An Evaluation of a Prevention Program for Disordered Eating in Adolescent Girls: Examining Responses of High- and Low-Risk Girls

Weiss, Karen; Wertheim, Eleanor H.

doi:10.1080/10640260590918946

Cited by 24 publications

(15 citation statements)

References 22 publications

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“…Rather they can experience significant improvements in a universal setting, avoiding problems of: stigmatization (Franko, 2001); impracticalities of having some students miss regular lesson time (Wilksch & Wade, 2009b); and, the difficulties associated with accurate identification of all high-risk students given how prevalent disturbed eating attitudes and behaviours are in adolescent populations. More broadly, these findings reinforce our previous conclusions of the program having a long-term benefit (Wilksch & Wade, 2009a) and are more promising than other studies where benefits have not been maintained over much shorter follow-up periods (Weiss & Wertheim, 2005) or where very limited benefits have been found (Stewart, Carter, Drinkwater, Hainsworth, & Fairburn, 2001). …”

Section: Discussionsupporting

confidence: 88%

Depression as a moderator of benefit from Media Smart: A school-based eating disorder prevention program

Wilksch

Wade

2014

Behaviour Research and Therapy

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Highlights To date there have been no examinations of moderators of outcome in universal eating disorder prevention trials  This study investigated if depression moderated outcome of Media Smart, a school-based program previously found to reduce risk factors over a 2.5-year follow-up  Baseline depression moderated program outcome for shape and weight concern, media internalization, body dissatisfaction, ineffectiveness and perceived pressure. Participants with high depression experienced significant immediate benefit from Media Smart at postporgram, while those with low depression experienced a prevention effect over the 2.5-year follow-up. The goal of universal eating disorder prevention programs should be to halt risk factor growth over time and Media Smart did this for the important variable of shape and weight concern. *Highlights (for review)Depression as a moderator 2 Abstract Objective: To investigate if baseline depression moderated response to Media Smart, an 8-lesson school-based program previously found to achieve a long-term risk reduction effect in young adolescents. Method: 540 Grade 8 students (M age = 13.62 years, SD = .37) from 4 schools participated with 11 classes receiving the Media Smart program (126 girls; 107 boys) and 13 comparison classes receiving their normal lessons (147 girls; 160 boys). Shape and weight concern, media internalization, body dissatisfaction, dieting, ineffectiveness, and perceived pressure were the outcome variables. Results: Moderation was indicated by significant interaction effects for group (Media Smart; Control) X moderator (high depression; low depression) X time (post-program; 6-month follow-up; 2.5-year follow-up), with baseline entered as a covariate. Such effects were found for shape and weight concern, media internalization, body dissatisfaction, ineffectiveness and perceived pressure. Posthoc testing found high depression Media Smart participants scored significantly lower than their control counterparts at post-program on shape and weight concern, media internalization and dieting, whereas low depression Media Smart participants scored significantly lower on shape and weight concern at 2.5-year followup. Discussion: Media Smart achieved a reduction in eating disorder risk factors for high-depression participants and a reduced rate of growth in risk factor scores for low-depression participants.

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Section: Discussionsupporting

confidence: 88%

Depression as a moderator of benefit from Media Smart: A school-based eating disorder prevention program

Wilksch

Wade

2014

Behaviour Research and Therapy

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“…10,43,[63][64][65][66] Similarly, while some studies have found that an intervention for adolescents had a positive impact on body image, 38,39,64,66 some have failed to find this effect at follow-up, 42,43,67 while others have found no effect. 40,41,44,45,62,65,66,[68][69][70] Also, while some research has found an improvement in eating disorder symptoms, [37][38][39]62,65,71 a number of studies have not. 69,72,73 Furthermore, while an effect on self-esteem has been found, 67 this is unusual.…”

Section: Discussionmentioning

confidence: 95%

An evaluation of a body image intervention based on risk factors for body dissatisfaction: A controlled study with adolescent girls

Richardson

Paxton

2009

Intl J Eating Disorders

113

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“…In fact, only selected interventions prevented future increases in EP observed in control groups, suggesting that the effects did not just result from an initial decrease in eating disturbances. Several universal prevention programs were also more effective for subgroups of high-risk participants than for the full sample [21], [22], [23], [24], [25]. Three studies not included in the meta-analysis, however, found that a dissonance-based program produced similar results for low and high-risk sub-groups [26], [27], [28].…”

Section: Features Of Successful Ed Prevention Programsmentioning

confidence: 99%

Preventing Eating Disorders

Shaw

Stice

Becker

2009

Child and Adolescent Psychiatric Clinics of North America

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This paper reviews eating disorder (ED) prevention programs, highlighting features that define successful programs and particularly promising interventions, and how they might be further refined. The field of ED prevention has advanced considerably both theoretically and methodologically, as the early ED prevention programs were largely psychoeducational and met with limited success. Recent meta-analytic findings show that over half (51%) of ED prevention interventions reduced ED risk factors and over a quarter (29%) reduced current or future eating pathology (EP). A couple of very brief programs have been shown to reduce risk for future onset of EP, and obesity onset. Selected, interactive, multi-session programs offered to participants over 15 years of age, delivered by professional interventionists and including body acceptance or dissonance-induction content produced larger effects. Understanding and applying these results can help inform the design of more effective prevention programs in the future.

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An Evaluation of a Prevention Program for Disordered Eating in Adolescent Girls: Examining Responses of High- and Low-Risk Girls

Cited by 24 publications

References 22 publications

Depression as a moderator of benefit from Media Smart: A school-based eating disorder prevention program

Depression as a moderator of benefit from Media Smart: A school-based eating disorder prevention program

An evaluation of a body image intervention based on risk factors for body dissatisfaction: A controlled study with adolescent girls

Preventing Eating Disorders

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