A preliminary trial of an online dissonance-based eating disorder intervention

Green, M. A.; Kroska, Amy; Herrick, A.; Bryant, Beverly; Sage, E.; Miles, L.; Ravet, M.; Powers, Mark B.; Whitegoat, Wynette; Linkhart, R.; King, Brittany R.

doi:10.1016/j.eatbeh.2018.08.007

Cited by 16 publications

(19 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Taken together, this study was performed in adults with AN, BN, BED, or OSFED and applied an Internet-based approach in a wait list design. This study did not show differences in outcomes between intervention and control group (44). This study fulfilled 6 of 9 quality criteria (quality score: 2).…”

Section: E-health Interventions Without Therapist Supportmentioning

confidence: 72%

“…Some studies investigated e-health interventions as an alternative to conventional types of ED treatment (38)(39)(40)(41)(42)(43), while others combined an e-health intervention with an ongoing face-to-face treatment (45)(46)(47)(48)(49). There were also studies that compared e-health interventions using a wait list design (39,42,44).…”

Section: Discussionmentioning

confidence: 99%

“…Green et al conducted a pilot randomized controlled trial to investigate the effects of an online expanded version of the Body Project program on ED symptoms (44). The Body project was originally an ED prevention program offering group sessions and homework assignments towards decreasing thin-ideal internalization; for the purposes of this study it was modified to include verbal, written, and behavioral exercises (8 modules and 15 activities) in an online format.…”

Section: E-health Interventions Without Therapist Supportmentioning

confidence: 99%

“…Contrary to the original hypothesis, neither ED symptoms, nor risk correlates such as maladaptive social comparison, negative affect, and trait anxiety were significantly different between the intervention and control group; the authors assumed that negative results might have been due to underpowered samples. There were no reports of acceptability (44).…”

Section: E-health Interventions Without Therapist Supportmentioning

confidence: 99%

See 3 more Smart Citations

Review of Randomized Controlled Trials Using e-Health Interventions for Patients With Eating Disorders

2020

View full text Add to dashboard Cite

Background: In a world of technological advancements, electronic devices and services seem to be a promising way to increase patients' engagement in treatment and to help manage their symptoms. Here, we identified and analyzed the current evidence of RCTs to evaluate the effectiveness and acceptability of e-health interventions in the eating disorder (ED) field. Methods: We screened an initial cluster of 581 papers. In the end, 12 RCTs in clinical ED cohorts were included. Results: Some studies were conceived as stand-alone interventions, while others were presented as add-ons to ED-specific treatments. Studies varied in the type of EDs under investigation and in the e-health intervention applied (with vs. without therapist support vs. blended interventions; smartphone-vs. web-based). Only four studies reported explicit acceptability measures. Out of those, two reported high acceptability, one reported low acceptability, and one reported no significant difference in acceptability between groups. Four studies reported higher effectiveness of the e-health intervention compared to the control condition, e.g., reduction in maladaptive eating behaviors. Regarding control groups, three used a wait list design and nine had another kind of intervention (e.g., faceto-face CBT, or treatment as usual) as control. Discussion: So far, the evidence for acceptability and effectiveness of e-health interventions in EDs is very limited. There is also a lack of studies in older patients, adolescents, men, sexual and ethnic minorities. Shame/stigma is discussed in the context of e-health interventions for EDs. It remains unclear how severity of EDs affects the effectiveness of e-health interventions, how patients can channel the knowledge they acquire from e-health interventions into their actual behaviors, and how such interventions can better fit the needs of the individual patient to increase acceptability and effectiveness.

show abstract

Section: E-health Interventions Without Therapist Supportmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: E-health Interventions Without Therapist Supportmentioning

confidence: 99%

Section: E-health Interventions Without Therapist Supportmentioning

confidence: 99%

See 2 more Smart Citations

Review of Randomized Controlled Trials Using e-Health Interventions for Patients With Eating Disorders

2020

View full text Add to dashboard Cite

show abstract

“…Based on cognitive dissonance theory, the Body Project was developed as an intervention to help people with faulty body images and eating disorders (Stice, Rohde & Shaw, 2013). Evaluation studies have shown this approach to have significant impact on eating disorders among women in a United States sample (Green et al, 2018) and body image satisfaction among men in the United Kingdom (Jankowski et al, 2017). Dissonance theory has spawned other therapeutic procedures including therapies to help with smoking cessation (Simmons, Heckman, Fink, Small & Brandon, 2013), exercise (Azdia, Girandella & Andraud, 2002), substance abuse (Steiker, Powell, Goldbach & Hopson, 2011) and depression (Tryon & Misurell, 2008).…”

Section: The Present and Future Of Cognitive Dissonance: From Theory mentioning

confidence: 99%

Cognitive Dissonance: Where We’ve Been and Where We’re Going

Cooper

2019

International Review of Social Psychology

View full text Add to dashboard Cite

Cognitive dissonance has been one of the most enduring and successful theories in the history of social psychology. This paper examines the origins of the theory and the controversies it engendered. I then examine the evolution of dissonance as it emerged from a theory focused solely on the inconsistency among cognitions to a more complex set of principles that accommodated the voluminous data that had been gathered throughout the ensuing decades. The paper considers what I refer to as the "Roadway to Dissonance"-an analysis of the process that leads from the perception of cognitions in the social environment to the unpleasant arousal state of dissonance and, further, how engaging in attitude, perceptual or behavioral change regulates that arousal. I then consider the transition of dissonance research from its focus on the individual to one that envisions the individual in the context of a social group. The social group perspective enables us to consider how people feel dissonance vicariously on behalf of their fellow group member. I conclude with an appeal for a two-pronged approach to dissonance in the coming decades in which we continue to make progress in the laboratory while simultaneously translating dissonance to help alleviate problems that are important in peoples lives.

show abstract