Development and implementation of the body logic program for adolescents: A two-stage prevention program for eating disorders

Varnado-Sullivan, Paula J.; Zucker, Nancy; Williamson, Donald A.; Reas, Deborah L.; Thaw, Jean M.; Netemeyer, Susan B.

doi:10.1016/s1077-7229(01)80061-4

Cited by 48 publications

(52 citation statements)

References 15 publications

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“…Other research has indicated that some cases of binge eating are associated with escape from negative affect (e.g., Heatherton & Polivy, 1992). If the findings related to binge eating are replicated and the etiology of binge eating is better understood, prevention studies may need to develop different strategies for preventing eating disorders stemming from excessive concern with body size/shape with less emphasis on the hazards of dieting (e.g., Varnado-Sullivan et al, 2001). The findings of Tylka and Subich (2003) are consistent with this perspective.…”

Section: Implications For Preventionmentioning

confidence: 93%

“…Much of the research on prevention of eating disorders (e.g., Baranowski & Hetherington, 2001;Varnado-Sullivan et al, 2001) is based on a continuum model of eating disorders (Nylander, 1971;Ruderman & Besbeas, 1992). The findings of these taxometric studies partially support the continuum model, but only with respect to AN-R. For eating disorders involving binge eating (which are actually much more common than anorexia), these findings suggest that there may be determinants of binge eating that are not psychological, environmental, or cultural variables (e.g., Koopmans, 1998).…”

Section: Implications For Preventionmentioning

confidence: 99%

See 1 more Smart Citation

Categorical versus dimensional models of eating disorders: An examination of the evidence

Williamson

Gleaves

Stewart

2004

Int. J. Eat. Disord.

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100

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Section: Implications For Preventionmentioning

confidence: 93%

Section: Implications For Preventionmentioning

confidence: 99%

Categorical versus dimensional models of eating disorders: An examination of the evidence

Williamson

Gleaves

Stewart

2004

Int. J. Eat. Disord.

Self Cite

100

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show abstract

“…In this regard, some programmes have already incorporated sessions aimed at parents or school staff (105)(106)(107)(108) , but to date there have been few large-scale initiatives aimed at modifying the different socioenvironmental influences on the development of ED, in contrast to what has recently occurred in the field of obesity prevention, as will be discussed below. (89) resulted in some positive effect (for girls receiving the intervention, but not boys); two studies focused on PA alone, and only a multi-media approach appeared to be effective in preventing obesity (151) ; two studies focused on nutrition education alone, but neither was effective in preventing obesity.…”

Section: Environmental Approaches In the Prevention Of Eating Disordementioning

confidence: 99%

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Sánchez-Carracedo

Neumark‐Sztainer

López-Guimerà

2012

Public Health Nutr.

109

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AbstractObjectiveThe serious consequences of obesity and eating disorders (ED), difficulties encountered in treatment and the high prevalence of these conditions are important reasons to develop efforts aimed at their prevention. The implementation of integrated interventions aimed at preventing risk factors for both obesity and ED constitutes a very exciting development. In the present paper we discuss and review the main reasons for an integrated approach to the spectrum of eating- and weight-related problems, which include anorexia nervosa, bulimia nervosa, anorexic and bulimic behaviours, unhealthy dieting practices, body dissatisfaction, binge-eating disorder, overweight and obesity. Given differences between the fields with regard to current perspectives and objectives, key barriers to an integrated approach to prevention are discussed. In order to show the possibilities of development of this approach, we review the main contributions made to date in the fields of both obesity and ED prevention. In particular, environmental approaches in the prevention of obesity and ED are reviewed, given their potential for preventing a broad spectrum of eating- and weight-related problems. Furthermore, several examples of initiatives that have utilized an integrated approach to prevention are discussed.DesignNarrative review.ConclusionsWe recommend a scenario in which the two fields share knowledge to enhance the difficult work of preventing and treating both ED and obesity.

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“…78,79 Universal interventions also do not face some of the difficulties of selective programmes, namely the stigma associated with participating and the low uptake of those identified as being at risk. 80 Secondary school teachers are in a unique position to deliver prevention material widely and with minimal costs, as they have regular contact with almost all of the adolescent population. However, given the difficulties of achieving randomisation in the school setting, very few teacher-delivered interventions have been evaluated by means of a RCT, [81][82][83][84][85][86] and none have done so within the UK.…”

Section: Introductionmentioning

confidence: 99%

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

Schmidt

Sharpe

Bartholdy

et al. 2017

Programme Grants Appl Res

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BackgroundAnorexia nervosa (AN) is a severe psychiatric condition and evidence on how to best treat it is limited.ObjectivesThis programme consists of seven integrated work packages (WPs) and aims to develop and test disseminable and cost-effective treatments to optimise management for people with AN across all stages of illness.MethodsWP1a used surveys, focus groups and a pre–post trial to develop and evaluate a training programme for school staff on eating disorders (EDs). WP1b used a randomised controlled trial (RCT) [International Standard Randomised Controlled Trial Number (ISRCTN) 42594993] to evaluate a prevention programme for EDs in schools. WP2a evaluated an inpatient treatment for AN using case reports, interviews and a quasi-experimental trial. WP2b used a RCT (ISRCTN67720902) to evaluate two outpatient psychological therapies for AN. WP3 used a RCT (ISRCTN06149665) to evaluate an intervention for carers of inpatients with AN. WP4 used actimetry, self-report and endocrine assessment to examine physical activity (PA) in AN. WP5 conducted a RCT (ISRCTN18274621) of an e-mail-guided relapse prevention programme for inpatients with AN. WP6 analysed cohort data to examine the effects of maternal EDs on fertility and their children’s diet and growth. WP7a examined clinical case notes to explore how access to specialist ED services affects care pathways and user experiences. Finally, WP7b used data from this programme and the British Cohort Study (1970) to identify the costs of services used by people with AN and to estimate annual costs of AN for England.ResultsWP1a: a brief training programme improved knowledge, attitudes and confidence of school staff in managing EDs in school. WP1b: a teacher-delivered intervention was feasible and improved risk factors for EDs in adolescent girls. WP2a: both psychological therapies improved outcomes in outpatients with AN similarly, but patients preferred one of the treatments. WP2b: the inpatient treatment (Cognitive Remediation and Emotional Skills Training) was acceptable with perceived benefits by patients, but showed no benefits compared with treatment as usual (TAU). WP3: compared with TAU, the carer intervention improved a range of patient and carer outcomes, including carer burden and patient ED symptomatology. WP4: drive to exercise is tied to ED pathology and a desire to improve mood in AN patients. PA was not increased in these patients. WP5: compared with TAU, the e-mail-guided relapse prevention programme resulted in higher body mass index and lower distress in patients at 12 months after discharge. WP6: women with an ED had impaired fertility and their children had altered dietary and growth patterns compared with the children of women without an ED. WP7a: direct access to specialist ED services was associated with higher referral rates, lower admission rates, greater consistency of care and user satisfaction. WP7b: the annual costs of AN in England are estimated at between £45M and £230M for 2011.ConclusionsThis programme has produced evidence to inform future intervention development and has developed interventions that can be disseminated to improve outcomes for individuals with AN. Directions for future research include RCTs with longer-term outcomes and sufficient power to examine mediators and moderators of change.Trial registrationCurrent Controlled Trials ISRCTN42594993, ISRCTN67720902, ISRCTN06149665 and ISRCTN18274621.FundingThis project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full inProgramme Grants for Applied Research; Vol. 5, No. 16. See the NIHR Journals Library website for further project information.

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Development and implementation of the body logic program for adolescents: A two-stage prevention program for eating disorders

Cited by 48 publications

References 15 publications

Categorical versus dimensional models of eating disorders: An examination of the evidence

Categorical versus dimensional models of eating disorders: An examination of the evidence

Integrated prevention of obesity and eating disorders: barriers, developments and opportunities

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

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