Peer-facilitated cognitive dissonance versus healthy weight eating disorders prevention: A randomized comparison.

Carolyn Black Becker, Chantale Wilson, Allison Williams, Mackenzie Kelly, Leda McDaniel, Joanna Elmquist

Journal: Body image 2011;7(4):280-8

PMID: 20638351

Abstract

Research supports the efficacy of both cognitive dissonance (CD) and healthy weight (HW) eating disorders prevention, and indicates that CD can be delivered by peer-facilitators, which facilitates dissemination. This study investigated if peer-facilitators can deliver HW when it is modified for their use and extended follow-up of peer-facilitated CD as compared to previous trials. Based on pilot data, we modified HW (MHW) to facilitate peer delivery, elaborate benefits of the healthy-ideal, and place greater emphasis on consuming nutrient dense foods. Female sorority members (N=106) were randomized to either two 2-h sessions of CD or MHW. Participants completed assessment pre- and post-intervention, and at 8-week, 8-month, and 14-month follow-up. Consistent with hypotheses, CD decreased negative affect, thin-ideal internalization, and bulimic pathology to a greater degree post-intervention. Both CD and MHW reduced negative affect, internalization, body dissatisfaction, dietary restraint, and bulimic pathology at 14 months.

Copyright © 2010 Elsevier Ltd. All rights reserved.

Address: Department of Psychology, Trinity University, San Antonio, TX 78212, United States. [email protected]

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