Prevention of eating disorders: Challenges and opportunities

Pearson, Jane L.; Goldklang, Dorothy S.; Striegel‐Moore, Ruth H.

doi:10.1002/eat.10014

Cited by 65 publications

(36 citation statements)

References 28 publications

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“…The results of the current study indicate that a combination of individual and family characteristics measured at ages 5 and 7 can predict the emergence of dieting in girls at age 9, providing support for the recent arguments for a multifactorial and multivariate approach within eating disorders research (Pearson, Goldkang, & Striegel-Moore, 2002;Stice, 2002). These findings indicate that in addition to weight status, variables traditionally related to the onset or diagnosis of adolescent eating disorders also impact the emergence of early dieting, suggesting that such variables related to eating pathology exert an early developmental influence on the risk for later eating problems before the actual onset of eating pathology.…”

Section: Resultssupporting

confidence: 76%

“…Recent reviews highlight the need for improved eating disorder prevention programs (Pearson et al, 2002) and the current findings suggest that girls with elevated weight status during middle childhood should be targeted for such prevention efforts. A recent American Academy of Pediatrics (AAP) policy statement (Krebs et al, 2003) addresses the importance of monitoring children's BMI and for early identification of children who are overweight or at risk for overweight.…”

Section: Implications For Intervention Programsmentioning

confidence: 96%

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Weight status and psychosocial factors predict the emergence of dieting in preadolescent girls

Sinton

Birch

2005

Int. J. Eat. Disord.

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Objective-The current study tested a longitudinal model predicting the emergence of dieting in girls (n = 183) at age 9 years using data from the same girls measured at ages 5 and 7.Method-Variables related to the girls' weight status, psychological health, body satisfaction, maternal child feeding practices, and family environment are included in a hierarchical regression model predicting the emergence of dieting in girls. Interactions of girls' weight status with other variables in the model are also included in the last step.Results-Results indicate that the model accounts for 45% of the variance in the outcome scores and that variables across constructs have significant contributions to the model. Results also show that girls' weight status, both independently and as an interaction term, accounts for a large proportion of variance in this model. Conclusion-Weight status at age 5 years is a critical factor related to the emergence of dieting in young girls.

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Section: Resultssupporting

confidence: 76%

Section: Implications For Intervention Programsmentioning

confidence: 96%

Weight status and psychosocial factors predict the emergence of dieting in preadolescent girls

Sinton

Birch

2005

Int. J. Eat. Disord.

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“…This paper reviews eating disorder (ED) prevention programs that have been evaluated in controlled trials. In particular, we identify the sample, intervention, and design features that produced larger intervention effects, review programs that appear particularly promising, and offer suggestions for future prevention efforts.Early ED prevention programs produced limited effects [5]. In an attempt to improve outcomes, researchers now target well-established risk factors underlying EP, an approach that has proven…”

mentioning

confidence: 99%

Preventing Eating Disorders

Piran¹,

Levine²,

Steiner-Adair³

2013

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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. Keywords eating disorders; prevention; meta-analysisEating pathology (EP) is characterized by chronicity and relapse, results in impaired psychosocial functioning, and is related to elevated risk for suicide [1], [2]. EP also increases the risk for future depressive disorders, anxiety disorders, substance abuse, health problems, and obesity [3], [4]. Moreover, EP remains challenging to treat and the effects have been limited [1], [2]. As a result, considerable efforts have been devoted to developing effective prevention programs. This paper reviews eating disorder (ED) prevention programs that have been evaluated in controlled trials. In particular, we identify the sample, intervention, and design features that produced larger intervention effects, review programs that appear particularly promising, and offer suggestions for future prevention efforts.Early ED prevention programs produced limited effects [5]. In an attempt to improve outcomes, researchers now target well-established risk factors underlying EP, an approach that has proven

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“…Indeed the early history of ED prevention was marked by failure to improve attitudes and behaviors (Pearson, Goldklang, & Striegel-Moore, 2002). Researchers, however, recently have made marked progress in developing more effective ED prevention programs.…”

mentioning

confidence: 99%