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Updated: Aug 7, 2026

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
The effects of psychoeducation and self-monitoring in a cognitive-behavioral program for body-image improvement
Thomas F Cash1, Joshua I Hrabosky
1Department of Psychology, Old Dominion University, Norfolk, Virginia 23529-0267, USA. TCash@odu.edu
Abstract:
Cognitive-behavioral therapy (CBT) is an efficacious treatment for body-image difficulties and disorders. The current study evaluated two combined components of Cash's (1997) self-administered body-image CBT program--psychoeducation and self-monitoring. Twenty-five body-dissatisfied college students enrolled in the three-week program and were required to hand in homework weekly in brief meetings with the experimenter. From pre- to posttest, participants became significantly more satisfied with their appearance and reported less situational body-image dysphoria, less weight-related concern, and less investment in their appearance as a source of self-evaluation. Changes generalized to improved self-esteem, eating attitudes, and social anxiety. Better self-monitoring compliance predicted greater reductions in body-image dysphoria. The study's methodological limitations and clinical implications are considered, and mechanisms of change are discussed.
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