Prevention of Eating Disorders in At-Risk College-Age Women

Taylor, C. Barr; Bryson, Susan W.; Luce, Kristine H.; Cunning, Darby; Doyle, Angela Celio; Abascal, Liana; Rockwell, Roxanne; Dev, Pavarti; Winzelberg, Andrew J.; Wilfley, Denise E.

doi:10.1001/archpsyc.63.8.881

Cited by 314 publications

(316 citation statements)

References 39 publications

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“…La anorexia nerviosa también ha experimentado un aumento entre las jóvenes en el último tiempo. La edad de inicio promedio para ambos cuadros se estima entre los 15-24 años, lo que coincide con el período de mayores exigencias académicas [17][18] .…”

Section: Introductionunclassified

Diagnóstico de la prevalencia de trastornos de la salud mental en estudiantes universitarios y los factores de riesgo emocionales asociados

et al. 2014

Rev. chil. neuro-psiquiatr.

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Section: Introductionunclassified

Diagnóstico de la prevalencia de trastornos de la salud mental en estudiantes universitarios y los factores de riesgo emocionales asociados

et al. 2014

Rev. chil. neuro-psiquiatr.

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“…Randomized controlled trials (RCTs) conducted by the original developers of the Body Project support its efficacy and effectiveness in reducing thin-ideal internalization, body dissatisfaction, dieting, negative affect, and ED symptoms, with many effects holding at 1-to 3-year follow-up (Stice, Butryn, Rohde, Shaw, & Marti, 2013;Stice, Chase, Stormer, & Appel, 2001;Stice, Trost, & Chase, 2003;Stice, Marti, Spoor, Presnell, & Shaw, 2008;Stice, Rohde, Butryn, Shaw, & Marti, 2015;Stice, Rohde, Gau, & Shaw, 2009;Stice, Shaw, Burton, & Wade, 2006). Importantly, the Body Project is one of only four interventions shown to reduce the onset of new ED cases (Martinsen et al, 2014;Stice et al, 2008;Taylor et al, 2006), indicating that it truly can prevent at least some EDs. For instance, the Body Project reduced onset of new ED cases by 60% in one trial versus assessment-only control (Stice et al, 2008).…”

Section: The Mission Of the Association For Behavioral Andmentioning

confidence: 99%

From Efficacy to Global Impact: Lessons Learned About What Not to Do in Translating Our Research to Reach

Becker

2017

Behavior Therapy

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Although members of the Association for Behavioral and Cognitive Therapies have made significant strides toward the collective goals outlined in our mission statement, we routinely acknowledge that our ability to develop empirically supported treatments exceeds our success in improving dissemination and implementation of said interventions. Further, as noted by Kazdin and Blase (2011), even if we succeeded in having every clinician worldwide administer our best treatments with excellent competency, we still would be unsuccessful in markedly impacting the worldwide burden of mental illness because most treatments require intensive labor by expensive providers. To this end, Kazdin and Blase and others call for increased use of alternative strategies. Examples include increased attention toward prevention; use of lower-cost, simplified interventions; task shifting; train-the-trainer models; community participatory research methodology; and identification of novel funding sources. The Body Project is an empirically supported, cognitive dissonance-based prevention intervention that targets body image, a well-established risk factor for eating disorders, negative affect, unhealthy weight control behaviors, smoking behavior, and decreased physical activity. Supported by a global village of researchers, community activists, and organizational partners, the Body Project is currently being implemented in 125 countries. The aim of this paper is to share lessons our team has learned in taking a prevention intervention from early testing to widespread implementation and connect these back to broader conversations occurring in our field regarding the importance of scalability and new directions in improving global mental health.

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“…Although some eating disorder prevention programs show promise in reducing risk (Stice, Marti, Spoor, Presnell, & Shaw, 2008a;Taylor, et al, 2006;Wilksch & Wade, 2009a), maximising the beneficial impact of such programs remains an important endeavour. Eating disorders are characterized by high mortality (Harris & Barraclough, 1998), a destructive physical and psychological course, low rates of presentation to treatment (Johnson, Cohen, Kasen, & Brook, 2002) and comparatively poor treatment outcomes (Steinhausen, 2002).…”

Section: Introductionmentioning

confidence: 99%

“…Although the selective prevention field has made some important steps in this area (Müller & Stice, 2013;Stice, Marti, Shaw, & O'Neil, 2008b;Stice, Rohde, Gau, & Shaw, 2012;Taylor, et al, 2006), research focus needs to also be directed to moderators of universal interventions in order to understand what might influence the outcome of long-term universal prevention trials. It has been suggested that ideally, eating disorder prevention should operate across a spectrum where pre-and early-adolescents receive empiricallyinformed universal programs where those requiring additional input might later benefit from participation in selective and targeted programs (Neumark-Sztainer, et al, 2006;Wilksch & Wade, 2009b).…”

Section: Introductionmentioning

confidence: 99%

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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Prevention of Eating Disorders in At-Risk College-Age Women

Cited by 314 publications

References 39 publications

Diagnóstico de la prevalencia de trastornos de la salud mental en estudiantes universitarios y los factores de riesgo emocionales asociados

Diagnóstico de la prevalencia de trastornos de la salud mental en estudiantes universitarios y los factores de riesgo emocionales asociados

From Efficacy to Global Impact: Lessons Learned About What Not to Do in Translating Our Research to Reach

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

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