A Controlled Randomized Preliminary Trial of a Modified Dissonance‐Based Eating Disorder Intervention Program
Objective We conducted a controlled randomized preliminary trial of a modified dissonance‐based eating disorder program (n = 24) compared to an assessment‐only control condition (n = 23) via a longitudinal design (baseline, postintervention, 2‐month follow‐up) in a community sample of women (N = 47)...
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| Veröffentlicht in: | Journal of clinical psychology 2017-12, Vol.73 (12), p.1612-1628 |
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| container_issue | 12 |
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| container_title | Journal of clinical psychology |
| container_volume | 73 |
| creator | Green, M. A. Willis, M. Fernandez‐Kong, K. Reyes, S. Linkhart, R. Johnson, M. Thorne, T. Lindberg, J. Kroska, E. Woodward, H. |
| description | Objective
We conducted a controlled randomized preliminary trial of a modified dissonance‐based eating disorder program (n = 24) compared to an assessment‐only control condition (n = 23) via a longitudinal design (baseline, postintervention, 2‐month follow‐up) in a community sample of women (N = 47) with clinical (n = 22) and subclinical (n = 25) eating disorder symptoms.
Method
The traditional content of the Body Project, a dissonance‐based eating disorder prevention program, was modified to include verbal, written, and behavioral exercises designed to dissuade self‐objectification and maladaptive social comparison. Women with clinical and subclinical symptoms were included in the target audience to investigate both the treatment and the indicated prevention utility of the modified dissonance program. Body dissatisfaction, self‐esteem, self‐objectification, thin‐ideal internalization, maladaptive social comparison, trait anxiety, and eating disorder symptoms were evaluated in the control and the modified dissonance condition at baseline, postintervention, and 2‐month follow‐up.
Results
We predicted a statistically significant 2 (condition: control, modified dissonance) x 3 (time: baseline, postintervention, 2‐month follow‐up) interaction in the mixed factorial multivariate analyses of variance results. Results confirmed this hypothesis. Eating disorder risk factors and symptoms decreased significantly among participants in the modified dissonance condition at postintervention and 2‐month follow‐up compared to baseline; symptom improvement was greater among participants in the modified compared to the control condition. A secondary analysis indicated symptom improvement did not vary as a function of symptom status (clinical, subclinical), suggesting the program is efficacious in both indicated prevention and treatment applications.
Conclusion
Results provide preliminary support for the modified dissonance program. |
| doi_str_mv | 10.1002/jclp.22468 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1873723245</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1873723245</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3578-85d3df2bf6cab32f18f65b90d1bba78bfededc554c9365f473f3892e218bf9ab3</originalsourceid><addsrcrecordid>eNp9kUFPHCEYhonRuFvbS3-AmcSLaTIKDAzDcd2q1WxT02zPhBlgw4aBFWY121N_Qn-jv0S2az148AThfXjy5XsB-IzgGYIQny87tzrDmNTNHhgjyFlJasb3wTiHqOSsxiPwIaUlhJBARA_BCDeYcATZGIRJMQ1-iME5rYqf0qvQ29_5ehe1s731Mm6KebTSFcEUsvgelDU2519tSsFL3-mnP38vZMpPl3KwfrFNQlQ6Fjd-0PFB-8EGn31hEWX_ERwY6ZL-9HIegV9Xl_Ppt3L24_pmOpmVXUVZUzZUVcrg1tSdbCtsUGNq2nKoUNtK1rRGK606SknHq5oawipTNRxrjHLG85cjcLrzrmK4X-s0iN6mTjsnvQ7rJFDDKoYrTGhGT96gy7COPk8nEK8JZTXhOFNfdlQXQ0pRG7GKts_bEQiKbQ1iW4P4V0OGj1-U67bX6hX9v_cMoB3waJ3evKMSt9PZ3U76DAp0lJQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1964576492</pqid></control><display><type>article</type><title>A Controlled Randomized Preliminary Trial of a Modified Dissonance‐Based Eating Disorder Intervention Program</title><source>MEDLINE</source><source>Wiley Online Library Journals</source><source>EBSCOhost Education Source</source><creator>Green, M. A. ; Willis, M. ; Fernandez‐Kong, K. ; Reyes, S. ; Linkhart, R. ; Johnson, M. ; Thorne, T. ; Lindberg, J. ; Kroska, E. ; Woodward, H.</creator><creatorcontrib>Green, M. A. ; Willis, M. ; Fernandez‐Kong, K. ; Reyes, S. ; Linkhart, R. ; Johnson, M. ; Thorne, T. ; Lindberg, J. ; Kroska, E. ; Woodward, H.</creatorcontrib><description>Objective
We conducted a controlled randomized preliminary trial of a modified dissonance‐based eating disorder program (n = 24) compared to an assessment‐only control condition (n = 23) via a longitudinal design (baseline, postintervention, 2‐month follow‐up) in a community sample of women (N = 47) with clinical (n = 22) and subclinical (n = 25) eating disorder symptoms.
Method
The traditional content of the Body Project, a dissonance‐based eating disorder prevention program, was modified to include verbal, written, and behavioral exercises designed to dissuade self‐objectification and maladaptive social comparison. Women with clinical and subclinical symptoms were included in the target audience to investigate both the treatment and the indicated prevention utility of the modified dissonance program. Body dissatisfaction, self‐esteem, self‐objectification, thin‐ideal internalization, maladaptive social comparison, trait anxiety, and eating disorder symptoms were evaluated in the control and the modified dissonance condition at baseline, postintervention, and 2‐month follow‐up.
Results
We predicted a statistically significant 2 (condition: control, modified dissonance) x 3 (time: baseline, postintervention, 2‐month follow‐up) interaction in the mixed factorial multivariate analyses of variance results. Results confirmed this hypothesis. Eating disorder risk factors and symptoms decreased significantly among participants in the modified dissonance condition at postintervention and 2‐month follow‐up compared to baseline; symptom improvement was greater among participants in the modified compared to the control condition. A secondary analysis indicated symptom improvement did not vary as a function of symptom status (clinical, subclinical), suggesting the program is efficacious in both indicated prevention and treatment applications.
Conclusion
Results provide preliminary support for the modified dissonance program.</description><identifier>ISSN: 0021-9762</identifier><identifier>EISSN: 1097-4679</identifier><identifier>DOI: 10.1002/jclp.22468</identifier><identifier>PMID: 28249107</identifier><language>eng</language><publisher>United States: Wiley Periodicals Inc</publisher><subject>Adolescent ; Adult ; Body Image ; Bulimia ; Cognitive Dissonance ; Cognitive Therapy - methods ; dissonance‐based programs ; Eating disorders ; Feeding and Eating Disorders - physiopathology ; Feeding and Eating Disorders - prevention & control ; Feeding and Eating Disorders - therapy ; Female ; Follow-Up Studies ; Humans ; Outcome Assessment (Health Care) ; Pilot Projects ; prevention ; Risk Factors ; Self Concept ; Severity of Illness Index ; Social Perception ; treatment ; Young Adult</subject><ispartof>Journal of clinical psychology, 2017-12, Vol.73 (12), p.1612-1628</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><rights>Copyright © 2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3578-85d3df2bf6cab32f18f65b90d1bba78bfededc554c9365f473f3892e218bf9ab3</citedby><cites>FETCH-LOGICAL-c3578-85d3df2bf6cab32f18f65b90d1bba78bfededc554c9365f473f3892e218bf9ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjclp.22468$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjclp.22468$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28249107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Green, M. A.</creatorcontrib><creatorcontrib>Willis, M.</creatorcontrib><creatorcontrib>Fernandez‐Kong, K.</creatorcontrib><creatorcontrib>Reyes, S.</creatorcontrib><creatorcontrib>Linkhart, R.</creatorcontrib><creatorcontrib>Johnson, M.</creatorcontrib><creatorcontrib>Thorne, T.</creatorcontrib><creatorcontrib>Lindberg, J.</creatorcontrib><creatorcontrib>Kroska, E.</creatorcontrib><creatorcontrib>Woodward, H.</creatorcontrib><title>A Controlled Randomized Preliminary Trial of a Modified Dissonance‐Based Eating Disorder Intervention Program</title><title>Journal of clinical psychology</title><addtitle>J Clin Psychol</addtitle><description>Objective
We conducted a controlled randomized preliminary trial of a modified dissonance‐based eating disorder program (n = 24) compared to an assessment‐only control condition (n = 23) via a longitudinal design (baseline, postintervention, 2‐month follow‐up) in a community sample of women (N = 47) with clinical (n = 22) and subclinical (n = 25) eating disorder symptoms.
Method
The traditional content of the Body Project, a dissonance‐based eating disorder prevention program, was modified to include verbal, written, and behavioral exercises designed to dissuade self‐objectification and maladaptive social comparison. Women with clinical and subclinical symptoms were included in the target audience to investigate both the treatment and the indicated prevention utility of the modified dissonance program. Body dissatisfaction, self‐esteem, self‐objectification, thin‐ideal internalization, maladaptive social comparison, trait anxiety, and eating disorder symptoms were evaluated in the control and the modified dissonance condition at baseline, postintervention, and 2‐month follow‐up.
Results
We predicted a statistically significant 2 (condition: control, modified dissonance) x 3 (time: baseline, postintervention, 2‐month follow‐up) interaction in the mixed factorial multivariate analyses of variance results. Results confirmed this hypothesis. Eating disorder risk factors and symptoms decreased significantly among participants in the modified dissonance condition at postintervention and 2‐month follow‐up compared to baseline; symptom improvement was greater among participants in the modified compared to the control condition. A secondary analysis indicated symptom improvement did not vary as a function of symptom status (clinical, subclinical), suggesting the program is efficacious in both indicated prevention and treatment applications.
Conclusion
Results provide preliminary support for the modified dissonance program.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Body Image</subject><subject>Bulimia</subject><subject>Cognitive Dissonance</subject><subject>Cognitive Therapy - methods</subject><subject>dissonance‐based programs</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - physiopathology</subject><subject>Feeding and Eating Disorders - prevention & control</subject><subject>Feeding and Eating Disorders - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pilot Projects</subject><subject>prevention</subject><subject>Risk Factors</subject><subject>Self Concept</subject><subject>Severity of Illness Index</subject><subject>Social Perception</subject><subject>treatment</subject><subject>Young Adult</subject><issn>0021-9762</issn><issn>1097-4679</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFPHCEYhonRuFvbS3-AmcSLaTIKDAzDcd2q1WxT02zPhBlgw4aBFWY121N_Qn-jv0S2az148AThfXjy5XsB-IzgGYIQny87tzrDmNTNHhgjyFlJasb3wTiHqOSsxiPwIaUlhJBARA_BCDeYcATZGIRJMQ1-iME5rYqf0qvQ29_5ehe1s731Mm6KebTSFcEUsvgelDU2519tSsFL3-mnP38vZMpPl3KwfrFNQlQ6Fjd-0PFB-8EGn31hEWX_ERwY6ZL-9HIegV9Xl_Ppt3L24_pmOpmVXUVZUzZUVcrg1tSdbCtsUGNq2nKoUNtK1rRGK606SknHq5oawipTNRxrjHLG85cjcLrzrmK4X-s0iN6mTjsnvQ7rJFDDKoYrTGhGT96gy7COPk8nEK8JZTXhOFNfdlQXQ0pRG7GKts_bEQiKbQ1iW4P4V0OGj1-U67bX6hX9v_cMoB3waJ3evKMSt9PZ3U76DAp0lJQ</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Green, M. A.</creator><creator>Willis, M.</creator><creator>Fernandez‐Kong, K.</creator><creator>Reyes, S.</creator><creator>Linkhart, R.</creator><creator>Johnson, M.</creator><creator>Thorne, T.</creator><creator>Lindberg, J.</creator><creator>Kroska, E.</creator><creator>Woodward, H.</creator><general>Wiley Periodicals Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201712</creationdate><title>A Controlled Randomized Preliminary Trial of a Modified Dissonance‐Based Eating Disorder Intervention Program</title><author>Green, M. A. ; Willis, M. ; Fernandez‐Kong, K. ; Reyes, S. ; Linkhart, R. ; Johnson, M. ; Thorne, T. ; Lindberg, J. ; Kroska, E. ; Woodward, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3578-85d3df2bf6cab32f18f65b90d1bba78bfededc554c9365f473f3892e218bf9ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Body Image</topic><topic>Bulimia</topic><topic>Cognitive Dissonance</topic><topic>Cognitive Therapy - methods</topic><topic>dissonance‐based programs</topic><topic>Eating disorders</topic><topic>Feeding and Eating Disorders - physiopathology</topic><topic>Feeding and Eating Disorders - prevention & control</topic><topic>Feeding and Eating Disorders - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pilot Projects</topic><topic>prevention</topic><topic>Risk Factors</topic><topic>Self Concept</topic><topic>Severity of Illness Index</topic><topic>Social Perception</topic><topic>treatment</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Green, M. A.</creatorcontrib><creatorcontrib>Willis, M.</creatorcontrib><creatorcontrib>Fernandez‐Kong, K.</creatorcontrib><creatorcontrib>Reyes, S.</creatorcontrib><creatorcontrib>Linkhart, R.</creatorcontrib><creatorcontrib>Johnson, M.</creatorcontrib><creatorcontrib>Thorne, T.</creatorcontrib><creatorcontrib>Lindberg, J.</creatorcontrib><creatorcontrib>Kroska, E.</creatorcontrib><creatorcontrib>Woodward, H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Green, M. A.</au><au>Willis, M.</au><au>Fernandez‐Kong, K.</au><au>Reyes, S.</au><au>Linkhart, R.</au><au>Johnson, M.</au><au>Thorne, T.</au><au>Lindberg, J.</au><au>Kroska, E.</au><au>Woodward, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Controlled Randomized Preliminary Trial of a Modified Dissonance‐Based Eating Disorder Intervention Program</atitle><jtitle>Journal of clinical psychology</jtitle><addtitle>J Clin Psychol</addtitle><date>2017-12</date><risdate>2017</risdate><volume>73</volume><issue>12</issue><spage>1612</spage><epage>1628</epage><pages>1612-1628</pages><issn>0021-9762</issn><eissn>1097-4679</eissn><abstract>Objective
We conducted a controlled randomized preliminary trial of a modified dissonance‐based eating disorder program (n = 24) compared to an assessment‐only control condition (n = 23) via a longitudinal design (baseline, postintervention, 2‐month follow‐up) in a community sample of women (N = 47) with clinical (n = 22) and subclinical (n = 25) eating disorder symptoms.
Method
The traditional content of the Body Project, a dissonance‐based eating disorder prevention program, was modified to include verbal, written, and behavioral exercises designed to dissuade self‐objectification and maladaptive social comparison. Women with clinical and subclinical symptoms were included in the target audience to investigate both the treatment and the indicated prevention utility of the modified dissonance program. Body dissatisfaction, self‐esteem, self‐objectification, thin‐ideal internalization, maladaptive social comparison, trait anxiety, and eating disorder symptoms were evaluated in the control and the modified dissonance condition at baseline, postintervention, and 2‐month follow‐up.
Results
We predicted a statistically significant 2 (condition: control, modified dissonance) x 3 (time: baseline, postintervention, 2‐month follow‐up) interaction in the mixed factorial multivariate analyses of variance results. Results confirmed this hypothesis. Eating disorder risk factors and symptoms decreased significantly among participants in the modified dissonance condition at postintervention and 2‐month follow‐up compared to baseline; symptom improvement was greater among participants in the modified compared to the control condition. A secondary analysis indicated symptom improvement did not vary as a function of symptom status (clinical, subclinical), suggesting the program is efficacious in both indicated prevention and treatment applications.
Conclusion
Results provide preliminary support for the modified dissonance program.</abstract><cop>United States</cop><pub>Wiley Periodicals Inc</pub><pmid>28249107</pmid><doi>10.1002/jclp.22468</doi><tpages>17</tpages></addata></record> |
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| ispartof | Journal of clinical psychology, 2017-12, Vol.73 (12), p.1612-1628 |
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| source | MEDLINE; Wiley Online Library Journals; EBSCOhost Education Source |
| subjects | Adolescent Adult Body Image Bulimia Cognitive Dissonance Cognitive Therapy - methods dissonance‐based programs Eating disorders Feeding and Eating Disorders - physiopathology Feeding and Eating Disorders - prevention & control Feeding and Eating Disorders - therapy Female Follow-Up Studies Humans Outcome Assessment (Health Care) Pilot Projects prevention Risk Factors Self Concept Severity of Illness Index Social Perception treatment Young Adult |
| title | A Controlled Randomized Preliminary Trial of a Modified Dissonance‐Based Eating Disorder Intervention Program |
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