{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:40:30Z","timestamp":1786977630545,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2008,6,4]],"date-time":"2008-06-04T00:00:00Z","timestamp":1212537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate general and program\u2010specific factors hypothesized to moderate the effects of two eating disorder prevention programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      High\u2010risk adolescent girls (\n                      <jats:italic>N<\/jats:italic>\n                      = 481;\n                      <jats:italic>M<\/jats:italic>\n                      age = 17) were randomized to a dissonance\u2010based thin\u2010ideal internalization reduction program, a healthy weight management program, an expressive\u2010writing control condition, or an assessment\u2010only control condition. Participants completed diagnostic interviews and surveys at pretest, post\u2010test, 6\u2010month follow\u2010up, and 12\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Dissonance program effects on bulimic symptoms were stronger for participants with initial elevations in body image distress, bulimic symptoms, and thin\u2010ideal internalization. Healthy weight program effects on bulimic symptoms were stronger for adolescents with initial elevations in body image distress, bulimic symptoms, readiness to change, body mass, and emotional eating.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Overall, intervention effects tended to be amplified for high\u2010risk versus low\u2010risk adolescents. However, certain moderator effects appeared to be specific to the two different prevention programs. \u00a9 2008 by Wiley Periodicals, Inc. 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