Stice Eric, Shaw Heather, Marti C Nathan
Oregon Research Institute, Eugene, OR 97403, USA.
Annu Rev Clin Psychol. 2007;3:207-31. doi: 10.1146/annurev.clinpsy.3.022806.091447.
This meta-analytic review found that 51% of eating disorder prevention programs reduced eating disorder risk factors and 29% reduced current or future eating pathology. Larger effects occurred for programs that were selected (versus universal), interactive (versus didactic), multisession (versus single session), solely offered to females (versus both sexes), offered to participants over 15 years of age (versus younger ones), and delivered by professional interventionists (versus endogenous providers). Programs with body acceptance and dissonance-induction content and without psychoeducational content and programs evaluated in trials using validated measures and a shorter follow-up period also produced larger effects. Results identify promising programs and delineate sample, format, and design features associated with larger effects, which may inform the design of more effective prevention programs in the future.
这项荟萃分析综述发现,51%的饮食失调预防项目降低了饮食失调风险因素,29%的项目降低了当前或未来的饮食病理状况。对于经过挑选的项目(相对于普及性项目)、互动式项目(相对于讲授式项目)、多节次项目(相对于单节次项目)、仅针对女性的项目(相对于针对两性的项目)、针对15岁以上参与者的项目(相对于针对较年轻参与者的项目)以及由专业干预人员实施的项目(相对于内部提供者实施的项目),效果更为显著。包含身体接纳和认知失调诱导内容且无心理教育内容的项目,以及在试验中使用经过验证的测量方法且随访期较短的项目,也产生了更大的效果。研究结果确定了有前景的项目,并描绘了与更大效果相关的样本、形式和设计特征,这可能为未来设计更有效的预防项目提供参考。