Dissonance and healthy weight eating disorder prevention programs: A randomized efficacy trial

Dissonance and healthy weight eating disorder prevention programs: A randomized efficacy trial
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DOI:
10.1037/0022-006x.74.2.263
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发表时间:
2006-04-01
影响因子:
5.9
通讯作者:
Wade, Emily
Wade, Emily
中科院分区:
心理学1区
文献类型:
--
作者:
Stice, Eric;Shaw, Heather;Wade, Emily

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在这项试验中,对身体不满意的青春期女孩(N = 481,M年龄= 17岁)被随机分配到饮食失调预防计划,包括减少瘦理想内化的不和谐诱导活动,促进健康体重管理的预防计划,表达性写作控制条件或仅评估控制条件。不和谐的参与者表现出更大的减少饮食失调的风险因素和暴食症症状比健康的体重,表达性写作,和评估只参与者,和健康的体重参与者表现出更大的减少风险因素和症状比表达性写作和评估只参与者从前测试到后测试。虽然这些影响在6个月和12个月的随访中逐渐消失,但不和谐和健康体重的参与者在12个月的随访中显示出明显较低的暴饮暴食和肥胖发病率,并减少了服务利用率,这表明这两种干预措施都具有公共卫生潜力。
In this trial, adolescent girls with body dissatisfaction (N = 481, M age = 17 years) were randomized to an eating disorder prevention program involving dissonance-inducing activities that reduce thin-ideal internalization, a prevention program promoting healthy weight management, an expressive writing control condition, or an assessment-only control condition. Dissonance participants showed significantly greater reductions in eating disorder risk factors and bulimic symptoms than healthy weight, expressive writing, and assessment-only participants, and healthy weight participants showed significantly greater reductions in risk factors and symptoms than expressive writing and assessment-only participants from pretest to posttest. Although these effects faded over 6-month and 12-month follow-ups, dissonance and healthy weight participants showed significantly lower binge eating and obesity onset and reduced service utilization through 12-month follow-up, suggesting that both interventions have public health potential.