Body Image in Adolescents with Craniofacial Conditions

描述（由申请人提供）：青少年颅面条件是容易受到特定的心理社会困难，与不满他们的外观和身体形象。身体意象是一个多维度的概念，是个体对身体外貌和身体机能的感知和评价。身体意象的认知行为理论模型为理解颅面疾病患者的心理社会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条件青年观察到的心理社会功能的变化。由于其与心理社会功能的关系，身体形象可能是一个有用的风险因素，目标时，制定干预措施，以防止或改善青少年颅面条件的心理社会问题。迄今为止，没有经验支持的干预措施，以解决身体形象和心理社会问题的青少年颅面条件。这个K23指导的以患者为导向的研究职业发展奖将通过以下方式解决文献中的这些差距：1）描述和评估有和没有颅面条件的青少年的身体形象; 2）检查颅面条件青少年身体形象的心理社会相关性;和3）为颅面条件青少年开发和试点认知行为身体形象和社交技能干预。第一项研究是对70名青少年颅面疾病患者和35名未受影响的青少年进行身体意象和心理社会功能的横断面调查。第二项拟议的研究将需要开发一个认知行为的身体形象干预青少年颅面条件，并将利用一个内的主题设计，以评估身体形象和心理社会功能的干预的影响。该K23奖还将为候选人提供作为独立研究人员发展所需的培训和指导。本提案中概述的培训计划将使候选人能够：1）发展颅面疾病的医学和心理社会方面的专业知识; 2）获得与干预开发和评估相关的知识和技能; 3）获得研究方法和统计方面的高级培训，这将提高其科学产出的质量。这些研究的总体目标是提高我们对颅面条件青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旨在改善颅面条件青少年的身体形象、心理社会功能和生活质量的经验支持干预奠定基础。

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.