Screening for Eating Disorders on College Campuses: a Review of the Recent Literature

Fitzsimmons‐Craft, Ellen E.; Karam, Anna M.; Monterubio, Grace E.; Taylor, C. Barr; Wilfley, Denise E.

doi:10.1007/s11920-019-1093-1

Cited by 60 publications

(54 citation statements)

References 59 publications

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“…Importantly, however, this approach is consistent with what would be required to sustainably implement digital screening and intervention broadly on university campuses. 5 In addition, current results suggest the superiority of the intervention vs referral to usual care, but future research may wish to compare to other control conditions (eg, in-person CBT).…”

Section: Discussionmentioning

confidence: 77%

Effectiveness of a Digital Cognitive Behavior Therapy–Guided Self-Help Intervention for Eating Disorders in College Women

et al. 2020

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Key Points Question Does a coached, digital, cognitive behavior therapy (CBT) intervention result in improved outcomes among college women with eating disorders (EDs) compared with referral to usual care? Findings In this cluster randomized clinical trial that included 690 women with binge-purge EDs from 27 US universities, the digital CBT intervention was superior to referral to usual care in decreasing ED psychopathology, compensatory behaviors, depression, and clinical impairment through long-term follow-up, as well as in realized treatment access. There was no difference in abstinence from all ED behaviors or academic impairment between groups. Meaning These results support the efficacy of a coached, digital, CBT intervention for college women with EDs, which has the potential to bridge the treatment gap for this problem.

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Section: Discussionmentioning

confidence: 77%

Effectiveness of a Digital Cognitive Behavior Therapy–Guided Self-Help Intervention for Eating Disorders in College Women

et al. 2020

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Section: Introductionmentioning

confidence: 99%

“…Body dissatisfaction and disordered eating are prominent problems among higher education students worldwide [ 1 ]. The elevated prevalence of eating disorders in students compared with the general population has been observed in previous studies [ 1 , 2 ]. Recent studies have demonstrated that nearly 60% of students screened online were at risk for eating disorders or had an eating disorder [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of an education and mindfulness-based physical activity intervention for the promotion of positive body image in Lithuanian female students

2021

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Purpose The aim of this study was to test the effectiveness of an 8-week classroom education and mindfulness-based physical activity intervention for the promotion of positive body image in female students. Methods A quasi-experimental study was carried out with 110 Lithuanian female students (mean age 21.5 ± 3.5, range 19–35 years). Thirty students voluntarily participated in the intervention programme and 80 students volunteered in the assessment-only control group. The intervention comprised five cognitive behavioural therapy classroom education sessions and mindfulness-based exercise (one exercise workout per week). The intervention group was evaluated with a pre-test and post-test and the control group completed measures at parallel times. Results Compared with the control group participants, the intervention group participants reported greater improvements in positive body image and a reduction in body dissatisfaction and drive for thinness and internalisation of stereotyped beauty ideals, with medium to large effects. There were significant time × group interactions for pre-test to post-test changes in internalisation of beauty ideals, body area satisfaction, body dissatisfaction and body appreciation. In all cases, the interaction reflected greater pre-test to post-test changes in the intervention group compared with the control group, whose scores remained stable. A decrease in appearance orientation, overweight preoccupation, disordered eating and physical activity was observed in the control group, but the effect sizes were low. Conclusion The preliminary findings of this study support the efficacy of cognitive behavioural therapy methods and mindfulness-based exercise intervention aimed to promote positive body image in student-aged women. Future studies should test the efficacy of the introduced programme in larger randomised samples of young women. Level IV Evidence obtained from multiple time series with or without an intervention.

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“…Furthermore, Taylor et al () recently delineated a conceptual framework through which the identification and treatment of eating disorders may be optimized using novel research designs and statistical methods. This approach could also be applied to eating disorder prevention, and would involve optimization strategies to improve (a) the reach of eating disorder risk screenings provided by universities, which are currently only used by a fraction of students when using traditional recruitment methods (Fitzsimmons‐Craft, Karam, Monterubio, Taylor, & Wilfley, ); (b) the uptake of interventions, for example, by testing different feedback formats following the screening; and (c) the engagement with, and outcomes of, interventions, for example, by developing decision‐support systems selecting the most promising preventive intervention depending on individual characteristics and symptom trajectories. Such an approach may also involve the development of multivariate precision treatment rules based on predictive modeling techniques (Kessler, Bossarte, Luedtke, Zaslavsky, & Zubizarreta, ).…”

Section: Discussionmentioning

confidence: 99%

Prevention of eating disorders at universities: A systematic review and meta‐analysis

Harrer

Adam²,

Meßner

et al. 2020

Intl J Eating Disorders

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Background: Eating problems are highly prevalent among young adults. Universities could be an optimal setting to prevent the onset of 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 targeting university students with psychoeducation or inactive controls was performed on October 22, 2019.Results: Twenty-seven studies were included. Thirteen (48.1%) were rated to have a low risk of bias. The relative risk of developing a subthreshold or full-blown eating disorder was incidence rate ratio = 0.62 (95% CI [0.44, 0.87], n c = 8, numbersneeded-to-treat [NNT] = 26.08; standardized clinical interviews only), indicating a 38% decrease in incidence in the intervention groups compared to controls. Small to moderate between-group effects at posttest were found on eating disorder symptoms (g = 0.35, 95% CI [0.24, 0.46], NNT = 5.10, n c = 26), dieting (g = 0.43, 95% CI [0.29, 0.57], NNT = 4.17, n c = 21), body dissatisfaction (g = 0.40, 95% CI [0.27, 0.53], NNT = 4.48, n c = 25), drive for thinness (g = 0.43, 95% CI [0.27, 0.59], NNT = 4.23, Int J Eat Disord. 2020;53:813-833.wileyonlinelibrary.com/journal/eat 813 n c = 12), weight concerns (g = 0.33, 95% CI [0.10, 0.57], NNT = 5.35, n c = 13), and affective symptoms (g = 0.27, 95% CI [0.15, 0.38], NNT = 6.70, n c = 18). The effects on bulimia nervosa symptoms were not significant. Heterogeneity was moderate across comparisons.Discussion: Eating disorder prevention on campus can have significant, small-tomoderate 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 ways to motivate students to use preventive eating disorder interventions. AbstractAntecedentes: Los trastornos de la conducta alimentaria son altamente prevalentes entre los adultos jóvenes. Las universidades podrían ser un entorno óptimo para prevenir la aparición de trastornos alimentarios a través de la intervención psicológica. Como parte de la iniciativa World Mental Health-International College Student, esta revisión sistemática y meta-análisis sintetiza datos sobre la eficacia de los programas de prevención de trastornos alimentarios dirigidos a estudiantes universitarios. Método: Una búsqueda bibliográfica sistemática de datos bibliográficas (CENTRAL, MEDLINE, PsycINFO) para ensayos aleatorios que comparaban intervenciones preventivas psicológicas para trastornos alimentarios dirigidos a estudiantes universitarios con psicoeducación o controles inactivos fue realizada hasta el 22 de octubre de 2019. Resultados: Se incluyeron 27 estudios. T...

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Screening for Eating Disorders on College Campuses: a Review of the Recent Literature

Cited by 60 publications

References 59 publications

Effectiveness of a Digital Cognitive Behavior Therapy–Guided Self-Help Intervention for Eating Disorders in College Women

Effectiveness of a Digital Cognitive Behavior Therapy–Guided Self-Help Intervention for Eating Disorders in College Women

Effect of an education and mindfulness-based physical activity intervention for the promotion of positive body image in Lithuanian female students

Prevention of eating disorders at universities: A systematic review and meta‐analysis

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