A randomized controlled trial of The Body Project: More Than Muscles for men with body dissatisfaction

被引:70
作者
Brown, Tiffany A. [1 ]
Forney, K. Jean [2 ]
Pinner, Dennis [3 ]
Keel, Pamela K. [2 ]
机构
[1] Univ Calif San Diego, Dept Psychiat, 4510 Execut Dr Suite 315, San Diego, CA 92121 USA
[2] Florida State Univ, Dept Psychol, Tallahassee, FL 32306 USA
[3] Univ Iowa, Dept Psychol & Quantitat Fdn, Iowa City, IA USA
关键词
body dissatisfaction; dissonance; eating disorder; intervention; men; muscle dysmorphia; peer-led; EATING-DISORDER PREVENTION; DUAL-PATHWAY MODEL; COGNITIVE-DISSONANCE; TESTING MEDIATORS; ADOLESCENT BOYS; MUSCULARITY; DYSMORPHIA; PROGRAM; FEMALE; DRIVE;
D O I
10.1002/eat.22724
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
ObjectivePressures for men to conform to a lean, muscular ideal have, in part, contributed to eating disorder and muscle dysmorphia symptoms, yet few programs have been developed and empirically evaluated to help men. This study investigated the acceptability and efficacy of a cognitive dissonance-based (DB) intervention in reducing eating disorder and muscle dysmorphia risk factors in men with body dissatisfaction. MethodMen were randomized to a two-session DB intervention (n = 52) or a waitlist control condition (n = 60). Participants completed validated measures assessing eating disorder risk factors preintervention, postintervention, and at 1-month follow-up. ResultsProgram ratings indicated high acceptability. The DB condition demonstrated greater decreases in body-ideal internalization, dietary restraint, bulimic symptoms, drive for muscularity, and muscle dysmorphia symptoms compared with controls (p values <.02; between-condition Cohen's d = .30-1.11) from pre- to postintervention. At one-month follow-up, the DB condition demonstrated significantly lower scores for all variables (p values <.03; between-condition d=.29-1.16). Body-ideal internalization mediated intervention outcomes on bulimic and muscle dysmorphia symptoms. DiscussionResults support the acceptability and efficacy of The Body Project: More Than Muscles up to 1-month postintervention and should be examined against active control conditions.
引用
收藏
页码:873 / 883
页数:11
相关论文
共 58 条
  • [1] Effectiveness of peer-led eating disorders prevention: A replication trial
    Becker, Carolyn Black
    Bull, Stephanie
    Schaumberg, Katherine
    Cauble, Adele
    Franco, Amanda
    [J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2008, 76 (02) : 347 - 354
  • [2] Peer-facilitated eating disorder prevention: A randomized effectiveness trial of cognitive dissonance and media advocacy
    Becker, Carolyn Black
    Smith, Lisa M.
    Ciao, Anna C.
    [J]. JOURNAL OF COUNSELING PSYCHOLOGY, 2006, 53 (04) : 550 - 555
  • [3] Peer-facilitated cognitive dissonance versus healthy weight eating disorders prevention: A randomized comparison
    Becker, Carolyn Black
    Wilson, Chantale
    Williams, Allison
    Kelly, Mackenzie
    McDaniel, Leda
    Elmquist, Joanna
    [J]. BODY IMAGE, 2010, 7 (04) : 280 - 288
  • [4] Reducing eating disorder risk factors in sorority members: A randomized trial
    Becker, CB
    Smith, LM
    Ciao, AC
    [J]. BEHAVIOR THERAPY, 2005, 36 (03) : 245 - 253
  • [5] Bramon-Bosch E, 2000, EUR EAT DISORD REV, V8, P321, DOI 10.1002/1099-0968(200008)8:4<321::AID-ERV355>3.0.CO
  • [6] 2-G
  • [7] A randomized controlled trial of a peer co-led dissonance-based eating disorder prevention program for gay men
    Brown, Tiffany A.
    Keel, Pamela K.
    [J]. BEHAVIOUR RESEARCH AND THERAPY, 2015, 74 : 1 - 10
  • [8] Pursuit of the muscular ideal: Physical and psychological consequences and putative risk factors
    Cafri, G
    Thompson, JK
    Ricciardelli, L
    McCabe, M
    Smolak, L
    Yesalis, C
    [J]. CLINICAL PSYCHOLOGY REVIEW, 2005, 25 (02) : 215 - 239
  • [9] FAIRBURN CG, 1994, INT J EAT DISORDER, V16, P363
  • [10] COGNITIVE CONSEQUENCES OF FORCED COMPLIANCE
    FESTINGER, L
    CARLSMITH, JM
    [J]. JOURNAL OF ABNORMAL AND SOCIAL PSYCHOLOGY, 1959, 58 (02): : 203 - 210