Targeted Prevention in Bulimic Eating Disorders: Randomized Controlled Trials of a Mental Health Literacy and Self-Help Intervention

Hay, Phillipa; Mond, Jonathan; Büttner, Petra; Paxton, Susan J.; Rodgers, Bryan; Quirk, Frances; Kancijanic, Diane

doi:10.5772/19266

Cited by 3 publications

(5 citation statements)

References 39 publications

(35 reference statements)

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“…This study's data were derived from a nonclinical sample of two cohorts of 330 Australian women with high levels of ED symptoms. The first cohort of community women was recruited initially for participation in a randomized controlled trial of an ED health literacy intervention of small and inconsistent efficacy that was replicated a year later in the second cohort of women College students . We have been following both cohorts in parallel and have merged the two for the purposes of increasing power in the data sets .…”

Section: Methodsmentioning

confidence: 99%

“…The first cohort of community women was recruited initially for participation in a randomized controlled trial of an ED health literacy intervention of small and inconsistent efficacy 27 that was replicated a year later in the second cohort of women College students. 28,29 We have been following both cohorts in parallel and have merged the two for the purposes of increasing power in the data sets. 30 Participants were grouped according to the presence of binge eating episodes, both SBEs and OBEs as follows: (a) SBE group comprising 68 individuals with regular (weekly) SBEs but not regular (weekly) OBEs, thus not meeting DSM-5 diagnostic criteria for binge eating; (b) OBE group comprising 154 individuals with regular OBEs and with or without regular SBEs; (c) a control group comprising 108 symptomatic individuals without regular binge eating episodes.…”

Section: Participants and Proceduresmentioning

confidence: 99%

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Comparing symptomatic and functional outcomes over 5 years in two nonclinical cohorts characterized by binge eating with and without objectively large episodes

Palavras

Hay

Lujic

et al. 2015

Intl J Eating Disorders

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Section: Methodsmentioning

confidence: 99%

Section: Participants and Proceduresmentioning

confidence: 99%

Comparing symptomatic and functional outcomes over 5 years in two nonclinical cohorts characterized by binge eating with and without objectively large episodes

Palavras

Hay

Lujic

et al. 2015

Intl J Eating Disorders

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“…It was unclear how much the initial general improvement may have been due to the intervention or effects of study participation irrespective of the group. At the end of the first year all participants had received the intervention and the findings for the RCTs were modest and mixed [ 21 , 22 ]. Improvement in general psychological distress did occur but was very small.…”

Section: Resultsmentioning

confidence: 99%

“…Early outcomes in these participants were mixed. Although there was improvement in both cohorts it was unclear how much could be ascribed to the ED-MHL intervention [ 21 , 22 ]. At two years eating disorder psychopathology remained high in the first cohort [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

A Community-Based Study of Enduring Eating Features in Young Women

et al. 2012

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We conducted a prospective exploration of the temporal course of eating disorder (ED) symptoms in two cohorts of community women. One hundred and twenty-two young women (Cohort 1) identified in a general population based survey with ED symptoms of clinical severity agreed to participate in a 5-year follow-up study. A comparative sample (Cohort 2) of 706 similar aged self-selected college women (221 with disordered eating) was recruited one year later. Both ED groups were given a health literacy package in the first year. ED symptoms, health related quality of life, and psychological distress were assessed annually with the Eating Disorder Examination Questionnaire, the Short Form—12 Health Survey and the Kessler Psychological Distress Scale, respectively. Forty percent (Cohort 1) and 30.3% (Cohort 2) completed questionnaires at each year of follow-up. In both groups, there was early improvement in ED symptoms which plateaued after the first year, and participants retained high EDE-Q scores at 5 years. BMI increased as expected. Mental health related quality of life scores did not change but there were small improvements in psychological distress scores. The findings suggest little likelihood of spontaneous remission of ED problems in community women.

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“…Expected benefits of psycho‐education for the prevention of ED have not been found (Stice, Shaw, & Marti, ). There are also mixed findings regarding the efficacy of mental health literacy interventions for adult women with ED in improving symptoms and help‐seeking (Hay et al., , ). The fact that those with ED report especially poor knowledge about the most helpful avenues for treatment (Mond et al., ) underlines the importance of improving mental health literacy in those in a position to detect problems early in schools – peers and teachers – and to give them the tools to provide accurate support and advice to those students who are showing signs of a problem.…”

Section: Discussionmentioning

confidence: 99%

‘My teacher saved my life’ versus ‘Teachers don't have a clue’: an online survey of pupils’ experiences of eating disorders

Knightsmith

Sharpe

Breen

et al. 2013

Child Adoles Ment Health

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Background: Eating disorders (ED) have a peak rate of onset in school-aged children. Little is known about pupils' experiences of ED within a school setting. Method: Five hundred and eleven 11-to 19-year-old school pupils completed an online questionnaire exploring their experiences of ED (72% female, 28% male). Responses were analysed using content analysis principles. Results: Of the participants, 38% had a current or past ED, 49% of these had never received a formal diagnosis. Of the respondents, 59% saw a need to raise ED awareness. Only 7% would confide in a teacher about an ED. Conclusions: Efforts are needed to break down barriers to disclosure and support teachers to play an effective role in the detection and early intervention for ED. Key Practitioner Message• Eating disorders are at their most prevalent amongst young people of secondary school age • Early recognition and intervention lead to far more successful outcomes both short term and long term • Teachers are in an excellent position to spot eating disorder warning signs but currently do not do so consistently • Whilst pupils feel confident in spotting eating disorder warning signs, they are reluctant to report concerns to a teacher due to fears around confidentiality, inappropriate reactions and perceived stigma • Teachers and peers can play an important role in eating disorder recognition and recovery; improved education and training is needed for both school staff and students in order for this potential to be realised

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Targeted Prevention in Bulimic Eating Disorders: Randomized Controlled Trials of a Mental Health Literacy and Self-Help Intervention

Cited by 3 publications

References 39 publications

Comparing symptomatic and functional outcomes over 5 years in two nonclinical cohorts characterized by binge eating with and without objectively large episodes

Comparing symptomatic and functional outcomes over 5 years in two nonclinical cohorts characterized by binge eating with and without objectively large episodes

A Community-Based Study of Enduring Eating Features in Young Women

‘My teacher saved my life’ versus ‘Teachers don't have a clue’: an online survey of pupils’ experiences of eating disorders

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