Research Review: Effectiveness of universal eating disorder prevention interventions in improving body image among children: a systematic review and meta‐analysis

2019 ◽  
Vol 61 (5) ◽  
pp. 522-535 ◽  
Author(s):  
Joelle Yan Xin Chua ◽  
Wilson Tam ◽  
Shefaly Shorey
2019 ◽  
Author(s):  
Mathias Harrer ◽  
Sophia Helen Adam ◽  
Eva-Maria Messner ◽  
Harald Baumeister ◽  
Pim Cuijpers ◽  
...  

Background. Eating problems are highly prevalent among young adults. Universities could be an optimal setting to prevent eating disorders through psychological intervention. As part of the World Mental Health-International College Student initiative, this systematic review and meta-analysis synthesizes data on the efficacy of eating disorder prevention programs targeting university students.Method. A systematic literature search of bibliographical databases (CENTRAL, MEDLINE, PsycINFO) for randomized trials comparing psychological preventive interventions for eating disorders in university students to psychoeducation or inactive controls was performed through October 8th, 2018.Results. Twenty-two studies were included. Eight (36.4%) were rated to have a low risk of bias. The relative risk of developing a subthreshold or full-blown eating disorder was IRR=0.62 (95%CI: 0.44-0.87, n=8; standardized clinical interviews only), indicating a 38% decrease in incidence in the intervention groups compared to controls. Small to moderate between- group effects at post-test were found on self-reported global eating disorder symptoms (g=0.36, 95%CI: 0.25-0.47, n=20), dieting (g=0.47, 95%CI: 0.30- 0.64, n=18), body dissatisfaction (g=0.50, 95%CI: 0.33-0.67, n=14), drive for thinness (g=0.43, 95%CI: 0.27-0.59, n=12), weight concerns (g=0.33, 95%CI: 0.10-0.57, n=13) and affective symptoms (g=0.28, 95%CI: 0.16-0.40, n=14). Effects on bulimia were not significant. Heterogeneity was low to moderate across comparisons.Discussion. Eating disorder prevention on campus can have significant, small-to-moderate effects on eating disorder symptoms and risk factors. Results also suggest that the prevention of subthreshold and full-syndrome eating disorders is feasible using such interventions. More research is needed to identify effects on academic functioning, as well as ways to motivate students to use preventive eating disorder interventions.


2018 ◽  
Vol 9 ◽  
pp. 1-12 ◽  
Author(s):  
Ariel L. Beccia ◽  
Corina Dunlap ◽  
Douglas A. Hanes ◽  
Brendan J. Courneene ◽  
Heather L. Zwickey

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Lakaii A. Jones ◽  
Catherine Cook-Cottone

Objective. To investigate media and cultural influences in eating disorder development in African-American adolescent females. Method. Fifty-seven participants were recruited through churches and community organizations to complete a questionnaire. Results. Mainstream sociocultural identification was associated with more eating disorder behavior in African-American females; cultural ethnic identification was not significantly associated with eating disorder behavior in African-American females, mainstream sociocultural identification, cultural ethnic identification, and body dissatisfaction significantly predicted eating disorder behavior; and cultural ethnic identification was positively correlated with mainstream sociocultural identification. This study provides support for the importance of eating disorder prevention interventions that focus specifically on African-American girls.


2006 ◽  
Vol 14 (3) ◽  
pp. 191-213 ◽  
Author(s):  
Michelle Cororve Fingeret ◽  
Cortney S. Warren ◽  
Antonio Cepeda-Benito ◽  
David H. Gleaves

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