Interventions for preventing eating disorders in children and adolescents

作者: Belinda M Pratt , Susan Woolfenden

DOI: 10.1002/14651858.CD002891

关键词:

摘要: Eating disorders represent an extremely difficult, time-consuming and costly condition to treat. Being young, female, dieting are some of the few identified risk factors that have been reliably linked development eating disorders. There is currently limited evidence in published literature suggest any particular type program effective preventing there has concern interventions potential cause harm. Objectives To determine if disorder prevention programs for children adolescents in: (1) promoting healthy attitudes behaviours; (2) protective psychological factors; (3) satisfactory physical health; (4) having a long-term, sustainable, positive impact on mental and, (5) ensuring safety relation possible harmful consequences or health. Randomised controlled trials (RCTs) with major focus adolescents, where no known DSM-IV diagnosis disorder, eligible inclusion review. Trials must include control group at least one objective outcome measure (e.g., BMI) standardised used intervention group, pre- post-intervention. A total 1016 titles through search date. Twenty-two studies were located reported use randomised trial methodology critically appraised by two independent reviewers. Twelve met selection criteria outlined above. Combined data from based media literacy advocacy approach indicate reduction internalisation acceptance societal ideals relating appearance 3- 6-month follow-up (Kusel 1999; Neumark* 2000) [SMD -0.28, -0.51 -0.05, 95% CI]. insufficient support effect five designed address behaviours other adolescent issues general community those classified as being high (Buddeberg* 1998; Dalle Grave 2001; Killen 1993; Santonastaso Zanetti 1999) improve self-esteem (O'Dea 2000; Wade 2003). Data didactic awareness could not be pooled analysis. sufficient harm resulted included

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