Long-term effectiveness of a school-based primary prevention program for anorexia nervosa: A 7-to 8-year follow-up

Adametz, Luise; Richter, Felicitas; Strauß, Bernhard; Walther, Mario; Wick, Katharina; Berger, Uwe

doi:10.1016/j.eatbeh.2016.05.004

Cited by 17 publications

(12 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A long-term effectiveness study of a school-based primary prevention program for AN in Germany found an effect on body self-esteem but not on disordered eating . However, that study exhibited implementation difficulties, including problems with maintaining the sample size[ 37 ]. Primary prevention in smaller populations with a high risk of an ED seems to exert some effects.…”

Section: Primary Preventionmentioning

confidence: 99%

Anorexia nervosa: Outpatient treatment and medical management

Frostad¹,

Bentz²

2022

WJP

View full text Add to dashboard Cite

Anorexia nervosa (AN) is a disabling, costly and potentially deadly illness. Treatment failure and relapse are common after completing treatment, and a substantial proportion of patients develop severe and enduring AN. The time from AN debut to the treatment initiation is normally unreasonably long. Over the past 20 years there has been empirical support for the efficacy of several treatments for AN. Moreover, outpatient treatment with family-based therapy or individual psychotherapy is associated with good outcomes for a substantial proportion of patients. Early intervention improves outcomes and should be a priority for all patients. Outpatient treatment is usually the best format for early intervention, and it has been demonstrated that even patients with severe or extreme AN can be treated as outpatients if they are medically stable. Inpatient care is more disruptive, more costly, and usually has a longer waiting list than does outpatient care. The decision as to whether to proceed with outpatient treatment or to transfer the patient for inpatient therapy may be difficult. The core aim of this opinion review is to provide the knowledge base needed for performing safe outpatient treatment of AN. The scientific essentials for outpatient treatment are described, including how to assess and manage the medical risks of AN and how to decide when transition to inpatient care is indicated. The following aspects are discussed: early intervention, outpatient treatment of AN, including outpatient psychotherapy for severe and extreme AN, how to determine when outpatient treatment is safe, and when transfer to inpatient healthcare is indicated. Emerging treatments, ethical issues and outstanding research questions are also addressed.

show abstract

Section: Primary Preventionmentioning

confidence: 99%

Anorexia nervosa: Outpatient treatment and medical management

Frostad¹,

Bentz²

2022

WJP

View full text Add to dashboard Cite

show abstract

“…Davon kamen 20 Programme aus Deutschland, ein Programm aus Österreich [22] und ein Programm aus der Schweiz [23]. Als primärpräventive Programme wurden identifiziert: Aufklärung und Prävention [24,25], Body Talk [26], Bauchgefühl [27], Essenslust und Körperfrust [28], every Body [29], Healthy Teens @ School [22], Jugend mit Biss [30], MaiStep (Mainzer Schultraining zur Essstörungsprävention [31]), POPS (Potsdamer Prävention an Schulen [32]), PriMa (Primärprävention von Magersucht) [33][34][35][36], Student Bodies [37][38][39][40] [60]; Weight Concern in EDE-Q, [57]; Shape Concern in EDE-Q [57]), Depressivität (k = 2) (Beck Depression Inventar (BDI), [61]), Schlankheitsstreben (k = 10) (Drive for Thineness in EDI-2, [58]; Drive for Thinness in EDE-Q, [57]), (Körper-) Selbstwert (k = 10) (Fragebogen zur Beurteilung des eigenen Körpers (FBeK), [62]; Rosenberg Self-Esteem Scale (RSES), [63]; Self-Description-Questionaire (SDQ-III-G), [64]; State-Self-Esteem-Scale (SSED), [65]) und Wissen (k = 9) (Selbstentwickelte Skala zur Erfassung des Wissens zu AN, [35], Wissenstest, [66]; Fragebogen zu gesunder Ernährung und Essstörungen, [67]). [33,35], Torera [41,42], Trainingsprogramm an Schulen [43], Student Bodies [38]).…”

Section: üBersicht Der Programmeunclassified

“…Das Primärpräventionsprogramm PriMa erwies sich effektiv in der Verbesserung des Körperselbstwerts in der Risikogruppe und der Gesamtstichprobe mit kleinen Effektstärken [33][34][35]. Auch 8 Jahre nach der Intervention wiesen die Programmteilnehmerinnen einen signifikant stabileren Körperselbstwert als die Kontrollprobandinnen auf [36]. Ebenfalls signifikante Effekte mit kleinen Effektstärken zeigten sich in der Evaluation des Programms Torera.…”

Section: (Körper-) Selbstwertunclassified

See 1 more Smart Citation

Deutschsprachige Präventionsprogramme für Essstörungen – Ein systematisches Review

Pickhardt

Adametz

Richter

et al. 2018

Psychother Psych Med

Self Cite

View full text Add to dashboard Cite

In the past years a considerable amount of primary and secondary prevention programs for eating disorders was developed in German speaking countries. However, up to now there has been no systematic review of contents and evaluation studies. The main objective of the present systematic review is to identify and outline German prevention programs for eating disorders. This should facilitate the selection of appropriate and effective interventions for medical experts, other professionals and teachers. A systematic literature research was conducted and 22 German-language primary and secondary prevention programs were identified. Half of them were evaluated. The programs were conducted either in school, on the internet or in a group setting. The findings show that throughout almost all programs a reduction in weight and shape concerns and drive for thinness as well as an increase of (body) self-esteem could be observed in either the total sample or the high-risk sample. However, programs were inconsistently effective in reducing disordered eating behavior in the target population. All studies were effective in reducing at least one risk factor. Overall, higher effect sizes were found for secondary prevention programs than for primary prevention programs. Lastly, limitations of the studies and suggestions for future prevention efforts are discussed.

show abstract

“…Im Bereich der Essstörungsprävention evaluierten Shaw und Stice [25] Vor der flächendeckenden Verbreitung und Implementation wurden die Programme auf ihre Effizienz und Effektivität bezüglich der Zielvariablen untersucht. Die Evaluationsstudien wurden in mehreren Fachartikeln publiziert [29][30][31][32][33].…”

Section: Implementationsforschung Mit Dem "Consolidated Framework Forunclassified

Implementation evidenzbasierter Präventionsprogramme für Essstörungen: PriMa und Torera im Schulalltag

Adametz

Richter

Mühleck

et al. 2017

Psychother Psych Med

Self Cite

View full text Add to dashboard Cite

According to the Society for Prevention Research, discussing implementation factors builds the last part of comprehensive program evaluations. We illustrate the barriers for the integration of evidence-based prevention programs in daily school life. It is important to implement new structures prior to the implementation of resource-intensive new prevention programs in order to increase the effectiveness of said programs and enable long-term implementation.

show abstract

Long-term effectiveness of a school-based primary prevention program for anorexia nervosa: A 7-to 8-year follow-up

Cited by 17 publications

References 47 publications

Anorexia nervosa: Outpatient treatment and medical management

Anorexia nervosa: Outpatient treatment and medical management

Deutschsprachige Präventionsprogramme für Essstörungen – Ein systematisches Review

Implementation evidenzbasierter Präventionsprogramme für Essstörungen: PriMa und Torera im Schulalltag

Contact Info

Product

Resources

About