PRIDE Therapy for Eating Disorders

Recruiting at 1 trial location

Overseen By Kennedi Burton, B.A.

Age: 18+

Sex: Any

Trial Phase: Phase 1

Sponsor: Auburn University

Disqualifiers: Untreated bipolar, Untreated psychosis, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 17

Duration: 14 weeks

30 Participants Needed

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to learn if a new intervention (Promoting Resilience to Improve Disordered Eating; PRIDE) can decrease internalized stigma and increase the ability to cope effectively with stressors in sexual minority populations diagnosed with eating disorders. The main question it aims to answer is: Will an eating disorders treatment focused on decreasing internalized stigma and increasing sexual minority stress coping self efficacy in sexual minority populations? Participants Will * Complete a telephone screen with study staff to determine preliminary eligibility for the study * Undergo a behavioral eligibility screening that includes structured clinical interviewing in order to determine proper diagnosis of an eating disorder along with ensuring absence of non-eating disorder diagnoses * Complete self-report measures to determine study eligibility * Attend up to 14 weekly therapy sessions as part of the PRIDE intervention, where participants will work with qualified clinicians to address eating pathology and disordered body image along with developing effective strategies for coping with sexual minority stressors * Complete surveys upon completion of the intervention 3 and 6 months post follow-up

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the study staff during the eligibility screening.

What data supports the effectiveness of the treatment Promoting Resilience to Improve Disordered Eating for eating disorders?

The research suggests that building coping skills, such as seeking social support and actively tackling problems, can aid recovery from eating disorders. Additionally, understanding the psychological meanings people attach to their eating disorders can help make treatments more effective. ^{1 2 3 4 5}

How is PRIDE Therapy for Eating Disorders different from other treatments?

PRIDE Therapy for Eating Disorders is unique because it focuses on the role of pride in maintaining disordered eating behaviors, which is not typically addressed in other treatments. This approach may help patients understand and modify feelings of pride associated with their eating habits, potentially breaking the cycle of disordered eating. ^{1 6 7 8 9}

Research Team

Tiffany Brown, PhD

Principal Investigator

Auburn University

Aaron Blashill, PhD

Principal Investigator

San Diego State University

Eligibility Criteria

This trial is for sexual minority individuals diagnosed with eating disorders. Participants must complete a phone screening, a clinical interview to confirm their diagnosis, and self-report measures for eligibility. They cannot have other non-eating disorder diagnoses that could interfere with the study.

Inclusion Criteria

Resides (and plans to continue to reside for the study duration) in California or one of the Psychology Interjurisdictional Compact (PSYPACT) states

Reports current (past 12 months) experience with discrimination due to sexual orientation

Speaks English

Exclusion Criteria

Inability to speak/read English

Active suicidal plans or intent

Other major untreated psychiatric diagnoses (e.g., untreated bipolar disorder, untreated psychosis)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

1 visit (telephone), 1 visit (in-person)

Treatment

Participants attend up to 14 weekly therapy sessions as part of the PRIDE intervention, focusing on decreasing internalized stigma and increasing coping self-efficacy

14 weeks

14 visits (virtual)

Follow-up

Participants are monitored for changes in coping self-efficacy and internalized stigma at 3 and 6 months post-intervention

6 months

2 visits (virtual)

Treatment Details

Interventions

• Promoting Resilience to Improve Disordered Eating

Trial Overview The PRIDE intervention is being tested to see if it can reduce internalized stigma and improve coping with stress related to being a sexual minority. It involves up to 14 weekly therapy sessions focused on addressing eating disorders and body image issues while enhancing resilience against minority stressors.

Participant Groups

Group I: Psychotherapy Experimental Treatment 1 Intervention

Participants in this arm will experience the PRIDE intervention. PRIDE is a 14-session treatment that incorporates aspects of cognitive behavioral therapy for eating disorders (CBT-E) and SM-affirmative therapy. CBT-E aspects of treatment include in-session weighing, self-monitoring (food logs), regular eating, and techniques to address overvaluation of weight and shape. SM-affirmative therapy techniques include discussing the impact of minority stress on health, resilience, and strength within the SM community, specific manifestations of minority stress on eating and body image, current coping strategies, emotion regulation skills, and developing mindful, present-focused reactions to minority stress.

Who Is Running the Clinical Trial?

Auburn University

Lead Sponsor

Trials

81

Recruited

14,600+

San Diego State University

Collaborator

Trials

182

Recruited

119,000+

References

1. England pubmed.ncbi.nlm.nih.gov

Development and Validation of the Pride in Eating Pathology Scale (PEP-S). [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Coping strategies and recovery in patients with a severe eating disorder. [2017]

3. Germany pubmed.ncbi.nlm.nih.gov

Psychological Meanings of Eating Disorders and Their Association With Symptoms, Motivation Toward Treatment, and Clinical Evolution Among Outpatients. [2021]

4. England pubmed.ncbi.nlm.nih.gov

Examining the match between assessed eating disorder recovery and subjective sense of recovery: preliminary findings. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Disparities in psychological well-being based on subjective and objective eating disorder recovery statuses, and recovery status concordance. [2019]

6. England pubmed.ncbi.nlm.nih.gov

Shame, pride and eating disorders. [2022]

7. England pubmed.ncbi.nlm.nih.gov

The role of pride in women with anorexia nervosa: A grounded theory study. [2018]

8. United States pubmed.ncbi.nlm.nih.gov

Does psychological well-being change following treatment? An exploratory study on outpatients with eating disorders. [2018]

9. Brazil pubmed.ncbi.nlm.nih.gov

Impairment in psychosocial functioning in patients with different subtypes of eating disorders. [2019]