relaxation (AR). Baseline assessments were made and then women received their treatment immediately after this assessment, ('immediate' treatment) or 5 weeks after this assessment, during which time no treatment was given ('delayed' treatment, DT).

Methods: Shape concern and related cognitions and emotions were assessed at baseline, post-treatment and at 4 and 12 week follow-up (FU).

Results: Immediate treatment was superior to DT in reducing shape concerns, and this difference was maintained at 4 week FU. The cognitive behavioural intervention was more effective than AR in changing shape concern and this difference was largely maintained for 3 months.

Conclusions: These initial findings support the further investigation of this brief intervention.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Analysis of Variance
  • Body Image*
  • Cognition
  • Cognitive Behavioral Therapy / methods*
  • Depressive Disorder / epidemiology
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Emotions
  • Female
  • Follow-Up Studies
  • Humans
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Relaxation / psychology
  • Severity of Illness Index
  • Time
  • United Kingdom / epidemiology
  • Young Adult