Mental Health Impacts of Self‐Help Interventions for the Treatment and Prevention of Eating Disorders. A Meta‐Analysis
International Journal of Eating Disorders,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 3, 2025
ABSTRACT
Objective
Self‐help
programs
are
recommended
as
a
first
step
in
the
management
of
eating
disorders.
Yet,
whether
self‐help
interventions
have
broader
mental
health
benefits
beyond
symptom
and
risk
reduction
remains
unclear.
As
randomized
controlled
trials
(RCTs)
also
assess
general
secondary
to
disorder
symptoms,
we
conducted
meta‐analysis
investigate
what
extent
pure
for
disorders
produce
improvements
these
outcomes.
Method
Twenty‐seven
RCTs
prevention
or
treatment
were
included.
Mean
age
ranged
from
16
46
years.
Most
based
on
cognitive‐behavioral
therapy.
delivered
via
digital
means
(Internet,
apps,
etc.).
Random
effects
meta‐analyses
six
outcomes:
depression,
anxiety,
distress,
quality
life,
self‐esteem,
psychosocial
impairment.
Analyses
stratified
pre‐selected
(at
risk/symptomatic)
clinical
samples.
Results
For
samples
(
k
=
18),
significant
pooled
favoring
over
controls
observed
depression
g
0.24),
anxiety
0.23),
distress
0.23)
self‐esteem
0.18).
Effects
remained
robust
when
adjusting
bias.
Non‐significant
life
Crucially,
>
80%
waitlist
control.
9),
found
0.39),
impairment
0.29),
although
results
should
be
interpreted
with
caution
number
studies
was
low.
Conclusion
small
those
symptoms
that
typically
comorbid
Язык: Английский
Prevention of eating disorders: 2024 in review
Eating Disorders,
Год журнала:
2025,
Номер
unknown, С. 1 - 30
Опубликована: Март 18, 2025
This
review
of
20
prevention-related
publications
in
Eating
Disorders
during
2024
is
framed
by
three
models:
(1)
Mental
Health
Intervention
Spectrum:
health
promotion
➔
types
prevention
case
identification/referral
for
treatment;
(2)
the
cycle:
rationale
and
theory,
shaped
critical
reviews
clarifying
risk
protective
factors
program
innovation
feasibility
studies
efficacy
effectiveness
research
dissemination;
(3)
definitions
links
between
eating
disorder
psychopathology,
disordered
behavior,
disorders.
Nine
articles
were
category
(including
screening
studies)
gaps/shortcomings
field;
addressed
correlates
putative
pathology;
eight
involved
creation,
adaptation,
or
upscaling
programs:
pilot
projects,
one
study,
four
investigations
effectiveness.
Seven
implications
improvement
are
presented.
For
example,
because
multidimensional
sociocultural
paramount
importance
to
spectrum
eating,
all
forms
should
be
designed,
from
outset,
establish
maintain
non-hierarchical,
participatory
collaboration
academic
researchers
inclusive
groups
stakeholders.
In
this
process,
it
essential
include
people
researchers)
whose
voices
typically
ignored
(e.g.
LGBTQ+
color,
low
income
unmarried
working
mothers,
adolescents
ages
11
through
14).
Язык: Английский