Targeting Minority Stressors to Improve Eating Disorder Symptoms in Sexual Minority Individuals With Eating Disorders

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-65
SponsorAuburn University

About 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

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

age 18 to 65 years

identify as lesbian, gay, bisexual, other non-heterosexual identities

meet criteria for a Diagnostic and Statistical Manual - 5 (DSM-5) eating disorder (i.e., anorexia nervosa, bulimia nervosa, binge eating disorder, other specified feeding or eating disorder)

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

Disqualifiers

inability to speak/read English

active suicidal plans or intent

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

body mass index below 17.0, a standard clinical cutoff used to denote moderate-severe underweight that may be indicated for a higher level of medical care than standard outpatient treatment

Trial design

Design model

Single group

Treatments tested in this trial

  • Promoting Resilience to Improve Disordered Eating

    Behavioral

    See description under "Arms"

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: PsychotherapyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Internalized Homophobia Scale (IHP)

Assesses internalized stigma (9 items, 5-point scale, higher scores indicate greater internalized stigma).

Time frame
Change from Baseline through 3- and 6-month follow-up
2

Sexual Orientation Implicit Association Test

Assesses internalized stigma via computerized behavioral task involving categorizing positive/negative words with sexual minority and heterosexual people.

Time frame
Change from Baseline through 3- and 6-month follow-up
3

Coping Self Efficacy Scale (CSES)

Assesses sexual minority(SM)-stress coping self efficacy, as adapted for address SM stress in prior research (13 items, 11-point scale, higher scores indicate greater SM-stress coping self-efficacy).

Time frame
Change from Baseline through 3- and 6-month follow-up

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Auburn University

Lead sponsor

San Diego State University

Collaborator