A Brief, Peer Co-Led, Group-Based Eating Disorder Prevention Program for Sexual Minority Young Adult Men

针对性少数年轻成年男性的一项简短的、同伴共同主导的、基于团体的饮食失调预防计划

• 批准号: 9287726
• 负责人: Aaron J Blashill
• 金额: $ 68.48万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9287726
• 关键词: Address; Advocacy; Aftercare; Anorexia Nervosa; Appearance; Attention; Awareness; Belief; Binge eating disorder; Bisexual; Bulimia; Clinical; Cognitive Dissonance; Data; Diagnosis; Diagnostic; Eating Disorders; Evaluation; Female; Gays; General Population; Health; Heterosexuals; Incidence; Individual; Intervention; Literature; Mediation; Mediator of activation protein; Mind; Morbidity - disease rate; Onset of illness; Participant; Population; Prevalence; Prevention program; Public Health; Randomized; Randomized Controlled Trials; Research; Research Priority; Resistance; Risk; Risk Factors; Scheme; Sexual Health; Sexual and Gender Minorities; Specific qualifier value; Subgroup; Symptoms; Testing; Time; Vulnerable Populations; active control; base; body dissatisfaction; design; eating pathology; efficacy testing; experience; follow-up; health disparity; intervention effect; male; men; mortality; non-heterosexual; peer; post intervention; primary outcome; programs; sexual minority; treatment effect; young adult

Project Summary/Abstract Eating disorders are resistant to treatment and associated with significant morbidity and mortality. Thus, efficacious and efficient eating disorder prevention programs are greatly needed. There has been a longstanding belief among the general public, and clinicians, that eating disorders are nearly an exclusively female problem. However, extant literature has found that males also experience eating disorders, constituting up to 40% of individuals with diagnostic/sub-threshold eating pathology. Among males, sexual minorities (i.e., gay, bisexual, and non-heterosexual identified individuals) are a salient subgroup that is at substantial risk for developing eating disorders. Indeed, sexual minority males are not only at elevated risk compared to heterosexual males, but are also at elevated risk compared to heterosexual females. The lifetime prevalence for any eating disorder diagnosis among sexual minority males is 8.8%, and subclinical diagnosis is 15.6%. This is in contrast to heterosexual females, in which the prevalence for clinical and subclinical diagnoses are at 4.8% and 8.0%, respectively. These findings indicate that sexual minority males may well be one of the most vulnerable groups in regard to eating pathology risk. To date, there is a paucity of research on eating disorder prevention programs among sexual minority males. We are only aware of one previous prevention program targeting sexual minority males. This program, the PRIDE Body Project, developed and tested by our research team, is a two-session, peer co-led, group, cognitive dissonance-based eating disorder prevention program, based on existing eating disorder prevention programs developed with females. In our preliminary randomized controlled trial (RCT), we found significant and large effects on eating pathology and relevant eating disorder risk factors, compared to a waitlist control condition, at post-treatment and 4-weeks post-treatment. Additionally, preliminary mediation analyses revealed that internalization of the appearance ideal and body dissatisfaction accounted for significant variance in the relationship between treatment condition and eating pathology. These results represent an important first step in demonstrating the acceptability, feasibility, and preliminary efficacy of a brief, peer-led eating disorder prevention program for sexual minority males. Despite these initial findings, future research is needed to further test this promising intervention. Specifically, it is not known if the PRIDE Body Project will exert a clinically and statistically significant effect in comparison to a time and attention matched control condition. Additionally, it is unknown if the intervention effects will persist beyond 4-weeks post intervention. With these limitations in mind, we propose to conduct a randomized controlled trial assessing the PRIDE Body Project to a time and attention-matched active control condition, and follow participants for 24 months. Additionally, we plan to assess potential mediators (body dissatisfaction and internalization of the appearance ideal) of the treatment effect on eating disorder symptoms.

项目概要/摘要 饮食失调对治疗具有抵抗力，并且与显着的发病率和死亡率相关。因此， 非常需要有效和高效的饮食失调预防计划。已经有一个 公众和临床医生长期以来一直认为，饮食失调几乎是一种独特的疾病。 女性问题。然而，现有文献发现男性也会经历饮食失调，构成 高达 40% 的个体患有诊断性/亚阈值饮食病理学。在男性中，性少数群体（即 同性恋、双性恋和非异性恋个体）是一个显着的亚群体，面临巨大的风险 出现饮食失调。事实上，与男性相比，性少数男性不仅面临更高的风险 异性恋男性，但与异性恋女性相比，风险也更高。终生患病率 性少数男性中饮食失调的诊断率为 8.8%，亚临床诊断率为 15.6%。 这与异性恋女性形成鲜明对比，其中临床和亚临床诊断的患病率是 分别为 4.8% 和 8.0%。这些发现表明，性少数男性很可能是最受关注的群体之一。 弱势群体的饮食病理风险。迄今为止，关于饮食失调的研究还很少 性少数男性的预防计划。我们只知道之前的一项预防计划 针对性少数男性。这个项目，PRIDE Body 项目，由我们的研究开发和测试 团队，是一个由两个会议组成的、由同伴共同领导的小组，基于认知失调的饮食失调预防计划， 基于与女性共同制定的现有饮食失调预防计划。在我们的初步随机 对照试验（RCT），我们发现对饮食病理学和相关饮食失调有显着且巨大的影响 与等待名单对照条件相比，治疗后和治疗后 4 周的危险因素。 此外，初步中介分析显示，理想外貌和身体的内化 不满意导致治疗条件和饮食之间关系存在显着差异 病理。这些结果代表了证明可接受性、可行性和可行性的重要的第一步。 针对性少数男性的简短的、同伴主导的饮食失调预防计划的初步效果。尽管 这些初步发现需要未来的研究来进一步测试这种有前途的干预措施。具体来说，它不是 与之前相比，PRIDE Body 项目是否会产生临床和统计上显着的效果 和注意力匹配控制条件。此外，尚不清楚干预效果是否会持续超过 干预后 4 周。考虑到这些局限性，我们建议进行一项随机对照试验 评估 PRIDE Body 项目的时间和注意力匹配的主动控制条件，并遵循 参与者为期 24 个月。此外，我们计划评估潜在的调解因素（身体不满意和 对饮食失调症状的治疗效果的内化（理想外观的内化）。