Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study Protocol
[Background] Anorexia Nervosa (AN) is a severe mental illness, which typically develops in adolescence and, if left untreated, often becomes chronic. Body dissatisfaction is a core characteristic of AN. Mirror exposure (ME) is an effective therapeutic technique to tackle body dissatisfaction in adul...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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PsychOpen GOLD/ Leibniz Institute for Psychology
2023-12-01
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| Series: | Clinical Psychology in Europe |
| Subjects: | |
| Online Access: | https://doi.org/10.32872/cpe.11277 |
| _version_ | 1797320622747942912 |
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| author | Maarit Pelzer Jessica Werthmann Christian Fleischhaker Jennifer Svaldi Brunna Tuschen-Caffier |
| author_facet | Maarit Pelzer Jessica Werthmann Christian Fleischhaker Jennifer Svaldi Brunna Tuschen-Caffier |
| author_sort | Maarit Pelzer |
| collection | DOAJ |
| description | [Background] Anorexia Nervosa (AN) is a severe mental illness, which typically develops in adolescence and, if left untreated, often becomes chronic. Body dissatisfaction is a core characteristic of AN. Mirror exposure (ME) is an effective therapeutic technique to tackle body dissatisfaction in adult patients with eating disorders, but there is limited evidence for the effects of ME in adolescence. One potential mechanism underlying effects of ME on body dissatisfaction is change in body-related attention bias. However, this mechanism remains to be empirically tested. Accordingly, the aim of the current study is twofold: primarily, we aim to test if ME can reduce body dissatisfaction and associated symptoms in adolescent patients with AN. Additionally, we aim to investigate whether change in biased body-related attention due to ME is a possible mechanism of action. [Method] Adolescent patients with AN are randomized to either 12 sessions of ME (3 ME-sessions/week) or wait-list within four weeks. Main outcomes include body dissatisfaction and associated symptoms of AN. Moreover, body-related attention bias is assessed at baseline and post-treatment by means of eye-tracking with two paradigms. Further, process variables are collected weekly. In addition, 12 weeks after end of the study, the acceptability of the ME is assessed. [Discussion] The main aim of the study is to evaluate high-frequency and high-intense ME for treating body dissatisfaction in adolescents with AN. In addition, we would like to clarify whether change in attentional bias for body stimuli is a mechanism underlying change in body dissatisfaction due to ME. |
| first_indexed | 2024-03-08T04:45:39Z |
| format | Article |
| id | doaj.art-4970974e23a14e069dff0169e5d47024 |
| institution | Directory Open Access Journal |
| issn | 2625-3410 |
| language | English |
| last_indexed | 2024-03-08T04:45:39Z |
| publishDate | 2023-12-01 |
| publisher | PsychOpen GOLD/ Leibniz Institute for Psychology |
| record_format | Article |
| series | Clinical Psychology in Europe |
| spelling | doaj.art-4970974e23a14e069dff0169e5d470242024-02-08T10:52:57ZengPsychOpen GOLD/ Leibniz Institute for PsychologyClinical Psychology in Europe2625-34102023-12-015410.32872/cpe.11277cpe.11277Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study ProtocolMaarit Pelzer0https://orcid.org/0000-0002-6990-8557Jessica Werthmann1https://orcid.org/0000-0002-2312-1249Christian Fleischhaker2https://orcid.org/0000-0002-4167-0014Jennifer Svaldi3https://orcid.org/0000-0001-9819-4752Brunna Tuschen-Caffier4https://orcid.org/0000-0002-2565-7792Department of Psychology, Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, GermanyDepartment of Psychology, Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, GermanyDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Freiburg University Hospital, Freiburg, GermanyFaculty of Science, Clinical Psychology and Psychotherapy, Eberhard Karls University Tübingen, Tübingen, GermanyDepartment of Psychology, Clinical Psychology and Psychotherapy, University of Freiburg, Freiburg, Germany[Background] Anorexia Nervosa (AN) is a severe mental illness, which typically develops in adolescence and, if left untreated, often becomes chronic. Body dissatisfaction is a core characteristic of AN. Mirror exposure (ME) is an effective therapeutic technique to tackle body dissatisfaction in adult patients with eating disorders, but there is limited evidence for the effects of ME in adolescence. One potential mechanism underlying effects of ME on body dissatisfaction is change in body-related attention bias. However, this mechanism remains to be empirically tested. Accordingly, the aim of the current study is twofold: primarily, we aim to test if ME can reduce body dissatisfaction and associated symptoms in adolescent patients with AN. Additionally, we aim to investigate whether change in biased body-related attention due to ME is a possible mechanism of action. [Method] Adolescent patients with AN are randomized to either 12 sessions of ME (3 ME-sessions/week) or wait-list within four weeks. Main outcomes include body dissatisfaction and associated symptoms of AN. Moreover, body-related attention bias is assessed at baseline and post-treatment by means of eye-tracking with two paradigms. Further, process variables are collected weekly. In addition, 12 weeks after end of the study, the acceptability of the ME is assessed. [Discussion] The main aim of the study is to evaluate high-frequency and high-intense ME for treating body dissatisfaction in adolescents with AN. In addition, we would like to clarify whether change in attentional bias for body stimuli is a mechanism underlying change in body dissatisfaction due to ME.https://doi.org/10.32872/cpe.11277anorexia nervosabody dissatisfactionmodifying attentional processesmirror exposureadolescence |
| spellingShingle | Maarit Pelzer Jessica Werthmann Christian Fleischhaker Jennifer Svaldi Brunna Tuschen-Caffier Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study Protocol Clinical Psychology in Europe anorexia nervosa body dissatisfaction modifying attentional processes mirror exposure adolescence |
| title | Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study Protocol |
| title_full | Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study Protocol |
| title_fullStr | Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study Protocol |
| title_full_unstemmed | Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study Protocol |
| title_short | Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance – A Study Protocol |
| title_sort | mirror exposure training for adolescents with anorexia nervosa miradan cognitive mechanisms of body disturbance a study protocol |
| topic | anorexia nervosa body dissatisfaction modifying attentional processes mirror exposure adolescence |
| url | https://doi.org/10.32872/cpe.11277 |
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