Evaluation of Self-esteem Group Therapy for Eating Disorders

NCT04072510 | Unknown

• 1 other identifier: Newbridge House
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Self-esteem group is a novel, manualised group programme designed for adolescent inpatients with eating disorders. Research questions: Does the self-esteem group improve self-esteem in adolescent inpatients with eating disorders? Are any changes in self-esteem maintained at 4 week follow-up after the group? Does eating disorder psychopathology improve more during admission for those who complete the self-esteem group compared to those who do not complete the group? Background: Low self-esteem has been established as a strong predictor of onset, maintenance and relapse in eating disorders. For patients with low self-esteem, change can be particularly difficult to achieve. The intensity of their low self-esteem leads them to strive to control their eating, weight and shape to gain a sense of self-worth and the pervasive negative view of themselves results in them seeing little or no prospect of recovery. This suggests treatment of low self-esteem is clinically and financially important. Studies have shown cognitive behavioural based group therapies improve self esteem in adults with eating disorders; however research including adolescents is limited. This research will contribute to the evidence base for self-esteem interventions in adolescents and inform the effectiveness of a new treatment. The research will be funded by Newbridge House, an inpatient unit for children and adolescents with eating disorders. Design: Inpatients at Newbridge House aged 11 - 18, fulfilling DSM-V criteria for an eating disorder will be recruited.Participants will be randomly allocated to a case or control group. Cases will receive the 6 week self-esteem group in addition to treatment as usual (TAU) and will be compared with controls who receive TAU. Both groups will complete a questionnaire pre-group, post-group and 4 weeks post-group. Admission and discharge questionnaires routinely collected will be examined to assess change in eating disorder psychopathology.

Conditions

Self Esteem; Eating Disorders

Outcome Measures

Primary Outcomes (1)

• Rosenberg Self-esteem Scale: assessing change in self-esteem

  A validated self-report measure assessing change in self-esteem. The measure consists of 10 questions.

  Assessed at baseline, 6 weeks and 10 weeks.

Secondary Outcomes (1)

• Eating Disorder Examination Questionnaire: assessing change in eating disorder psychopathology

  Assessed at baseline, 6 weeks and 10 weeks.

Study Arms (2)

Case: Self-esteem group + Treatment as Usual

EXPERIMENTAL

Self-esteem group is based on a cognitive behavioral model of low self-esteem addressing thoughts, feelings and behaviour. The self-esteem group is designed to be administered in 6 weekly sessions. Treatment as usual refers to the standard inpatient treatment programme at Newbridge House which includes: individual therapy, occupational therapy, drama therapy, family therapy, dietetic support, nursing support, yoga and medication prescribed by a consultant psychiatrist.Treatment as usual occurred alongside the self-esteem group.

Behavioral: Self-esteem group

Control: Treatment as Usual Only

ACTIVE COMPARATOR

Treatment as usual refers to the standard inpatient treatment programme at Newbridge House which includes: individual therapy, occupational therapy, drama therapy, family therapy, dietetic support, nursing support, yoga and medication prescribed by a consultant psychiatrist.

Behavioral: Treatment as Usual

Interventions

Self-esteem group BEHAVIORAL

The intervention will comprise of 6 sessions of group self-esteem therapy which uses a cognitive behavioural approach. The therapy has been manualised into a 76 page treatment protocol and will be administered by Assistant Psychologists employed at Newbridge House receiving weekly supervision from a Clinical Psychologist. The self-esteem group is based on Melanie Fennel's cognitive behavioural model of low self-esteem addressing thoughts, feeling and behaviours. The group aims to improve self-esteem and build positivity. The sessions are structured and laid out in the following overview: Week 1, Session 1: What is self-esteem and an introduction to CBT Week 2, Session 2: How might low self-esteem develop? Week 3, Session 3: Negative automatic thoughts Week 4, Session 4: Challenging negative automatic thoughts Week 5, Session 5: Creating new coping strategies Week 6, Session 6: Building positivity

Case: Self-esteem group + Treatment as Usual

Treatment as Usual BEHAVIORAL

Treatment as usual refers to the standard inpatient treatment programme at Newbridge House which includes: individual therapy, occupational therapy, drama therapy, family therapy, dietetic support, nursing support, yoga and medication prescribed by a consultant psychiatrist.

Control: Treatment as Usual Only

Eligibility Criteria

• Age: 11 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Inpatients at Newbridge House
• Aged 11-18
• Primary diagnosis of any form of eating disorder

You may not qualify if:

• Previously received self-esteem group at Newbridge House
• Aged under 10 years
• Moderate and severe learning disability

Sponsors & Collaborators

• Newbridge House: lead

Study Sites (1)

Newbridge House

Sutton Coldfield, B74 3NE, United Kingdom

RECRUITING

MeSH Terms

Conditions

Feeding and Eating Disorders

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Psychologist

Study Record Dates

• First Submitted: August 21, 2019
• First Posted: August 28, 2019
• Study Start: October 22, 2018
• Primary Completion: April 22, 2020
• Study Completion: April 22, 2020
• Last Updated: August 28, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)