Body image concerns significantly impact boys’ physical and mental health. While several reviews synthesize evidence on body image interventions for mixed-gender adolescents, a systematic review exclusively focusing on boys is currently missing. Thus, this systematic review synthesizes evidence on universal psychosocial interventions targeting body image among boys and identifies effective approaches for enhancing their body image. Searches were conducted across seven databases until February 2024. Forty-one studies were included and assessed for quality across domains such as selection bias, study design, and methods. Three studies exclusively targeted boys, while 38 involved mixed-gender groups. Multiple therapeutic approaches were used across the interventions, including media literacy, socio-cognitive approaches, combined cognitive dissonance and media literacy, positive body image, compassion and mindfulness, and other approaches, with no single approach proving universally effective. Some promise for interventions employing positive body image and embodiment techniques was noted. Few interventions showed effectiveness on boys’ body image but most benefited girls. Further, findings were inconsistent across outcomes, with lower-quality studies driving evidence of effectiveness. These findings highlight that the effectiveness of current body image interventions among boys is inconclusive, emphasizing the urgent need for improvement or development of new interventions tailored specifically to address boys’ body image concerns.

The rise of online research methods has expanded the scope of research globally and has made research more inclusive. However, it has also led to a surge in fraudulent research participation, with individuals and bots infiltrating studies for personal gain or disruption. This is of particular concern in mental health studies, as fraudulent responses jeopardize interventions and care efforts. This paper addresses these challenges, presenting case studies from psychological research. The urgent need for a comprehensive understanding of fraudulent responses in both quantitative and qualitative online research is emphasized, urging the research community to confront and mitigate this issue effectively.

Eating pathology is increasingly common among Indian adolescents. However, brief validated measures of disordered eating in Indian contexts are scarce. This study adapted and validated a culturally appropriate English language version of the Child Eating Disorder Examination Questionnaire (ChEDE-Q) among 385 adolescents (mean age = 13.42 years; 47.3% girls) in urban India. Confirmatory factor analysis indicated that a two-factor eight-item solution had an acceptable fit to the data across gender: an ‘Eating Concerns and Restraint’ subscale and a ‘Weight and Shape Concerns’ subscale. Further, the questionnaire can be utilised as both a unidimensional and multidimensional tool. This allows for the computation of a total score on the primary factor of ‘Child Eating Pathology’, as well as the two subscales. Internal consistency of the ‘Weight and Shape Concerns’ subscale (α = 0.825) and ‘Eating Concerns and Restraint’ subscale (α = 0.649) was satisfactory. Concurrent validity was established through medium significant correlations with measures of body image and broader mental health. The results support the use of the ChEDE-Q for assessing disordered eating among urban Indian adolescents, thus providing the research community and practitioners with a measure to investigate the nature and scale of disordered eating among adolescents in India.

Background: Indian adolescents experience body dissatisfaction. However, empirically supported interventions are lacking, particularly in lower socio-economic regions of India. This paper describes the acceptability testing of a six-session teacher-led comics-based intervention, aiming to improve body image and related outcomes among adolescents in Indian Hindi medium schools.Methods: Thirty-five students (50% girls; M_{age, girls} = 12.3 years; M_{age, boys} = 13 years) and nine teachers (11% women) from Hindi medium schools in Rajasthan, India, completed a quantitative acceptability questionnaire regarding comics that target body dissatisfaction and associated risk factors. They also participated in online or telephone semi-structured interviews to share in-depth feedback, with teachers providing additional feedback on an accompanying teacher guide. The quantitative data were analysed descriptively, with the interviews analysed using qualitative codebook thematic analysis.Results: Quantitative analyses revealed that 73% of students felt the comics made them feel good about themselves. Qualitative analyses revealed four themes: (1) body dissatisfaction is a concern; (2) the comics are powerful; (3) increasing ease of understanding; (4) a teacher guide to aid delivery.Conclusion: This study demonstrates acceptability of a novel teacher-led comics-based body image intervention for adolescents in Indian Hindi medium schools from lower socio-economic settings. These findings are currently informing intervention optimizations, which will be evaluated in a randomized controlled effectiveness trial. If found to be effective, this intervention will be disseminated across eight Indian states by UNICEF. Trial registration. This trial has been registered with ClinicalTrials.gov; a database of privately and publicly funded studies conducted around the world. Registration date: 2nd May 2020; Registration ID: (NCT04317755). https://clinicaltrials.gov/ct2/show/NCT04317755?term=NCT04317755&draw=2&rank=1.