Prevention of eating disorders: a review of the evidence-based programs
Keywords:
eating disorders, prevention, dissonance-based interventions, Body Project, media literacy, Media Smart
Abstract
Introduction. Eating disorders are widespread illnesses that affect different segments of population. Their prevention is a public health priority. The aim of this review is to provide a detailed description and analysis of the features of effective prevention programs, since they haven’t been described in Russian yet. Materials and methods. Electronic databases “Web of Science”, “Google Scholar” were searched using a list of keywords. Results. Some of the main principles for developing an effective, widely applicable program are described, paying special attention to the «first, do no harm» principle. The major achievements in the field of eating disorders prevention, it’s current state and directions for further research are briefly discussed. Some of the well-known prevention programs (including the “Media Smart”, a media literacy program which helps students to challenge media messages and critically evaluate media images of thin ideal; the “Body Project”, a prevention program designed to help young women with body dissatisfaction confront unrealistic appearance ideals and resist sociocultural pressures; and the “StudentBodies”, a cognitive-behavioral program for women at high risk for eating disorder onset) are presented as examples of successful evidence-based intervention and described in details. Conclusion. Broader implementation of these programs can help to reduce the prevalence of eating disorders and prevent economic, social and psychological damage associated with them.
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References
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20. Watson H.J., Joyce T., French E. et al. Prevention of eating disorders: A systematic review of randomized, controlled trials. International Journal of Eating Disorders. 2016;49(9):833–862. DOI: https://doi.org/10.1002/eat.22577
21. Festinger L. A theory of cognitive dissonance. Stanford university press. 1962;2.
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24. Stice E., Yokum S., Waters A. Dissonance-based eating disorder prevention program reduces reward region response to thin models; how actions shape valuation. PLoS One. 2015;10(12):e0144530. DOI: https://doi.org/10.1371/journal.pone.0144530
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26. Stice E., Rohde P., Shaw H., Gau J. An effectiveness trial of a selected dissonance-based eating disorder prevention program for female high school students: Long-term effects. Journal of consulting and clinical psychology. 2011;79(4):500–508. DOI: https://doi.org/10.1037/a0024351
27. Stice E., Butryn M.L. Rohde P. et al. An effectiveness trial of a new enhanced dissonance eating disorder prevention program among female college students. Behaviour research and therapy. 2013;51(12):862–871. DOI: https://doi.org/10.1016/j.brat.2013.10.003
28. Mitchell K.S., Mazzeo S.E, Rausch S.M., Cooke K.L. Innovative interventions for disordered eating: Evaluating dissonance‐based and yoga interventions. International Journal of Eating Disorders. 2007;40(2):120–128. DOI: https://doi.org/10.1002/eat.20282
29. Stice E., Becker C. B., Yokum S. Eating disorder prevention: Current evidence‐base and future directions. International Journal of Eating Disorders. 2013;46(5):478–485. DOI: https://doi.org/ 10.1002/eat.22105
30. Федоров А.В. Медиаобразование: история и теория. М.: Информация для всех. 2015. 450 с. [Fedorov A.V. Mediaobrazovanie: istoriya i teoriya [Media Education: History and Theory]. Moscow. “Information for all” Publ. 2015:450]
31. Cook-Cottone C.P., Tribole E., Tylka T.L. Healthy eating in schools: Evidence-based interventions to help kids thrive. American Psychological Association. 2013. DOI: https://doi.org/ 10.1037/14180-000
32. Wilksch S. M., Wade T. D. Reduction of shape and weight concern in young adolescents: A 30-month controlled evaluation of a media literacy program. Journal of the American Academy of Child and Adolescent Psychiatry. 2009;48(6):652–661. DOI: https://doi.org/10.1097/CHI.0b013e3181a1f559
33. Wilksch S.M. Paxton S.J., Byrne S.M. et al. Prevention across the spectrum: A randomized controlled trial of three programs to reduce risk factors for both eating disorders and obesity. Psychological medicine. 2015;45(9):1811–1823. DOI: https://doi.org/10.1017/S003329171400289X
34. Wilksch S.M. School‐based eating disorder prevention: a pilot effectiveness trial of teach-er‐delivered Media Smart. Early intervention in psychiatry. 2015;9(1):21–28. DOI: https://doi.org/10.1111/eip.12070
35. Taylor C.B., Bryson S., Luce K.H. et al. Prevention of eating disorders in at-risk college-age women. Archives of general psychiatry. 2006;63(8):881–888 DOI: https://doi.org/ 10.1001/archpsyc.63.8.881
36. Beintner I., Jacobi C., Taylor C.B. Effects of an Internet‐based prevention programme for eating disorders in the USA and Germany – A meta‐analytic review. European Eating Disorders Review. 2012;20(1):1–8. DOI: https://doi.org/10.1002/erv.1130
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38. Fitzsimmons‐Craft E.E., Chan W.W., Smith A.C. Effectiveness of a chatbot for eating disorders prevention: A randomized clinical trial. International Journal of Eating Disorders. 2021:55(3):343–353. DOI: https://doi.org/10.1002/eat.23662
39. Melioli T., Bauer S., Franko D.L. et al. Reducing eating disorder symptoms and risk factors using the internet: A meta-analytic review. International Journal of Eating Disorders. 2016;49(1):19–31. DOI: https://doi.org/10.1002/eat.22477
40. Салмина-Хвостова О.И., Салмина И.С. Психологический тренинг в профилактике нарушений пищевого поведения среди студентов г. Новокузнецка. Тюменский медицинский журнал. 2010. № 1. C. 58–59. [Salmina-Khvostova O.I., Salmina I.S. Psychological training in the prevention of eating disorders among Novokuznetsk students. Tyumenskii meditsinskii zhurnal = Tyumen Medical Journal. 2010; 1:58–59. (in Russ.)]
41. Капустина В.А., Митрофанова Е.А. Взаимосвязь оценки собственной внешности
и Я-концепции подростков (в контексте профилактики расстройств пищевого поведения в подростковом возрасте). Сибирский педагогический журнал. 2016. № 6. С. 84–89. [Kapustina V.A., Mitrofanova E.A. The correlation between self-evaluation of an appearance and self-conception of adolescents (in the context of a prevention of eating disorders of teenagers) Sibirskii pedagogicheskii zhurnal = Siberian Pedagogical Journal. 2016;6:84–89. (in Russ.)]
42. Парфенова Г.Л., Ляшенко Д.Н. Психологические аспекты нарушений пищевого поведения и их профилактика. Вестник Алтайского государственного педагогического университета. 2017. № 1 (31). С. 101–108. [Parfenova G.L., Lyashenko D.N. Psychological aspects of food behavioral violations and their prophylaxis. Vestnik Altaiskogo gosudarstvennogo pedagogicheskogo universiteta. 2017;1:101–108 (in Russ., abstr. in Engl.)]
43. Салмина-Хвостова О.И. Расстройства пищевого поведения при ожирении (эпидемиологический, клинико-динамический, реабилитационный аспекты) // Вестник психиатрии и психологии Чувашии. 2009. №. 5. C. 19–29. [Salmina-Khvostova O.I. Eating behaviour disorders in obesity (epidemiological, clinical and dynamic, rehabilitation aspects) Vestnik psikhiatrii i psikhologii Chuvashii = The Bulletin of Chuvashia Psychiatry and Psychology. 2009;5:19–29 (in Russ.)].
2. Keski-Rahkonen A., Mustelin L. Epidemiology of eating disorders in Europe: prevalence, incidence, comorbidity, course, consequences, and risk factors. Current opinion in psychiatry. 2016;29(6):340–345. DOI: https://doi.org/10.1097/YCO.0000000000000278
3. Arcelus J., Mitchell A.J., Wales J. et al. Mortality rates in patients with anorexia nervosa and other eating disorders: a meta-analysis of 36 studies. Archives of general psychiatry. 2011;68(7):724–731. DOI: https://doi.org/10.1001/archgenpsychiatry.2011.74
4. Austin S.B. Accelerating progress in eating disorders prevention: A call for policy translation research and training. Eating disorders. 2016;24(1):6–19. DOI: https://doi.org/10.1080/10640266.2015.1034056
5. Becker C.B., Stice E. From efficacy to effectiveness to broad implementation: evolution of the body project. Journal of consulting and clinical psychology. 2017;85(8):767. DOI: https://doi.org/10.1037/ccp0000204
6. Михайлова А.П., Иванова Д.А., Штрахова А.В. Вопросы квалификации и психологической диагностики пищевого поведения в норме и при его нарушениях. Вестник Южно-Уральского государственного университета. Серия: Психология. 2019. Т. 12, № 1. С. 97–117. DOI: https://doi.org/ 10.14529/psy190110 [Mikhailova A.P., Ivanova D.A., Shtrakhova A.V. Issues of qualification and psychological diagnostic of eating behavior under normal and disordered conditions. Vestnik Iuzhno-Uralskogo gosudarstvennogo universiteta. Seriia: Psikhologiia = Bulletin of the South Ural State University. Series “Psychology”. 2019;12(1):97–117. DOI: https://doi.org/10.14529/psy190110. (in Russ., abstr. in Engl.)]
7. Pearson J., Goldklang D., Striegel‐Moore R.H. Prevention of eating disorders: Challenges and opportunities. International Journal of Eating Disorders. 2002;31(3):233–239. DOI: https://doi.org/10.1002/eat.10014
8. Stice E., Rohde P., Shaw H., Gau J.M. Clinician-led, peer-led, and internet-delivered dissonance-based eating disorder prevention programs: Acute effectiveness of these delivery modalities. Journal of consulting and clinical psychology. 2017;85(9):883–895. DOI: https://doi.org/10.1037/ccp0000211
9. Stice E., Gau J.M., Rohde P., Shaw H. Risk factors that predict future onset of each DSM–5 eating disorder: Predictive specificity in high-risk adolescent females. Journal of abnormal psychology. 2017;126(1):38. DOI: https://doi.org/10.1037/abn0000219
10. Stice E. Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clinical psychology review. 1994;14(7):633–661. DOI: https://doi.org/ 10.1016/0272-7358(94)90002-7
11. Keery H., Van den Berg P., Thompson J.K. An evaluation of the Tripartite Influence Model of body dissatisfaction and eating disturbance with adolescent girls. Body image. 2004;1(3):237–251. DOI: https://doi.org/10.1016/j.bodyim.2004.03.001
12. Levine M.P. Prevention of eating disorders: 2018 in review. Eating disorders. 2019; 27(1):18–33. DOI: https://doi.org/10.1080/10640266.2019.1568773
13. Stice E., Shaw H., Becker C.B., Rohde P. Dissonance-based interventions for the prevention of eating disorders: Using persuasion principles to promote health. Prevention Science. 2008;9(2):114. DOI: https://doi.org/10.1007/s11121-008-0093-x
14. Atkinson M.J., Wade T.D. Mindfulness‐based prevention for eating disorders: A school‐based cluster randomized controlled study. International Journal of Eating Disorders. 2015;48. (7):1024–1037. DOI: https://doi.org/10.1002/eat.22416
15. Atkinson M.J., Wade T.D. Does mindfulness have potential in eating disorders prevention? A preliminary controlled trial with young adult women. Early Intervention in Psychiatry. 2016;10(3):234–245. DOI: https://doi.org/10.1111/eip.12160
16. Perey I., Cook-Cottone C. Eating disorders, embodiment, and yoga: A conceptual overview. Eating Disorders. 2020;28(4):315–329 DOI: https://doi.org/10.1080/10640266.2020.1771167
17. Wilksch S. M. et al. Online prevention of disordered eating in at-risk young-adult women: a two-country pragmatic randomized controlled trial. Psychological medicine. 2018;48(12):2034–2044 DOI: https://doi.org/10.1017/S0033291717003567
18. Reducing risks for mental disorders: Frontiers for preventive intervention research. 1994. Washington, DC: The National Academies Press. DOI: https://doi.org/10.17226/2139
19. Le L.K.D., Barendregt J.J., Hay Ph., Mihalopoulos C. Prevention of eating disorders: a systematic review and meta-analysis. Clinical Psychology Review. 2017;53:46–58. DOI: https://doi.org/10.1016/j.cpr.2017.02.001
20. Watson H.J., Joyce T., French E. et al. Prevention of eating disorders: A systematic review of randomized, controlled trials. International Journal of Eating Disorders. 2016;49(9):833–862. DOI: https://doi.org/10.1002/eat.22577
21. Festinger L. A theory of cognitive dissonance. Stanford university press. 1962;2.
22. Stice E., Marti N., Rohde P., Shaw H. Testing mediators hypothesized to account for the effects of a dissonance-based eating disorder prevention program over longer term follow-up. Journal of Consulting and Clinical Psychology. 2011;79(3):398. DOI: https://doi.org/10.1037/a0023321
23. Green M., Scott N., Diyankova I., Gasser C. Eating disorder prevention: An experimental comparison of high level dissonance, low level dissonance, and no-treatment control. Eating Disorders. 2005;13(2):157–169. DOI: https://doi.org/10.1080/10640260590918955
24. Stice E., Yokum S., Waters A. Dissonance-based eating disorder prevention program reduces reward region response to thin models; how actions shape valuation. PLoS One. 2015;10(12):e0144530. DOI: https://doi.org/10.1371/journal.pone.0144530
25. Stice E., Marti C.N., Spoor S. Dissonance and healthy weight eating disorder prevention programs: long-term effects from a randomized efficacy trial. Journal of consulting and clinical psychology. 2008;76(2):329. DOI: https://doi.org/10.1037/0022-006X.76.2.329
26. Stice E., Rohde P., Shaw H., Gau J. An effectiveness trial of a selected dissonance-based eating disorder prevention program for female high school students: Long-term effects. Journal of consulting and clinical psychology. 2011;79(4):500–508. DOI: https://doi.org/10.1037/a0024351
27. Stice E., Butryn M.L. Rohde P. et al. An effectiveness trial of a new enhanced dissonance eating disorder prevention program among female college students. Behaviour research and therapy. 2013;51(12):862–871. DOI: https://doi.org/10.1016/j.brat.2013.10.003
28. Mitchell K.S., Mazzeo S.E, Rausch S.M., Cooke K.L. Innovative interventions for disordered eating: Evaluating dissonance‐based and yoga interventions. International Journal of Eating Disorders. 2007;40(2):120–128. DOI: https://doi.org/10.1002/eat.20282
29. Stice E., Becker C. B., Yokum S. Eating disorder prevention: Current evidence‐base and future directions. International Journal of Eating Disorders. 2013;46(5):478–485. DOI: https://doi.org/ 10.1002/eat.22105
30. Федоров А.В. Медиаобразование: история и теория. М.: Информация для всех. 2015. 450 с. [Fedorov A.V. Mediaobrazovanie: istoriya i teoriya [Media Education: History and Theory]. Moscow. “Information for all” Publ. 2015:450]
31. Cook-Cottone C.P., Tribole E., Tylka T.L. Healthy eating in schools: Evidence-based interventions to help kids thrive. American Psychological Association. 2013. DOI: https://doi.org/ 10.1037/14180-000
32. Wilksch S. M., Wade T. D. Reduction of shape and weight concern in young adolescents: A 30-month controlled evaluation of a media literacy program. Journal of the American Academy of Child and Adolescent Psychiatry. 2009;48(6):652–661. DOI: https://doi.org/10.1097/CHI.0b013e3181a1f559
33. Wilksch S.M. Paxton S.J., Byrne S.M. et al. Prevention across the spectrum: A randomized controlled trial of three programs to reduce risk factors for both eating disorders and obesity. Psychological medicine. 2015;45(9):1811–1823. DOI: https://doi.org/10.1017/S003329171400289X
34. Wilksch S.M. School‐based eating disorder prevention: a pilot effectiveness trial of teach-er‐delivered Media Smart. Early intervention in psychiatry. 2015;9(1):21–28. DOI: https://doi.org/10.1111/eip.12070
35. Taylor C.B., Bryson S., Luce K.H. et al. Prevention of eating disorders in at-risk college-age women. Archives of general psychiatry. 2006;63(8):881–888 DOI: https://doi.org/ 10.1001/archpsyc.63.8.881
36. Beintner I., Jacobi C., Taylor C.B. Effects of an Internet‐based prevention programme for eating disorders in the USA and Germany – A meta‐analytic review. European Eating Disorders Review. 2012;20(1):1–8. DOI: https://doi.org/10.1002/erv.1130
37. Levine M.P., Smolak L. The Prevention of eating problems and eating disorders: theories, research, and applications. NY. Routledge. 2020:474 DOI: https://doi.org/10.4324/9781315401065
38. Fitzsimmons‐Craft E.E., Chan W.W., Smith A.C. Effectiveness of a chatbot for eating disorders prevention: A randomized clinical trial. International Journal of Eating Disorders. 2021:55(3):343–353. DOI: https://doi.org/10.1002/eat.23662
39. Melioli T., Bauer S., Franko D.L. et al. Reducing eating disorder symptoms and risk factors using the internet: A meta-analytic review. International Journal of Eating Disorders. 2016;49(1):19–31. DOI: https://doi.org/10.1002/eat.22477
40. Салмина-Хвостова О.И., Салмина И.С. Психологический тренинг в профилактике нарушений пищевого поведения среди студентов г. Новокузнецка. Тюменский медицинский журнал. 2010. № 1. C. 58–59. [Salmina-Khvostova O.I., Salmina I.S. Psychological training in the prevention of eating disorders among Novokuznetsk students. Tyumenskii meditsinskii zhurnal = Tyumen Medical Journal. 2010; 1:58–59. (in Russ.)]
41. Капустина В.А., Митрофанова Е.А. Взаимосвязь оценки собственной внешности
и Я-концепции подростков (в контексте профилактики расстройств пищевого поведения в подростковом возрасте). Сибирский педагогический журнал. 2016. № 6. С. 84–89. [Kapustina V.A., Mitrofanova E.A. The correlation between self-evaluation of an appearance and self-conception of adolescents (in the context of a prevention of eating disorders of teenagers) Sibirskii pedagogicheskii zhurnal = Siberian Pedagogical Journal. 2016;6:84–89. (in Russ.)]
42. Парфенова Г.Л., Ляшенко Д.Н. Психологические аспекты нарушений пищевого поведения и их профилактика. Вестник Алтайского государственного педагогического университета. 2017. № 1 (31). С. 101–108. [Parfenova G.L., Lyashenko D.N. Psychological aspects of food behavioral violations and their prophylaxis. Vestnik Altaiskogo gosudarstvennogo pedagogicheskogo universiteta. 2017;1:101–108 (in Russ., abstr. in Engl.)]
43. Салмина-Хвостова О.И. Расстройства пищевого поведения при ожирении (эпидемиологический, клинико-динамический, реабилитационный аспекты) // Вестник психиатрии и психологии Чувашии. 2009. №. 5. C. 19–29. [Salmina-Khvostova O.I. Eating behaviour disorders in obesity (epidemiological, clinical and dynamic, rehabilitation aspects) Vestnik psikhiatrii i psikhologii Chuvashii = The Bulletin of Chuvashia Psychiatry and Psychology. 2009;5:19–29 (in Russ.)].
References on translit
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Published
2022-09-29
How to Cite
Shloido, D. (2022). Prevention of eating disorders: a review of the evidence-based programs. Psychology. Psychophysiology, 15(3), 56-69. https://doi.org/10.14529/jpps220306
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Section
Medical (clinical) psychology
Copyright (c) 2022 Psychology. Psychophysiology
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