Internet-Based Innovations for the Prevention of Eating Disorders: A Systematic Review∗

Newton, Mandi; Ciliska, Donna

doi:10.1080/10640260600952522

Cited by 36 publications

(43 citation statements)

References 37 publications

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“…Over the past nearly 30 years, an increasing number of preventive interventions addressing eating disorders and poor body image have been developed, with over a hundred approaches published in the literature (Coelho, Gomes, Ribeiro, & Soares, 2014;Holt & Ricciardelli, 2008;Levine, McVey, Piran, & Ferguson, 2012;Newton & Ciliska, 2006;Rodgers & Paxton, 2014;Stice, Becker, & Yokum, 2013;Stice, Shaw, Becker, & Rohde, 2008;Stice, Shaw, & Marti, 2007;Yager, Diedrichs, Ricciardelli, & Halliwell, 2013;Yager & O'Dea, 2008). These interventions have included universal, selective, and targeted prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

“…They have been designed for young children, adolescents, and adults in school and community settings and online. They have targeted self-esteem, body dissatisfaction, thin-ideal internalization, media literacy, healthful nutrition and physical activity, and other indicators (Coelho et al, 2014;Holt & Ricciardelli, 2008;Levine et al, 2012;Newton & Ciliska, 2006;Rodgers & Paxton, 2014;Stice et al, 2007Stice et al, , 2008Stice et al, , 2013Yager et al, 2013;Yager & O'Dea, 2008). Over 60 preventive interventions have been evaluated in controlled studies, the vast majority of which were efficacy trials (Stice et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

Austin

2015

Eating Disorders

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The public health burden of eating disorders is well documented, and over the past several decades, researchers have made important advances in the prevention of eating disorders and related problems with body image. Despite these advances, however, several critical limitations to the approaches developed to date leave the field far from achieving the large-scale impact that is needed. This commentary provides a brief review of what achievements in prevention have been made and identifies the gaps that limit the potential for greater impact on population health. A plan is then offered with specific action steps to accelerate progress in high-impact prevention, most compellingly by promoting a shift in priorities to policy translation research and training for scholars through the adoption of a triggers-to-action framework. Finally, the commentary provides an example of the application of the triggers-to-action framework as practiced at the Strategic Training Initiative for the Prevention of Eating Disorders, a program based at the Harvard T. H. Chan School of Public Health and Boston Children's Hospital. Much has been achieved in the nearly 30 years of research carried out for the prevention of eating disorders and body image problems, but several critical limitations undermine the field's potential for meaningful impact. Through a shift in the field's priorities to policy translation research and training with an emphasis on macro-environmental influences, the pace of progress in prevention can be accelerated and the potential for large-scale impact substantially improved.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

Austin

2015

Eating Disorders

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“…Comorbidity of DSM-IV [2] Axis-I diagnosis, general psychological distress, impaired interpersonal functioning, reduced quality of life [3], and reduced workplace productivity [4] is common. EDs need to be treated to minimize suffering for the individual and the economical burden on both society and the individual, such as sick-leave and use of health care services.…”

Section: Introductionmentioning

confidence: 99%

How effective is bibliotherapy-based self-help cognitive behavioral therapy with Internet support in clinical settings? Results from a pilot study

2013

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Cognitive behavioral therapy-based guided self-help (CBT-GSH) via the Internet has been shown to be effective in the treatment of bulimia nervosa (BN) and similar eating disorders (EDs), but it is rarely offered, and little is known about the effects, in clinical settings. The present study investigated the effects of a bibliotherapy-based CBT-GSH with Internet support in a clinical setting. Participants were 48 adult outpatients who were recruited without randomization from a specialized ED clinic, diagnosed with BN or similar eating disorder. Forty-eight patients in an intensive day patient program (DPP) were used as comparison group. The Eating Disorder Examination Questionnaire (EDE-Q) and the Eating Disorder Inventory 2 measured pre- and post treatment symptoms. Results showed that both groups attained significant improvements in core- as well as related ED symptoms in both instruments. As expected, treatment effects were larger in the more intensive DPP. Nonetheless, bibliotherapy CBT-GSH appears to be a cost-effective treatment that represents a new way to provide more CBT in clinical settings.

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“…Web-based prevention programmes may thus offer a platform for effective dissemination, interaction as well as enduring and competent delivery. Systematic reviews (Melville & Casey, 2010;Newton & Ciliska, 2006;Yager & O'Dea, 2008) show, however that attrition is a huge problem, and that many programmes fail in providing significant effects. Again, though, dissonance-based programmes to combat body dissatisfaction do seem to perform equally well in large scale contexts (Stice, Rhode, Durant & Shaw, 2012;Stice et al, 2013b), indicating that such programmes should be further developed as a universal strategy.…”

Section: Dissemination Challengesmentioning

confidence: 99%

Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

Rosenvinge

Pettersen

2015

Advances in Eating Disorders

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The previous papers in this series (Rosenvinge & Pettersen, 2014a,b) outlined a historical panorama and presented knowledge about the distribution of eating disorders in various populations as well as about putative risk factors. This final paper focuses on social epidemiology, notably the current status of treatment dissemination and prevention research. We also discuss some comorbidity findings and transdiagnostic issues as an alternative to the DSM based definition of an epidemiological case, and how such an alternative definition may introduce new perspectives of prevention. Key words: eating disorders, epidemiology, reviewThe authors declare no conflict of interest in preparing this work 3 The present article is the final one of three about the epidemiology of eating disorders. The first one (Rosenvinge & Pettersen, 2014a) outlined basic epidemiological concepts, approaches and issues. In addition, it outlined a historical panorama of the epidemiology of eating disorders up to the early 1990s depicting, the evolvement of eating disorders from being one, curious and rare disorder (i.e., anorexia nervosa) to a set of disorders distributed in the population to an extent which has caught public concern and scientific effort for the past 30 or 40 years. This evolvement has resulted in case definitions through the DSM and ICD manuals, and being worldwide disseminated they haves had a major impact on case definition-and identification methods in epidemiological eating disorder research.The second paper in this series (Rosenvinge & Pettersen, 2014b) outlined recent knowledge about descriptive epidemiology; how many who actually have a DSM eating disorder or significant eating problems at a given point of time (i.e., the point prevalence), or in the past (i.e., the lifetime prevalence), as well as about the number of new cases appearing per year (i.e., the incidence). In addition, we focused on issues within analytic epidemiology, notably what is known about risk factors for developing eating disorders or for staying ill for a longer period of time.Case identification methods require a case definition which is useful for analytic and social epidemiological purposes, and not just for describing the prevalence or incidence.Traditionally, the DSM taxonomy has provided a gold standard. This may be questioned in view of mental disorders most likely to come along with eating disorders, most likely to affect their course, and where the comorbidity may point to transdiagnostic factors possibly relevant to epidemiological research. The first aim of this paper is to discuss the relevance and implications of such perspectives in constructing an epidemiological case definition.Social epidemiology becomes relevant when we have some answers from descriptive epidemiology to the "how many-questions", and from analytical epidemiology to the "who, and "why"-questions. One part of social epidemiology concerns prevention, and which may take the approach of health promotion at a universal (general population) level, i.e., by...

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Internet-Based Innovations for the Prevention of Eating Disorders: A Systematic Review∗

Cited by 36 publications

References 37 publications

Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

How effective is bibliotherapy-based self-help cognitive behavioral therapy with Internet support in clinical settings? Results from a pilot study

Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

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