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Background <p>This study developed and pilot-tested a culturally adapted, 8-week cognitive behavioral therapy (CBT)-based group intervention targeting body image dissatisfaction among at-risk Chinese college students. The study evaluated its feasibility, acceptability, and preliminary effectiveness in a randomized controlled design.</p> Methods <p>Seventeen female participants were randomized to an intervention group (<i>n</i> = 8) or a wait-list control group (<i>n</i> = 9). The intervention consisted of eight weekly sessions integrating CBT principles with culturally relevant content emphasizing mindful acceptance, emotion regulation, and body appreciation. Feasibility and acceptability were assessed by recruitment, retention, attendance, homework completion, and participant feedback. Secondary outcomes included body dissatisfaction (Body Shape Questionnaire, BSQ), body appreciation (Body Appreciation Scale-2, BAS-2), thin-ideal internalization (Ideal-Body Stereotype Scale-Revised, IBSS-R), eating disorder symptoms (Eating Disorder Examination Questionnaire 6.0, EDE-Q 6.0), depressive symptoms (Patient Health Questionnaire-9, PHQ-9), and anxiety symptoms (Generalized Anxiety Disorder-7, GAD-7), measured at baseline, post-intervention, and 3-month follow-up.</p> Results <p>The intervention demonstrated strong feasibility and acceptability, with 100% retention, high attendance, and positive participant feedback. Compared with controls, the intervention group showed significant improvements from baseline to post-intervention in body dissatisfaction, body appreciation, thin-ideal internalization, eating disorder symptoms, depression, and anxiety (ps &lt; 0.05, rs = 0.39–0.63), with most effects maintained at the 3-month follow-up. No significant changes were observed in the wait-list control group.</p> Conclusions <p>Findings provide preliminary evidence for the feasibility, acceptability, and potential effectiveness of a culturally adapted CBT-based group intervention addressing body image dissatisfaction among at-risk Chinese college women. Despite the small sample and modest recruitment, this pilot study highlights practical challenges associated with delivering psychological interventions in non-clinical university populations. The results offer an initial foundation for larger trials and for developing shorter or course-based formats to enhance accessibility and scalability in university settings.</p>

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Development and pilot evaluation of a culturally adapted CBT-based group intervention for body image dissatisfaction among at-risk Chinese college students

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月19日

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  • Lian Gu,
  • Shijie Xu,
  • Yimin Zhang,
  • Yue Huang,
  • Jue Chen

摘要

Background

This study developed and pilot-tested a culturally adapted, 8-week cognitive behavioral therapy (CBT)-based group intervention targeting body image dissatisfaction among at-risk Chinese college students. The study evaluated its feasibility, acceptability, and preliminary effectiveness in a randomized controlled design.

Methods

Seventeen female participants were randomized to an intervention group (n = 8) or a wait-list control group (n = 9). The intervention consisted of eight weekly sessions integrating CBT principles with culturally relevant content emphasizing mindful acceptance, emotion regulation, and body appreciation. Feasibility and acceptability were assessed by recruitment, retention, attendance, homework completion, and participant feedback. Secondary outcomes included body dissatisfaction (Body Shape Questionnaire, BSQ), body appreciation (Body Appreciation Scale-2, BAS-2), thin-ideal internalization (Ideal-Body Stereotype Scale-Revised, IBSS-R), eating disorder symptoms (Eating Disorder Examination Questionnaire 6.0, EDE-Q 6.0), depressive symptoms (Patient Health Questionnaire-9, PHQ-9), and anxiety symptoms (Generalized Anxiety Disorder-7, GAD-7), measured at baseline, post-intervention, and 3-month follow-up.

Results

The intervention demonstrated strong feasibility and acceptability, with 100% retention, high attendance, and positive participant feedback. Compared with controls, the intervention group showed significant improvements from baseline to post-intervention in body dissatisfaction, body appreciation, thin-ideal internalization, eating disorder symptoms, depression, and anxiety (ps < 0.05, rs = 0.39–0.63), with most effects maintained at the 3-month follow-up. No significant changes were observed in the wait-list control group.

Conclusions

Findings provide preliminary evidence for the feasibility, acceptability, and potential effectiveness of a culturally adapted CBT-based group intervention addressing body image dissatisfaction among at-risk Chinese college women. Despite the small sample and modest recruitment, this pilot study highlights practical challenges associated with delivering psychological interventions in non-clinical university populations. The results offer an initial foundation for larger trials and for developing shorter or course-based formats to enhance accessibility and scalability in university settings.