Singing Your Negative Body-Related Thoughts

NCT03646305 | Completed Results

• 1 other identifier: 2018-111
• Study Type: interventional
• Target: 133
• Locations: 1 country
• Sites: 1

Brief Summary

Study Objectives:

1. 1.Examine whether singing can be used as a cognitive defusion strategy to change one's appraisals of body-related thoughts so they are less threatening to the individual.
2. 2.Explore whether this technique can change the appraisals of one's body (i.e. increasing body satisfaction, increasing body esteem, decreasing the drive towards thinness), as well as increase mood and self-esteem.
3. 3.Compare singing to the defusion strategy of verbal repetition, as well as control conditions, to determine the effectiveness of these techniques.
4. 4.Examine whether defusion techniques would be particularly beneficial for individuals with high thought-shape fusion

Conditions

Body Dissatisfaction

Outcome Measures

Primary Outcomes (6)

• Self-Ratings of Thought Appraisals (Believability)

  Participants rated the believability of their body-related thought on a visual analogue scale that ranges from 0-100. Higher scores means greater believability of this negative thought.

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-Ratings of Thought Appraisals (Negativity)

  Participants rated the negativity of their body-related thought on a visual analogue scale that ranges from 0-100. Higher scores means that the negative thought is perceived to be more negative.

  Baseline, Post-Intervention (Day 1), and Follow-Up (Day 7)

• Self-Ratings of Thought Appraisals (Discomfort)

  Participants rated the discomfort of their body-related thought on a visual analogue scale that ranges from 0-100. Higher scores means that the thought is perceived to be more uncomfortable.

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-Ratings of Thought Appraisals (Willingness)

  Participants rated their willingness to have their body-related thought on a visual analogue scale that ranges from 0-100. Higher scores means that they are more willing to have the thought.

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-Ratings of Thought Appraisals (Avoidance)

  Participants rated their avoidance of their body-related thought on a visual analogue scale that ranges from 0-100. Higher scores means greater avoidance of the thought.

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-Ratings of Cognitive Fusion (Cognitive Fusion Questionnaire)

  The Cognitive Fusion Questionnaire includes 7 items measured on a 7 item Likert scale and will be used to measure changes in cognitive fusion. Higher scores indicate higher degree of cognitive fusion. Total scores can range from 7 to 49.

  Baseline and Follow-up (Day 7)

Secondary Outcomes (10)

• Self-Ratings of Body Image Cognitions (Weight Dissatisfaction)

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-Ratings of Body Image Cognitions (Appearance Dissatisfaction)

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-ratings of Body Image Distress (Body Image State Scale)

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-Ratings of Mood (Anxiety)

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

• Self-Ratings of Mood (Depression)

  Baseline, Post-Intervention (Day 1), and Follow-up (Day 7)

Study Arms (4)

Verbally repeat body-related thoughts

EXPERIMENTAL

A cognitive defusion strategy in which participants repeat a target unwanted thought out loud and as quickly as possible for 60 seconds.

Behavioral: Cognitive Defusion

Sing negative body-related thoughts

EXPERIMENTAL

A cognitive defusion strategy in which participants sing a target unwanted thought to the tune of 'twinkle, twinkle' for 60 seconds

Behavioral: Cognitive Defusion

Verbally repeat body-unrelated thoughts

NO INTERVENTION

A control condition in which participants repeat the phrase "I am talking" out loud and as quickly as possible for 60 seconds.

Sing body-unrelated thoughts

NO INTERVENTION

A control condition in which participants sing the phrase "I am singing" to the tune of 'twinkle, twinkle' for 60 seconds

Interventions

Cognitive Defusion BEHAVIORAL

Cognitive defusion aims to change one's relationship to their thoughts - as opposed to changing the content, form, or frequency - by reframing internal experiences as less threatening (Hayes, Luoma, Bond, Masuda, \& Lillis, 2006). It is the process of detaching the link between one's thoughts and perceptions of reality and acknowledging the role one's thoughts play in their internal events. A number of techniques have been developed to remove the literal quality of such thoughts, including repeating the thought, and, more recently, singing the thought.

Sing negative body-related thoughts; Verbally repeat body-related thoughts

Eligibility Criteria

• Age: 17 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Restrained eaters, as indicated by a score of 15 or greater on the Revised Restraint Scale (Polivy, Herman, \& Howard, 1988)
• Identify as female
• Age 17 and older

You may not qualify if:

• Under age 17
• Do not identify as female
• Scores below 15 on the Revised Restraint Scale (Polivy, Herman, \& Howard, 1988).

Sponsors & Collaborators

• York University: lead

Study Sites (1)

York University

Toronto, Ontario, M3J 1P3, Canada

Location

Related Publications (2)

• Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006 Jan;44(1):1-25. doi: 10.1016/j.brat.2005.06.006.

  PMID: 16300724 BACKGROUND

• Polivy, J., Herman, P. H., & Howard, K. I. (1988). Restraint scale: Assessment of dieting. In M. Hersen & A. S. Bel lack (Eds.), Dictionary of behavioral assessment techniques (pp. 377- 380). Elmsford, NY: Pergamon Press.

  BACKGROUND

Limitations and Caveats

No limitations or caveats to declare

Results Point of Contact

• Title: Keisha C. Gobin, MA
• Organization: York University

kgobin@yorku.ca

416-736-2100

Study Officials

• Keisha C Gobin, BA

  York University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: This was a single-center, parallel-group study with balanced randomization of participants into four conditions; two experimental and two control \[1:1:1:1\]. This is a non-inferiority study to examine whether singing is as effective as verbal repetition as a cognitive defusion strategy for body image distress.

Study Record Dates

• First Submitted: August 20, 2018
• First Posted: August 24, 2018
• Study Start: October 3, 2018
• Primary Completion: January 30, 2019
• Study Completion: January 30, 2019
• Last Updated: May 11, 2021
• Results First Posted: April 5, 2021

Record last verified: 2021-04

Locations

CA (1)