Eating disturbances among adolescent girls: Evaluation of a school-based primary prevention program

Neumark‐Sztainer, Dianne; Butler, Robert A.; Palti, Hava

doi:10.1016/s0022-3182(12)80262-7

Cited by 131 publications

(109 citation statements)

References 21 publications

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“…Research conducted in Israel shows results similar to those obtained in Western cultures. 5,6 Since 1970, standards related to body ideals in the Western world have changed: the ''full,'' ''round'' body image was replaced by the extremely skinny ideal body figure. Diets became more and more common and popular, especially among the uppermiddle class.…”

Section: Introductionmentioning

confidence: 99%

Cultural correlates of eating attitudes: A comparison between native‐born and immigrant university students in Israel

Greenberg

Cwikel

Mirsky

2006

Intl J Eating Disorders

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Objective: This study explores the association between gender and exposure to Western culture and attitudes toward eating.Method: Four hundred and ninety-nine university students participated in the study: 216 Israeli natives, 153 new immigrants (3 years or less since immigration) from the Former Soviet Union (FSU), and 130 veteran immigrants from FSU (4-15 years since immigration). Attitudes toward eating were measured using the Eating Attitude Test -EAT-26.Results: Israeli born women had higher weight and body mass index (BMI) than did new immigrant women. Higher scores on the EAT-26 were found among women than among men. Among women only, native-born Israelis and veteran immigrants were more likely to have positive EAT-26 scores (19.6%, 18.8%) than were new immigrant women (7.9%), indicating disordered eating attitudes. Part of the differences in EAT-26 scores was explained by differences between the groups on age and BMI; however, even after adjustment the differences remained significant on the bulimia subscale. Conclusion:The results suggest a rapid cultural effect in attitudes toward eating that may reflect a tendency toward eating disorders as well as a difference in the proportion of obesity. It seems that the veteran immigrants have adopted Western cultural norms and eating patterns in a way that has erased the differences in tendency toward eating disorders between them and the Israeli born women. V V C 2006 by Wiley Periodicals, Inc.

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Section: Introductionmentioning

confidence: 99%

Cultural correlates of eating attitudes: A comparison between native‐born and immigrant university students in Israel

Greenberg

Cwikel

Mirsky

2006

Intl J Eating Disorders

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“…Multisession programs were more effective than single-session programs, 140 and there has even been some concern that single-session programs may be counterproductive. [141][142][143][144][145][146] An important question currently being asked is whether we can work simultaneously toward the prevention of eating disorders and obesity. 15 Reimbursement issues continue to limit the access of many patients with eating disorders to appropriate services.…”

Section: Pediatricians' Role In Prevention and Advocacymentioning

confidence: 99%

Identification and Management of Eating Disorders in Children and Adolescents

Rosen¹

2010

Pediatrics

299

171

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The incidence and prevalence of eating disorders in children and adolescents has increased significantly in recent decades, making it essential for pediatricians to consider these disorders in appropriate clinical settings, to evaluate patients suspected of having these disorders, and to manage (or refer) patients in whom eating disorders are diagnosed. This clinical report includes a discussion of diagnostic criteria and outlines the initial evaluation of the patient with disordered eating. Medical complications of eating disorders may affect any organ system, and careful monitoring for these complications is required. The range of treatment options, including pharmacotherapy, is described in this report. Pediatricians are encouraged to advocate for legislation and policies that ensure appropriate services for patients with eating disorders, including medical care, nutritional intervention, mental health treatment, and care coordination.

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“…Theoretically, people who make public commitments to change behaviors are more likely to enact these changes because the increased accountability and a desire to be consistent in their actions. In a previous prevention program ( Neumark-Sztainer et al, 1995), role-play exercises involving strategic self-presentation (refusing pressure to be thin) were used and found to be effective in reducing eating disorder symptoms.…”

Section: Final Summarymentioning

confidence: 99%

“…For instance, these programs included a component that aimed to facilitate knowledge of and resistance to negative media images about eating and body image and a component to develop coping skills to resist sociocultural pressures for thinness and dieting. Neumark-Sztainer et al (1995) involved school teachers in an adolescent-focused prevention program, providing them with specific training in eating disorder prevention.…”

Section: Historymentioning

confidence: 99%

“…Although the first intervention programs had good intentions, they were not entirely effective in reducing eating pathology (Stice & Shaw, 2004). The second phase of eating disorder prevention programs were didactic in 3 format too but also provided information on resisting sociocultural pressures of thinness and offered suggestions for healthy weight-control methods (Neumark-Sztainer, Butler, & Palti, 1995). These programs were developed under the premise that sociocultural pressures were extremely important in the development of eating disorders and that extreme dieting and compensatory behaviors emerged as a result of trying to meet "appropriate" cultural standards of weight.…”

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confidence: 99%

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Reducing the Risk of Disordered Eating Among Female College Students: A Test of Alternative Interventions

Machin¹,

Leigh²

2009

PsycEXTRA Dataset

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The purpose of this study was to test the effectiveness of a cognitive-dissonance based intervention in reducing disordered eating attitudes and behaviors. The intervention program created dissonance through discussion, exercises, and homework aimed at addressing and countering internalized sociocultural pressures, beliefs and values about women's bodies, attractiveness, and worth in the U.S. Seventy-seven female undergraduates were randomly assigned to one of four conditions: cognitive-dissonance, combined cognitive-dissonance, healthy weight placebo control, and wait-list control To determine effectiveness of the intervention, MANCOVA procedures were used, with Time 1 scores serving as the covariate. Overall, the women who received the dissonance based interventions produced the strongest effects among measures assessing sociocultural pressures, internalization, and body dissatisfaction in comparison to the control group, and experienced significant reductions in dieting behaviors and bulimic symptoms over the course of the study, suggesting that the creation of dissonance via the intervention assisted the women in reducing eating disorder risk factors. Tebbe for all their efforts and enthusiasm in the initial development of these programs.On a personal note, I would like to thank Kelsey Latimer for her unconditional support throughout this program and for making studying for tests seem like a lot of fun! I would like to thank all my family members (Momm, Dadd, Elissa, Michael, Tom, Sarah, Gramma, Gloria, Horacio, Florencia, and Alejandro) for always caring and listening to me when I had a lot to say. Finally, I would like to thank Sebastian Machin for his generosity, support, and love…we did it.iii (Mussell, Binford, & Fulkerson, 2000). Even so, most researchers acknowledge the central role that sociocultural factors play in their development (Striegel-Moore & Bulik, 2007). The pursuit and internalization of societal ideals of thinness (the "thin ideal") may be attributable in part to repeated exposure to messages, communicated by family, friends, and the media, that glamorize and glorify excessive thinness (Irving, 1990;Stice, Schupak-Neuberg, Shaw, & Stein, 1994). Women may become dissatisfied with their bodies as they compare themselves to these unrealistic and unattainable societal body ideals (Brownell, 1991), and then react to this dissatisfaction in one (or both) of two specific ways. For some women, because physical appearance strongly influences their self-evaluation and emotional state, body dissatisfaction can lead to feelings of sadness, guilt, shame, depression, anxiety, and hostility. To cope with and distract themselves from these negative emotions, these women may binge eat; that is, eating becomes a salve for their affective distress (Stice, 2001). Other women may react to their body dissatisfaction by increasing their efforts to diet in an attempt to alter physical size to more closely approximate the societal thin-ideal. Because of the extensive caloric restriction and the inability to mai...

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Eating disturbances among adolescent girls: Evaluation of a school-based primary prevention program

Cited by 131 publications

References 21 publications

Cultural correlates of eating attitudes: A comparison between native‐born and immigrant university students in Israel

Cultural correlates of eating attitudes: A comparison between native‐born and immigrant university students in Israel

Identification and Management of Eating Disorders in Children and Adolescents

Reducing the Risk of Disordered Eating Among Female College Students: A Test of Alternative Interventions

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