{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T09:22:50Z","timestamp":1768900970441,"version":"3.49.0"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,23]],"date-time":"2018-12-23T00:00:00Z","timestamp":1545523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1047192"],"award-info":[{"award-number":["1047192"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Eating disorders are known to have high comorbidity, and the current report outlines the impact of an online eating disorder risk reduction program on brief, self\u2010report measures of depressive symptoms, alcohol and other drug use, and suicidality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>An online pragmatic, randomized\u2010controlled trial was conducted with <jats:italic>N<\/jats:italic> =\u2009316 young\u2010women (<jats:italic>M<\/jats:italic> age\u2009=\u200920.80\u2009years) across Australia and New Zealand. <jats:italic>Media Smart\u2010Targeted (MS\u2010T)<\/jats:italic> was a 9\u2010module program released weekly while control participants received positive body image tips. Prevention effects (asymptomatic at baseline) and treatment effects (symptomatic at baseline) were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:italic>MS\u2010T<\/jats:italic> participants were 94% and 91% less likely than controls to develop Moderate or higher depressive symptoms at 6\u2010month (<jats:italic>MS\u2010T<\/jats:italic> = 3.3%; controls\u2009=\u200935.4%) and 12\u2010month follow\u2010up (<jats:italic>MS\u2010T<\/jats:italic> = 3.4%; controls\u2009=\u200929.4%), respectively. <jats:italic>MS\u2010T<\/jats:italic> participants did not commence using recreational drugs at any assessment point, compared to 18.2% of controls at a least one assessment point. Regarding treatment effects, <jats:italic>MS\u2010T<\/jats:italic> participants were 84% more likely to no longer be using recreational drugs at 12\u2010month follow\u2010up (<jats:italic>MS\u2010T<\/jats:italic> =\u200960%; controls\u2009=\u200921.1%). Mutitvariate logistic regressions revealed group, depressive symptoms and alcohol use to be significant predictors of elevated suicide risk, where being an <jats:italic>MS\u2010T<\/jats:italic> participant, without depressive symptoms and not drinking alcohol, significantly lowered likelihood of developing elevated suicide risk. Disordered eating at post\u2010program mediated the relationship between group and depressive symptoms across post\u2010program to 12\u2010mnoth follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p><jats:italic>MS\u2010T<\/jats:italic> shows promise as a program with important mental health benefits in addition to previous reports of lowered eating disorder diagnosis, risk and impairment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23005","type":"journal-article","created":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T06:52:57Z","timestamp":1545634377000},"page":"132-141","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Depressive symptoms, alcohol and other drug use, and suicide risk: Prevention and treatment effects from a two\u2010country online eating disorder risk reduction trial"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2041-7503","authenticated-orcid":false,"given":"Simon M.","family":"Wilksch","sequence":"first","affiliation":[{"name":"School of Psychology, Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"O'Shea","sequence":"additional","affiliation":[{"name":"School of Psychology, Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4402-770X","authenticated-orcid":false,"given":"Tracey D.","family":"Wade","sequence":"additional","affiliation":[{"name":"School of Psychology, Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-14-340"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-440X(99)90076-7"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272431601021003002"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/02673843.2016.1227716"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.2.176"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.05.010"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.084129"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1993.tb03481.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717001349"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-9544.2010.00003.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2012.01.001"},{"key":"e_1_2_8_15_1","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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