Dissonance and healthy weight eating disorder prevention programs: long-term effects from a randomized efficacy trial.

Full Abstract

Adolescent girls with body dissatisfaction (N = 481, SD = 1.4) were randomized to a dissonance-based thin-ideal internalization reduction program, healthy weight control program, expressive writing control condition, or assessment-only control condition. Dissonance participants showed significantly greater decreases in thin-ideal internalization, body dissatisfaction, negative affect, eating disorder symptoms, and psychosocial impairment and lower risk for eating pathology onset through 2- to 3-year follow-up than did assessment-only controls. Dissonance participants showed greater decreases in thin-ideal internalization, body dissatisfaction, and psychosocial impairment than did expressive writing controls. Healthy weight participants showed greater decreases in thin-ideal internalization, body dissatisfaction, negative affect, eating disorder symptoms, and psychosocial impairment; less increases in weight; and lower risk for eating pathology and obesity onset through 2- to 3-year follow-up than did assessment-only controls. Healthy weight participants showed greater decreases in thin-ideal internalization and weight than did expressive writing controls. Dissonance participants showed a 60% reduction in risk for eating pathology onset, and healthy weight participants showed a 61% reduction in risk for eating pathology onset and a 55% reduction in risk for obesity onset relative to assessment-only controls through 3-year follow-up, implying that the effects are clinically important and enduring.PsycINFO Database Record (c) 2008 APA, all rights reserved.

Learn Faster Today Improve your study skills

Author information

Author/s: Stice, Eric (E); Marti, C Nathan (CN); Spoor, Sonja (S); Presnell, Katherine (K); Shaw, Heather (H);

Affiliation: Department of Psychology, University of Texas at Austin, TX, USA. estice(-atsign-)ori.org

Grants: MH/DK6195 (Agency:United States NIDDK) ; MH01708 (Agency:United States NIMH) ; MH70699 (Agency:United States NIMH)

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural

Journal: Journal of consulting and clinical psychology (J Consult Clin Psychol), published in United States. (Language: eng)

Reference: 2008-Apr; vol 76 (issue 2) : pp 329-40

Dates: Created 2008/04/01; Completed 2008/06/10;

PMID: 18377128, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Anorexia Nervosa - prevention & control; psychology
Body Image
Body Weight
Bulimia Nervosa - prevention & control; psychology
Cognitive Dissonance
Cognitive Therapy - methods
Female

Follow-Up Studies
Humans
Internal-External Control
Obesity - prevention & control; psychology
Psychotherapy, Group - methods
Thinness - psychology
Treatment Outcome
Writing

These are the highest related articles currently in the database:

See 100+ related articles.