Evaluation of Teen BodyWise: A pilot study of a body image group adapted for adolescent inpatients with anorexia nervosa

  • Juliet K. RosewallEmail author
  • Amanda Beavan
  • Catherine Houlihan
  • Sophie Bates
  • Louise Melhuish
  • Victoria Mountford
  • J. Hubert Lacey
Original Article



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.


Adolescents 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.

Ethical approval

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

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.South West London and St George’s Mental Health NHS TrustLondonUK
  2. 2.St George’sUniversity of LondonLondonUK
  3. 3.Newbridge HouseBirminghamUK
  4. 4.Child and Adolescent Eating Disorders ServiceSouth London and Maudsley NHS Foundation TrustLondonUK
  5. 5.Institute of Psychiatry, Psychology and NeuroscienceKing’s College LondonLondonUK

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