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N/A N=133 Randomized Supportive Care

Singing Your Negative Body-Related Thoughts

Body Dissatisfaction

Enrolled (actual)
133
Serious AEs
0.0%
Results posted
Apr 2021
Primary outcome: Primary: Self-Ratings of Thought Appraisals (Believability) — 78.33; 77.97; 83.23; 74.74 score on a scale — p=<0.001

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Cognitive Defusion (Behavioral)
Age
Pediatric, Adult, Older Adult · 17+ yrs
Sex
Female
Sponsor
York University
Primary completion
Jan 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Self-Ratings of Thought Appraisals (Believability)
78.33; 77.97; 83.23; 74.74; 61.56; 62.09 <0.001 sig
PRIMARY
Self-Ratings of Thought Appraisals (Negativity)
68.96; 75.39; 71.61; 71.90; 70.93; 68.64 <0.001 sig
PRIMARY
Self-Ratings of Thought Appraisals (Discomfort)
79.97; 63.48; 74.06; 69.90; 59.48; 54.93 <0.001 sig
PRIMARY
Self-Ratings of Thought Appraisals (Willingness)
61.03; 62.41; 65.74; 60.90; 52.58; 55.15 <0.001 sig
PRIMARY
Self-Ratings of Thought Appraisals (Avoidance)
59.39; 50.63; 44.52; 51.81; 53.42; 52.11 <0.01 sig
PRIMARY
Self-Ratings of Cognitive Fusion (Cognitive Fusion Questionnaire)
36.56; 32.52; 33.65; 31.52; 33.30; 32.91 >0.05
SECONDARY
Self-Ratings of Body Image Cognitions (Weight Dissatisfaction)
59.15; 71.22; 66.10; 68.68; 51.70; 62.33 <0.001 sig
SECONDARY
Self-Ratings of Body Image Cognitions (Appearance Dissatisfaction)
55.18; 58.67; 47.55; 50.90; 51.24; 57.67 <0.001 sig
SECONDARY
Self-ratings of Body Image Distress (Body Image State Scale)
26.64; 25.44; 25.71; 24.74; 27.82; 26.41 <0.001 sig
SECONDARY
Self-Ratings of Mood (Anxiety)
51.45; 49.15; 37.94; 52.68; 43.55; 32.67 <0.001 sig
SECONDARY
Self-Ratings of Mood (Depression)
30.76; 27.85; 25.52; 36.94; 27.12; 21.67 <0.001 sig
SECONDARY
Self-Ratings of Mood (Happiness)
57.85; 54.59; 52.00; 51.45; 50.15; 53.63 >0.05
SECONDARY
Self-Ratings of Mood (Confidence)
48.91; 40.52; 47.77; 42.03; 42.12; 37.30 >0.05
SECONDARY
Self-Ratings of Self-Esteem (State Self Esteem Scale)
62.36; 58.26; 59.65; 58.58; 64.52; 61.96 <0.05 sig
SECONDARY
Self-Rating of Homework Adherence (Homework Adherence Questionnaire)
32.64; 29.79; 29.81; 32.24 >0.05
SECONDARY
Self-Rating of Thought-Shape Fusion (Thought-Shape Fusion Questionnaire)
43.67; 45.56; 32.77; 35.65 <0.001 sig

Summary

Study Objectives: 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. 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. Compare singing to the defusion strategy of verbal repetition, as well as control conditions, to determine the effectiveness of these techniques. 4. Examine whether defusion techniques would be particularly beneficial for individuals with high thought-shape fusion Study Hypotheses: The primary hypothesis was that the cognitive defusion conditions, namely verbal repetition and singing, would foster greater detachment (i.e. defusion) from negative body-related thoughts and change thought appraisals such that these thoughts were less believable and less negative, and the individual was more willing, less likely to avoid, and less uncomfortable when engaging with these thoughts than the control conditions. Secondary hypotheses propose that these defusion techniques will reduce negative body-related cognitions such as body image distress, drive for thinness, and body dissatisfaction to a greater extent than the control conditions. Moreover, compared to the control condition, these techniques are expected to be superior in reducing negative mood and improving self-esteem. Finally, better outcomes are expected from those in the defusion conditions who practice the technique as instructed (i.e. better homework adherence). Due to the novelty of this intervention, no specific hypotheses have been made regarding whether singing will equal or differ from verbal repetition on the aforementioned outcome measures. Moreover, due to the exploratory nature of applying defusion techniques with individuals with thought-shape fusion, no specific hypotheses have been made around anticipated changes in the perception of the thought, body image satisfaction, mood, self-esteem, and cognitive defusion within this population.

Eligibility Criteria

Inclusion Criteria

  • 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

Exclusion Criteria

  • Under age 17
  • Do not identify as female
  • Scores below 15 on the Revised Restraint Scale (Polivy, Herman, & Howard, 1988).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03646305). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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