Evidence map›Paper›PMID 30570303›Full record

Trial reportJournal of consulting and clinical psychology2019

Randomized trial of a dissonance-based group treatment for eating disorders versus a supportive mindfulness group treatment.

Eric Stice, Paul Rohde, Heather Shaw, Jeff M Gau

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  13. A framework for conceptualising early intervention for eating disorders.European eating disorders review : the journal of the Eating Disorders Association · 2023
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eric SticeOregon Research Institute.
Paul RohdeOregon Research Institute.
Heather ShawOregon Research Institute.
Jeff M GauOregon Research Institute.

Funding

Target Engagment of a Novel Dissonance-Based Treatment for DSM-5 Eating Disorders.R33MH111782 · NIMH · STANFORD UNIVERSITY · PI STICE, ERIC M · 2019 to 2023
$2.4M
Target Engagment of a Novel Dissonance-Based Treatment for DSM-5 Eating Disorders.R61MH111782 · NIMH · OREGON RESEARCH INSTITUTE · PI STICE, ERIC M · 2017 to 2018
$1.3M
NIH HHSNIMH NIH HHS R33 MH111782NIMH NIH HHS R61 MH111782
6 · The paper itself

Abstract

objectiveThis report evaluates a dissonance-based group eating disorder treatment designed to be a cost-effective front-line transdiagnostic treatment that could be more widely implemented than extant treatments that are more intensive and expensive relative to a supportive mindfulness group treatment typical of that offered at colleges.

methodYoung women with eating disorders (N = 84) were randomized to 8-week dissonance-based Body Project treatment (BPT) or supportive mindfulness treatment, completing diagnostic interviews and questionnaires at pretest, posttest, and 6-month follow up.

resultsRegarding primary outcomes, by 6-month follow up 77% of BPT participants no longer met diagnosis for an eating disorder versus 60% of supportive mindfulness participants (relative risk ratio = 2.22; 95% CI [1.01, 4.93]), though groups did not differ on eating disorder symptom change. Regarding secondary outcomes, BPT versus supportive mindfulness participants showed significantly lower dissonance about affirming the thin ideal at posttest and 6-month follow up (d = .38 and .32), body dissatisfaction at posttest and 6-month follow up (d = .62 and .62), negative affect at posttest and 6-month follow up (d = .49 and .48), and functional impairment (d = .36) at 6-month follow up; differences in thin-ideal internalization and abstinence from binge eating and compensatory behaviors were not significant.

conclusionsWhereas both treatments appeared effective, BPT produced larger effects and significantly greater remission of eating disorder diagnoses than a credible alternative treatment, which is very rare for trials that have compared active eating disorder treatments. Results suggest it would be useful to refine BPT and conduct target engagement research and efficacy trials. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Indexed as

Cognitive DissonanceMindfulnessSocial SupportAdolescentAdultBody ImageFeeding and Eating DisordersFemaleHumansPsychotherapy, GroupTreatment OutcomeYoung Adult

Identifiers

PMID30570303
PMCPMC6309312

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.