Body Image in Adolescents with Craniofacial Conditions

描述（由申请人提供）：患有颅面疾病的青少年容易受到特定的社会心理困难的影响，这些困难与对自己外表和身体形象的不满有关。身体形象是一个多维的结构，定义为个人对身体外观和身体功能的感知和评价。身体意象的认知行为理论模型为理解颅面疾病患者的社会心理功能提供了一个有用的框架。身体形象的差异可能有助于解释在颅面疾病的青年中观察到的社会心理功能的变化。由于身体形象与社会心理功能的关系，在制定干预措施以预防或改善患有颅面疾病的青少年的社会心理问题时，身体形象可能是一个有用的风险因素。迄今为止，尚无经验支持的干预措施来解决患有颅面疾病的青少年的身体形象和社会心理问题。本次K23指导患者导向研究职业发展奖将通过以下方式解决这些文献空白：1)描述和评估患有和不患有颅面疾病的青少年的身体形象；2)检查颅面疾病青少年身体形象的社会心理相关因素；3)对颅面疾病青少年进行认知行为身体形象和社交技能干预。第一个提出的研究是对70名患有颅面疾病的青少年和35名未受影响的青少年的身体形象和社会心理功能的横断面调查。第二项建议的研究将需要对患有颅面疾病的青少年进行认知行为身体形象干预，并将利用受试者内设计来评估干预对身体形象和心理社会功能的影响。K23奖还将为候选人提供必要的培训和指导，使其成为一名独立的研究人员。本提案中概述的培训计划将使候选人能够1)发展颅面疾病医学和社会心理方面的专业知识；2)获得干预措施制定和评估的相关知识和技能；3)在研究方法和统计方面接受高级培训，这将提高她的科学产出的质量。这些研究的总体目的是提高我们对患有颅面疾病的青少年心理社会问题的风险和保护因素的理解。这些研究还将为开发一种经验支持的干预措施奠定基础，旨在改善患有颅面疾病的青少年的身体形象、社会心理功能和生活质量。

DESCRIPTION (provided by applicant): Adolescents with craniofacial conditions are vulnerable to specific psychosocial difficulties that are associated with dissatisfaction with their appearance and body image. Body image is a multidimensional construct, defined as an individual's perception and evaluation of physical appearance and bodily functioning. The cognitive-behavioral theoretical model of body image provides a useful framework for understanding the psychosocial functioning of persons with craniofacial conditions. Differences in body image may help explain the variation in psychosocial functioning observed in youth with craniofacial conditions. Because of its relationship to psychosocial functioning, body image may be a useful risk factor to target when developing interventions to prevent or improve psychosocial problems among youth with craniofacial conditions. To date, there are no empirically supported interventions to address the body image and psychosocial problems of youth with craniofacial conditions. This K23 Mentored Patient-Oriented Research Career Development Award will address these gaps in the literature by: 1) characterizing and evaluating body image in adolescents with and without craniofacial conditions; 2) examining psychosocial correlates of body image in adolescents with craniofacial conditions; and 3) developing and piloting a cognitive-behavioral body image and social skills intervention for adolescents with craniofacial conditions. The first proposed study is a cross-sectional investigation of body image and psychosocial functioning in 70 adolescents with craniofacial conditions and 35 non-affected adolescents. The second proposed study will entail development of a cognitive behavioral body image intervention for adolescents with craniofacial conditions and will utilize a within-subjects design to evaluate the impact of the intervention on body image and psychosocial functioning. This K23 Award will also provide the candidate with the training and mentoring that are necessary to her development as an independent researcher. The training plan outlined in this proposal will enable the candidate to 1) develop expertise in the medical and psychosocial aspects of craniofacial conditions; 2) obtain knowledge and skills related to intervention development and evaluation; and 3) acquire advanced training in research methodology and statistics which will increase the quality of her scientific output. The overall aim of these studies is to improve our understanding of risk and protective factors for psychosocial problems in youth with craniofacial conditions. These studies will also lay the foundation for the development of an empirically supported intervention designed to improve body image, psychosocial functioning, and quality of life in adolescents with craniofacial conditions.