caa a22 4500 606153713 CHVBK 20210128100555.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s11121-014-0520-0 doi (NATIONALLICENCE)springer-10.1007/s11121-014-0520-0 An Examination of Participants Who Develop an Eating Disorder Despite Completing an Eating Disorder Prevention Program: Implications for Improving the Yield of Prevention Efforts [Elektronische Daten] [Audra Horney, Eric Stice, Paul Rohde] Numerous trials provide support for the Body Project, an eating disorder prevention program wherein young women with body image concerns critique the thin ideal. Despite medium to large effects, some participants subsequently develop an eating disorder, suggesting that intervention or recruitment procedures could be improved. This study investigated baseline and acute intervention predictors of DSM-5 eating disorder development during a 3-year follow-up among Body Project participants. Combined data from two trials compare participants who experienced eating disorder onset during follow-up (n = 20) to those who did not (n = 216). Participants who did versus did not develop an eating disorder started the intervention with higher eating disorder symptoms (η 2 = 0.08), negative affect (η 2 = 0.06), thin-ideal internalization (η 2 = 0.02), and body dissatisfaction (η 2 = 0.02); the same baseline predictors of eating disorder onset emerged in controls. Attenuated pre-post reductions in eating disorder symptoms (η 2 = 0.01) predicted eating disorder onset but not after controlling for baseline levels. Given that Body Project and control participants who later developed an eating disorder started with initial elevations in risk factors and eating disorder symptoms, it might be useful to develop a more intensive variant of this program for those exhibiting greater risk at baseline and to deliver the prevention program earlier to prevent initial escalation of risk. The fact that nonresponders also showed greater negative affect and eating disorder symptoms suggests that it might be useful to add activities to improve affect and increase dissonance about disordered eating. Society for Prevention Research, 2014 Prevention nationallicence Eating disorder nationallicence Cognitive dissonance nationallicence Prediction nationallicence Response nationallicence Horney Audra University of Oregon, 97403, Eugene, OR, USA aut Stice Eric Oregon Research Institute, Eugene, OR, USA aut Rohde Paul Oregon Research Institute, Eugene, OR, USA aut Prevention Science Springer US; http://www.springer-ny.com 16/4(2015-05-01), 518-526 1389-4986 16:4<518 2015 16 11121 https://doi.org/10.1007/s11121-014-0520-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-014-0520-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Horney Audra University of Oregon, 97403, Eugene, OR, USA aut NATIONALLICENCE 700 1- Stice Eric Oregon Research Institute, Eugene, OR, USA aut NATIONALLICENCE 700 1- Rohde Paul Oregon Research Institute, Eugene, OR, USA aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/4(2015-05-01), 518-526 1389-4986 16:4<518 2015 16 11121