Literature DB >> 26795936

Reducing eating disorder onset in a very high risk sample with significant comorbid depression: A randomized controlled trial.

C Barr Taylor1, Andrea E Kass2, Mickey Trockel1, Darby Cunning1, Hannah Weisman3, Jakki Bailey1, Meghan Sinton4, Vandana Aspen1, Kenneth Schecthman5, Corinna Jacobi6, Denise E Wilfley2.   

Abstract

OBJECTIVE: Eating disorders (EDs) are serious problems among college-age women and may be preventable. An indicated online eating disorder (ED) intervention, designed to reduce ED and comorbid pathology, was evaluated.
METHOD: 206 women (M age = 20 ± 1.8 years; 51% White/Caucasian, 11% African American, 10% Hispanic, 21% Asian/Asian American, 7% other) at very high risk for ED onset (i.e., with high weight/shape concerns plus a history of being teased, current or lifetime depression, and/or nonclinical levels of compensatory behaviors) were randomized to a 10-week, Internet-based, cognitive-behavioral intervention or waitlist control. Assessments included the Eating Disorder Examination (EDE, to assess ED onset), EDE-Questionnaire, Structured Clinical Interview for DSM Disorders, and Beck Depression Inventory-II.
RESULTS: ED attitudes and behaviors improved more in the intervention than control group (p = .02, d = 0.31); although ED onset rate was 27% lower, this difference was not significant (p = .28, NNT = 15). In the subgroup with highest shape concerns, ED onset rate was significantly lower in the intervention than control group (20% vs. 42%, p = .025, NNT = 5). For the 27 individuals with depression at baseline, depressive symptomatology improved more in the intervention than control group (p = .016, d = 0.96); although ED onset rate was lower in the intervention than control group, this difference was not significant (25% vs. 57%, NNT = 4).
CONCLUSIONS: An inexpensive, easily disseminated intervention might reduce ED onset among those at highest risk. Low adoption rates need to be addressed in future research. (c) 2016 APA, all rights reserved).

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Year:  2016        PMID: 26795936      PMCID: PMC4836995          DOI: 10.1037/ccp0000077

Source DB:  PubMed          Journal:  J Consult Clin Psychol        ISSN: 0022-006X


  33 in total

1.  A prospective test of the dual-pathway model of bulimic pathology: mediating effects of dieting and negative affect.

Authors:  E Stice
Journal:  J Abnorm Psychol       Date:  2001-02

Review 2.  Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings.

Authors:  Eric Stice; Heather E Shaw
Journal:  J Psychosom Res       Date:  2002-11       Impact factor: 3.006

Review 3.  Mediators and moderators of treatment effects in randomized clinical trials.

Authors:  Helena Chmura Kraemer; G Terence Wilson; Christopher G Fairburn; W Stewart Agras
Journal:  Arch Gen Psychiatry       Date:  2002-10

4.  Preventing eating disorders among young elite athletes: a randomized controlled trial.

Authors:  Marianne Martinsen; Roald Bahr; Runi Børresen; Ingar Holme; Anne Marte Pensgaard; Jorunn Sundgot-Borgen
Journal:  Med Sci Sports Exerc       Date:  2014-03       Impact factor: 5.411

5.  Reducing the burden of eating disorders: a model for population-based prevention and treatment for university and college campuses.

Authors:  Denise E Wilfley; W Stewart Agras; C Barr Taylor
Journal:  Int J Eat Disord       Date:  2013-07       Impact factor: 4.861

Review 6.  Mental health problems and help-seeking behavior among college students.

Authors:  Justin Hunt; Daniel Eisenberg
Journal:  J Adolesc Health       Date:  2009-10-20       Impact factor: 5.012

7.  The adverse effect of negative comments about weight and shape from family and siblings on women at high risk for eating disorders.

Authors:  C Barr Taylor; Susan Bryson; Angela A Celio Doyle; Kristine H Luce; Darby Cunning; Liana B Abascal; Roxanne Rockwell; Alison E Field; Ruth Striegel-Moore; Andrew J Winzelberg; Denise E Wilfley
Journal:  Pediatrics       Date:  2006-08       Impact factor: 7.124

Review 8.  An eating disorder-specific model of interpersonal psychotherapy (IPT-ED): causal pathways and treatment implications.

Authors:  Elizabeth Rieger; Dorothy J Van Buren; Monica Bishop; Marian Tanofsky-Kraff; Robinson Welch; Denise E Wilfley
Journal:  Clin Psychol Rev       Date:  2010-02-14

9.  The validity of the eating disorder examination and its subscales.

Authors:  Z Cooper; P J Cooper; C G Fairburn
Journal:  Br J Psychiatry       Date:  1989-06       Impact factor: 9.319

10.  Eating disorders in white and black women.

Authors:  Ruth H Striegel-Moore; Faith A Dohm; Helena C Kraemer; C Barr Taylor; Stephen Daniels; Patricia B Crawford; George B Schreiber
Journal:  Am J Psychiatry       Date:  2003-07       Impact factor: 18.112

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  23 in total

1.  Screening and offering online programs for eating disorders: Reach, pathology, and differences across eating disorder status groups at 28 U.S. universities.

Authors:  Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Dawn M Eichen; Andrea K Graham; Grace E Monterubio; Shiri Sadeh-Sharvit; Neha J Goel; Rachael E Flatt; Kristina Saffran; Anna M Karam; Marie-Laure Firebaugh; Mickey Trockel; C Barr Taylor; Denise E Wilfley
Journal:  Int J Eat Disord       Date:  2019-07-03       Impact factor: 4.861

2.  The Female Athlete Body (FAB) study: Rationale, design, and baseline characteristics.

Authors:  Tiffany M Stewart; Tarryn Pollard; Tom Hildebrandt; Robbie Beyl; Nicole Wesley; Lisa Smith Kilpela; Carolyn Black Becker
Journal:  Contemp Clin Trials       Date:  2017-06-10       Impact factor: 2.226

3.  State-wide university implementation of an online platform for eating disorders screening and intervention.

Authors:  Ellen E Fitzsimmons-Craft; Marie-Laure Firebaugh; Andrea K Graham; Dawn M Eichen; Grace E Monterubio; Katherine N Balantekin; Anna M Karam; Annie Seal; Burkhardt Funk; C Barr Taylor; Denise E Wilfley
Journal:  Psychol Serv       Date:  2018-11-08

4.  The economic case for digital interventions for eating disorders among United States college students.

Authors:  Andrea E Kass; Katherine N Balantekin; Ellen E Fitzsimmons-Craft; Corinna Jacobi; Denise E Wilfley; C Barr Taylor
Journal:  Int J Eat Disord       Date:  2017-02-02       Impact factor: 4.861

5.  Online prevention of disordered eating in at-risk young-adult women: a two-country pragmatic randomized controlled trial.

Authors:  Simon M Wilksch; Anne O'Shea; C Barr Taylor; Denise Wilfley; Corinna Jacobi; Tracey D Wade
Journal:  Psychol Med       Date:  2017-12-13       Impact factor: 7.723

6.  Reciprocal longitudinal relations between weight/shape concern and comorbid pathology among women at very high risk for eating disorder onset.

Authors:  Ellen E Fitzsimmons-Craft; Dawn M Eichen; Andrea E Kass; Mickey Trockel; Ross D Crosby; C Barr Taylor; Denise E Wilfley
Journal:  Eat Weight Disord       Date:  2017-12-28       Impact factor: 4.652

7.  A screening tool for detecting eating disorder risk and diagnostic symptoms among college-age women.

Authors:  Andrea K Graham; Mickey Trockel; Hannah Weisman; Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Denise E Wilfley; C Barr Taylor
Journal:  J Am Coll Health       Date:  2018-10-09

8.  Clinician-led, peer-led, and internet-delivered dissonance-based eating disorder prevention programs: Effectiveness of these delivery modalities through 4-year follow-up.

Authors:  Eric Stice; Paul Rohde; Heather Shaw; Jeff M Gau
Journal:  J Consult Clin Psychol       Date:  2020-02-24

9.  Perfectionism, emotion dysregulation, and affective disturbance in relation to clinical impairment in college-age women at high risk for or with eating disorders.

Authors:  Meghan E Byrne; Dawn M Eichen; Ellen E Fitzsimmons-Craft; C Barr Taylor; Denise E Wilfley
Journal:  Eat Behav       Date:  2016-09-14

10.  A systematic digital approach to implementation and dissemination of eating disorders interventions to large populations identified through online screening: implications for post-traumatic stress.

Authors:  C Barr Taylor; Josef I Ruzek; Ellen E Fitzsimmons-Craft; Andrea K Graham; Katherine N Balantekin
Journal:  Mhealth       Date:  2018-07-10
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