Dissonance-based Program for Eating Disorders Prevention in Mexican University Students

Unikel-Santoncini, Claudia; León-Vázquez, Concepción Díaz de; Rivera-Márquez, José Alberto; Bojorquez‐Chapela, Ietza; Méndez-Ríos, Enrique

doi:10.5093/pi2018a17

Cited by 19 publications

(26 citation statements)

References 35 publications

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“…Sólo dos estudios (Escoto et al, 2008;Rodríguez & Gómez-Peresmitré, 2007) evaluaron la influencia del modelo estético de delgadez (IMED), encontrando una disminución en esta variable sólo en el estudio realizado por Escoto et al (2008) en mujeres adolescentes. Cabe mencionar que en los estudios en los que se integraron varones (Escoto et al, 2008;Saucedo-Molina et al, 2018;Unikel-Santoncini et al, 2019) los cambios fueron mínimos, es decir, no estadísticamente significativos o bien el programa no tuvo efectos en varones (Castillo et al, 2019).…”

Section: Resultados De Las Intervencionesunclassified

“…Asimismo, se identificaron cuatro estudios (33%) en los que se trabajó prevención primaria universal (Castillo et al, 2019;Escoto et al, 2008;Saucedo-Molina et al, 2018;Unikel-Santoncini et al, 2019). En estos estudios el tamaño de la muestra fluctuó entre 120 y 388 participantes varones y mujeres adolescentes y adultos jóvenes.…”

Section: Niveles De Prevención De Los Programas De Intervenciónunclassified

“…Se identificaron siete estudios (58%) que incluían en su totalidad estrategias cognitivo-conductuales, o bien, integraron un componente con estrategias cognitivo-conductuales. Una de las estrategias más utilizadas fue la disonancia cognitiva (De la Vega & Gómez-Peresmitré, 2012;Pineda et al, 2010;Pineda & Goméz-Peresmitré, 2006;Saucedo-Molina et al, 2018;Unikel et al, 2015Unikel et al, , 2019. Respecto a otros tipos de estrategias y/o programas de intervención, solo se identificaron dos programas específicos, el programa ACTUA, aplicado en el nivel de prevención primario selectivo (Unikel et al, 2015) que tuvo como objetivo Introducir el programa de post tratamiento en línea (apoyo continuo para los trastornos alimentarios) y explorar los factores que los pacientes consideran relevantes para la participación; y el programa StopOBEyTA que se ha aplicado en dos investigaciones tanto a nivel selectivo (Castillo, Solano & Sepúlveda, 2016) como universal (Castillo, Solano & Sepúlveda, 2019).…”

Section: Estrategias En Las Intervencionesunclassified

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Programas de prevención para trastornos alimentarios y factores asociados en México: una revisión sistemática/Prevention programs for eating disorders and associated factors in Mexico: a systematic review

Cueto-López

Díaz²,

Franco-Paredes³

2022

Rev. Mex. Trast. Alim.

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El objetivo de esta investigación fue revisar sistemáticamente los estudios realizados en México sobre programas de prevención para los trastornos de la conducta alimentaria y de la ingesta de alimentos (TAIA) y sus variables asociadas. La investigación se realizó considerando las directrices de la Declaración PRISMA e incluyó estudios publicados entre el año 2006 y 2020. La búsqueda se realizó en las bases de datos EBSCO, WILEY, Scopus, Dialnet, Redalyc, Taylor & Francis, Scielo y el buscador Google académico, utilizando los términos “trastorno de la conducta alimentaria” OR “trastornos alimentarios” AND “intervención” OR “prevención” AND “México” y en inglés los términos equivalentes fueron "Eating disorder" AND "intervention" OR "prevention" AND "Mexico". Se encontraron 12 artículos, ocho (67%) se enfocaron a la prevención primaria selectiva (muestra entre 15 y 58 participantes), principalmente dirigidos a mujeres adolescentes (75%). Se identificaron cuatro estudios (33%) sobre prevención primaria (muestra entre 120 y 388 participantes) en varones, mujeres adolescentes y adultos jóvenes. La mayoría de los estudio (67%) utilizó la psicoeducación, y las estrategias cognitivo-conductuales (58%). En general, se encontraron resultados positivos sobre los niveles de insatisfacción corporal, la preocupación por el peso y la comida y la conducta alimentaria compulsiva. Se concluye que es necesario aumentar en México la producción de investigaciones sobre programas preventivos de TAIA y sus factores asociados, así como generar evidencias sólidas de los resultados de la intervención.

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Section: Resultados De Las Intervencionesunclassified

Section: Niveles De Prevención De Los Programas De Intervenciónunclassified

Section: Estrategias En Las Intervencionesunclassified

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Programas de prevención para trastornos alimentarios y factores asociados en México: una revisión sistemática/Prevention programs for eating disorders and associated factors in Mexico: a systematic review

Cueto-López

Díaz²,

Franco-Paredes³

2022

Rev. Mex. Trast. Alim.

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“…Fourth, future research should continue to test whether the Body Project produces similar effects in other countries outside the United States. To date, it has shown effectiveness in England (Halliwell & Diedrichs, 2014), Iceland (Danielsdottir et al, 2012), Norway (Wisting et al, in press), Mexico (Unikel-Santoncini et al, 2019), Brazil (Amaral et al, 2019), Sweden (Ghaderi et al, 2020), China (Luo et al, 2020), Japan (Ueda et al, 2021), and Saudi Arabia (AlShebali et al, 2021). An important direction for future research would be to evaluate the effectiveness of the Body Project in more countries and cultures.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the Body Project eating disorder prevention program for different racial and ethnic groups and an evaluation of the potential benefits of ethnic matching.

Stice¹,

Onipede²,

Shaw³

et al. 2021

Journal of Consulting and Clinical Psychology

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Objective: Provide an adequately powered tests of whether a group-delivered dissonance-based eating disorder prevention program (Body Project) is similarly effective for different racial and ethnic groups and evaluate whether an improved match between minority participant race/ethnicity and fellow group members is associated with larger effects. Method: Study 1 examined data from 539 young women from seven high schools and four universities and Study 2 examined data from 1,195 young women and men from 50 universities who completed the Body Project, focusing on pretest-to-posttest reductions in outcomes. Results:In Study 1, reductions in thin-ideal internalization, body dissatisfaction, dieting, negative affect, and eating disorder symptoms did not significantly differ for White versus Asian, Black, and Native Americans, though we did not have power to contrast racial and ethnic minority groups. In Study 2, only one intervention effect was weaker for a minority group relative to Whites (Black vs. White participants showed smaller reductions in thin-ideal internalization), but there was evidence that intervention effects were significantly larger for Hispanic versus White and Black participants, and to a lesser extent for Hispanic versus Asian and Native Americans; these differences were partially driven by differences in pretest risk across ethnic groups. Ethnic/racial matching was not associated with larger effects. Conclusions: Results suggest that the Body Project produced relatively similar effects for racial/ethnic minority groups relative to White participants, that the effects were sometimes larger for Asian and Hispanic participants, and that recruiting Black participants at higher risk may contribute to larger effects for this racial group. What is the public health significance of this article?This study tested whether intervention effects for a group-delivered dissonance-based eating disorder prevention program varied as a function of race and ethnicity using data from two large U.S. samples. Although some baseline differences were found suggesting lower risk for eating disorders for Black participants and higher risk for eating disorders for Hispanic participants, the Body Project produced similar effects for racial and ethnic minority groups relative to White participants, though there was evidence that it produced larger effects for Hispanic versus White and Black participants. There was no evidence that an improved match between the race/ethnicity of minority participants and their fellow group members was associated with larger intervention effects.

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“…Furthermore, Stice, Rohde, Durant, Shaw, and Wade () have explored the possibility of integrating university students as program facilitators and thereby simultaneously providing skills to participants and facilitators with promising results. In Mexico, there are only two published ED prevention programs that have been carried out and these have only been aimed at adolescent samples (Escoto, Camacho, Rodríguez, & Mejía, ; Pineda, Gómez, & Méndez, ) and one recently published among university students (Unikel‐Santoncini, Díaz de León‐Vázquez, Rivera‐Márquez, Bojorquez‐Chapelac, & Méndez‐Ríos, ).…”

Section: Introductionmentioning

confidence: 99%

A controlled study of an integrated prevention program for improving disordered eating and body image among Mexican university students: A 3‐month follow‐up

Castillo

Solano

Sepúlveda

2019

Euro Eating Disorders Rev

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Obesity and eating disorders are currently two significant health problems in Mexico. The aim of this study was to examine the effects of an integrated prevention program on university students through an exploratory controlled study that targeted specific predisposing factors of disordered eating and obesity related to healthy eating, physical activity, body image satisfaction and perceived pressure to be thin. A total of 388 university students participated (264 females and 124 males) and were assigned either to an intervention condition or one of the two control conditions (study skills vs. nonintervention); each comprised of a total of eight workshops lasting 90 min. The program did not have any effect on the male students. In contrast, there was an interaction effect for time and group in thin-ideal internalization (η 2 = 0.04) and in disordered eating attitudes/behaviours (η 2 = 0.03); both showed improvements over time only among the female sample. Though, the effect size was insignificant, which means that the effectiveness of this integrated prevention program was limited. Integrated prevention approaches to eating and weight-related problems are still nascent in Mexico, and further research in this field is warranted so as to fine tune future prevention programs.

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Dissonance-based Program for Eating Disorders Prevention in Mexican University Students

Cited by 19 publications

References 35 publications

Programas de prevención para trastornos alimentarios y factores asociados en México: una revisión sistemática/Prevention programs for eating disorders and associated factors in Mexico: a systematic review

Programas de prevención para trastornos alimentarios y factores asociados en México: una revisión sistemática/Prevention programs for eating disorders and associated factors in Mexico: a systematic review

Effectiveness of the Body Project eating disorder prevention program for different racial and ethnic groups and an evaluation of the potential benefits of ethnic matching.

A controlled study of an integrated prevention program for improving disordered eating and body image among Mexican university students: A 3‐month follow‐up

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