Participants who engaged in recurrent non-suicidal self-injury (NSSI) and were weight suppressed (WS) reported significant improvements in body image and depressive symptoms compared to controls after an online treatment to increase body acceptance, replicating earlier findings.7 This study found a trend toward decreased perceived likelihood of future non-suicidal self-injury (NSSI) in intervention participants compared to controls.7
A randomized controlled trial (RCT) of an online version of the Body Project (eBody Project) adapted for male as well as female participants, The Body Acceptance Program, compared to a suicide risk monitoring/crisis intervention control condition was conducted with 60 civilian adults (81% female, 90% White) with WS and recent NSSI.7 The study reported the following:
This RCT involved online recruitment and assessment with suicide monitoring and crisis intervention from graduate students, so there is no evidence for military participants or context. Given the online modality, the intervention could be implemented as an online treatment with clinician support for suicide monitoring in military settings. Of note, there are extensive resources available for the group based Body Project intervention at www.bodyprojectsupport.org, but resources for the online eBody Project and the adapted The Body Acceptance Program used in this trial are not currently publicly available.8
1. Franklin, J. C. et al. Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychol. Bull. 143, 187–232 (2017).
2. Keel, P. K., Jean Forney, K., Buchman-Schmitt, J. M., Kennedy, G. A. & Joiner, T. E. Examining the link between weight suppression and non-suicidal self-injurious behaviors. Eat. Behav. 30, 66–71 (2018).*
3. Stice, E., Rohde, P., Durant, S. & Shaw, H. A preliminary trial of a prototype internet dissonance-based eating disorder prevention program for young women with body image concerns. J. Consult. Clin. Psychol. 80, 907–916 (2012).
4. Stice, E., Shaw, H., Burton, E. & Wade, E. Dissonance and Healthy Weight Eating Disorder Prevention Programs: A Randomized Efficacy Trial. J. Consult. Clin. Psychol. 74, 263–275 (2006).
5. Mitchell, K. S., Mazzeo, S. E., Rausch, S. M. & Cooke, K. L. Innovative interventions for disordered eating: Evaluating dissonance-based and yoga interventions. Int. J. Eat. Disord. 40, 120–128 (2007).
6. Becker, C. B., Smith, L. & Ciao, A. C. Reducing eating disorder risk factors in sorority members: A randomized trial. Behav. Ther. 36, 245–253 (2005).
7. Kennedy, G. A. et al. Reducing anticipated non-suicidal self-injury by improving body esteem in individuals with weight suppression: A proof of concept study. Int. J. Eat. Disord. 52, 206–210 (2019).*
8. Stice, E., Rohde, P., Shaw, H., & Gau, J. M. (2020). Clinician-led, peer-led, and internet-delivered dissonance-based eating disorder prevention programs: Effectiveness of these delivery modalities through 4-year follow-up. Journal of consulting and clinical psychology, 88(5), 481–494. https://doi.org/10.1037/ccp0000493