Evaluation of Teen BodyWise: A pilot study of a body image group adapted for adolescent inpatients with anorexia nervosa
Body image disturbance is a key characteristic of anorexia nervosa (AN); however, research into these difficulties among adolescents with AN is limited and is yet to assess the best treatments for this population.
Fifty-two adolescents receiving inpatient treatment for AN attended Teen BodyWise, an eight-session body image group adapted for adolescents. Measures assessing shape and weight concerns, ability to discuss body image, sociocultural attitudes, body avoidance, body checking, and motivation were given before and after the group, and participant feedback was elicited.
Significant improvements were found for shape and weight concerns, ability to discuss body image, body checking and sociocultural attitudes. Participants were generally satisfied with the group and found it helpful, yet some aspects were experienced as challenging.
Teen BodyWise has potential benefits for adolescents with AN. Controlled research is needed to determine the effectiveness of Teen BodyWise.
Level of evidence
Evidence obtained from multiple time series with or without the intervention, such as case studies, Level IV.
KeywordsAdolescents Anorexia nervosa Body image Group treatment Acceptability
The authors gratefully acknowledge Harriet Rowe and Ami Sivantharajah for their assistance with protocol preparation and data collection, and Dr Jared Smith for his statistical assistance.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 6.Bardone-Cone AM, Harney MB, Maldonado CR, Lawson MA, Robinson DP, Smith R, Tosh A (2010) Defining recovery from an eating disorder: conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity. Behav Res Ther 48:194–202. https://doi.org/10.1016/j.brat.2009.11.001 CrossRefPubMedGoogle Scholar
- 7.O’Dea JA, Abraham S (2000) Improving the body image, eating attitudes, and behaviors of young male and female adolescents: a new educational approach that focuses on self-esteem. Int J Eat Disord, 28:43–57. https://doi.org/10.1002/(SICI)1098-108X(200007)28:1%3C43::AID-EAT6%3E3.0.CO;2-D CrossRefPubMedGoogle Scholar
- 13.Heinicke BE, Paxton SJ, McLean SA, Wertheim EH (2007) Internet-delivered targeted group intervention for body dissatisfaction and disordered eating in adolescent girls: a randomized controlled trial. J Abnorm Child Psychol 35:379–391. https://doi.org/10.1007/s10802-006-9097-9 CrossRefPubMedGoogle Scholar
- 23.Fairburn CG, Beglin SJ (1994) Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord, 16:363–370. https://doi.org/10.1002/1098-108X(199412)16:4%3C363::AID-EAT2260160405%3E3.0.CO;2-%23 PubMedGoogle Scholar
- 30.Steinfeld B, Bauer A, Waldorf M, Engel N, Braks K, Huber TJ, Vocks S (2017) Validation of a German-language Version of the Body Checking Questionnaire (BCQ) in Adolescents with Anorexia and Bulimia Nervosa. Psychother Psychosom Med Psychol 67:38–46. https://doi.org/10.1055/s-0042-110851 PubMedGoogle Scholar
- 34.Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Earlbaum Associates, HilsdaleGoogle Scholar
- 35.Hair JF, Tatham RL, Anderson RE, Black WC (1998) Multivariate data analysis. Prentice Hall, Upper Saddle RiverGoogle Scholar