Universal prevention in eating disorders: A systematic narrative review of recent studies

Schwartz, Caroline; Drexl, Konstantin; Fischer, Anne; Fumi, Markus; Löwe, Bernd; Naab, Silke; Voderholzer, Ulrich

doi:10.1016/j.mph.2019.200162

Cited by 13 publications

(23 citation statements)

References 81 publications

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“…Various theoretical approaches were employed to improve body image. In line with previous reviews ( 32 , 34 , 90 ), most studies in the current review, used cognitive-dissonance strategies, while others utilized gratitude, mindfulness, and/or media literacy approaches, all of which yielded improvements in some body image outcomes with mostly small to medium effect sizes. Findings suggest that various theoretical approaches may be administered via digital platforms and or devices with beneficial body-related outcomes.…”

Section: Discussionsupporting

confidence: 80%

“…The current review aligns with, and contributes to, findings from recent reviews of mostly face-to-face universal eating disorder prevention programs ( 32 , 34 , 39 ), in two important ways. First, in line with prior reviews of face-to-face interventions, digital delivery of universal interventions yielded small to moderate effect sizes indicating they may be effective in reducing eating disorder risk factors among young adult women and adolescent girls.…”

Section: Discussionsupporting

confidence: 67%

“…To date, many eating disorder prevention studies have been conducted to evaluate and improve selective prevention programs, while research on universal programs is limited ( 30 , 31 ). One recent review by Schwartz et al ( 32 ) revealed that there is evidence for the efficacy of universal prevention programs in reducing eating disorder risk factors in the short-term. Notably, out of 21 studies from that review, only one study included a measure of empowerment to assess positive body image, and only two of the studies assessed universal prevention with emerging adult women.…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Digital Interventions for Adolescent and Young Adult Women's Body Image

Mahon

Seekis

2022

Front. Glob. Womens Health

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BackgroundA growing number of digital interventions have been developed to address a range of mental health issues including body image. Identifying effective interventions for body image is important given the prevalence of body image concerns and their associated negative outcomes among young women. This review aimed to critically evaluate current evidence on the use of digital interventions for adolescent and young adult women's body image.MethodsA literature search was performed in November 2021 across three databases, PsychINFO, Web of Science and Pubmed to identify studies published with keywords and synonyms of “body image” and “digital interventions” that have been conducted with girls/women aged 10–25 years. Studies were included if they assessed a universal body image intervention delivered through a digital platform (e.g., web-based, mobile phone) and if they reported body image outcomes using validated measures. Two authors independently screened studies extracted data and assessed the quality of studies.ResultsNine of 15 interventions were effective in improving at least one body image outcome from pre-post intervention; however, effect sizes were mostly small-medium, and few effects were maintained at follow-up. Studies were heterogeneous in terms of delivery format, duration, sample characteristics, quality, and outcomes.DiscussionFindings suggest that digitally delivered interventions can effectively improve some body image outcomes in young women. Characteristics of effective studies are discussed and suggestions for future work on intervention development in this field are provided.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021281435, identifier CRD42021281435.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Digital Interventions for Adolescent and Young Adult Women's Body Image

Mahon

Seekis

2022

Front. Glob. Womens Health

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“…The results obtained by conducting a path analysis confirmed that mass media pressure was an important predictor of eating behavior (34). In a different work, Schwartz (35) indicates the lack of research exploring prevention of eating disorders and the socio-cultural risk factors involved in their development. The importance of socio-cultural factors as predictors of eating disorders was also emphasized in a study conducted on a group of German adolescents (21).…”

Section: Introductionmentioning

confidence: 68%

“…Considering the work of Thompson et al (22,32,47), Sanchez-Ruiz et al (34), and Schwartz et al (35), we conducted a survey on a population of young adult Poles (similar in age) with similar tools (i.e., SATAQ 3) to assess the explanatory variables. We adopted the cognitive model of body image (47), a three-factor model of the influence of socio-cultural factors on body image and eating disorders (33,48,49) and a multifactorial model of the development of dissatisfaction with the body and eating disorders (50, 51).…”

Section: The Current Studymentioning

confidence: 99%

Socio-Cultural Standards Promoted by the Mass Media as Predictors of Restrictive and Bulimic Behavior

et al. 2020

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Efficacy of an integrated program (PIA‐2) to reduce the risk for problems related to eating, weight and body image in female adolescents from Argentina

Rutsztein

Scappatura

Elizathe

et al. 2023

Intl J Eating Disorders

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Objective This study aimed to examine the efficacy of an integrated program (PIA‐2) to reduce the risk for problems related to eating, weight and body image in female adolescents from Argentina. Method A quasi‐experimental study was conducted by comparing an experimental group versus a control group. The final sample included 509 girls aged 13–18 (M = 15.39 and SD = 1.30) from nine schools located in three geographical regions. They provided data at three assessment time points: baseline, post‐intervention and a 3‐month follow‐up. Dependent variables included skipping breakfast, physical activity, eating disorder risk and thin‐ideal internalization. The program was carried out in three 90‐minute sessions within usual school hours, at 1‐week intervals. Results Participants who received the intervention decreased more than the control group in skipping breakfast month by month. However, a significant effect of the intervention was not found on physical activity, eating disorder risk, and thin‐ideal internalization. Discussion The presence of mixed findings shows the need to adjust the intervention to enhance the results. The importance of working jointly with other Latin American countries is emphasized, in order to promote the growth of the field of prevention, regarding cultural particularities shared by our societies. Public Significance Integrated programs aimed at reducing risk factors for the entire spectrum of problems related to eating, weight and body image could lead to beneficial and more efficient effects. However, their development is still incipient in Latin America. PIA‐2 Program, designed for female adolescents, produced positive results in one of the four variables studied, decreasing the weekly frequency of skipping breakfast among adolescents. This is pioneering research in Argentina and the region since very few studies on integrated prevention have been published in Latin America. It is crucial to continue with efforts aimed at developing programs that are suited to the specific needs of the population of Latin American countries. In this aspect, our study is undoubtedly an important contribution.

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Universal prevention in eating disorders: A systematic narrative review of recent studies

Cited by 13 publications

References 81 publications

Systematic Review of Digital Interventions for Adolescent and Young Adult Women's Body Image

Systematic Review of Digital Interventions for Adolescent and Young Adult Women's Body Image

Socio-Cultural Standards Promoted by the Mass Media as Predictors of Restrictive and Bulimic Behavior

Efficacy of an integrated program (PIA‐2) to reduce the risk for problems related to eating, weight and body image in female adolescents from Argentina

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