基于德国学校的青少年女性厌食症初级预防干预的真实世界效果。
Real-world effectiveness of a German school-based intervention for primary prevention of anorexia nervosa in preadolescent girls.
机构信息
Institute of Psychosocial Medicine and Psychotherapy, University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
出版信息
Prev Med. 2011 Feb;52(2):152-8. doi: 10.1016/j.ypmed.2010.11.022. Epub 2010 Dec 13.
OBJECTIVE
Anorexia nervosa ('AN') is notoriously difficult to treat, has high mortality rates, and has a prevalence peak in 15-year-old girls. We developed a German school-based intervention program ('PriMa') for the primary prevention of AN in preadolescent girls and assessed the effects in a sample of Thuringian girls.
METHOD
Intervention involved nine guided lessons with special posters and group discussions. A parallel controlled trial with pre-post measurements and a three-month follow-up was conducted in 92 Thuringian schools (n=1553 girls) in 2007 and 2008. Primary outcomes were conspicuous eating behavior, body self esteem, and AN-related knowledge.
RESULTS
After adjusting for the girls' ages and the type of school, we observed significant improvements in the areas of knowledge (d=.24) and body self esteem (d=.29), but not for eating behavior.
CONCLUSION
The PriMa intervention provides an efficient and practical model to increase AN-related protection factors.
目的
神经性厌食症（“AN”）的治疗极具难度，死亡率高，且高发人群为 15 岁少女。我们为青春期前少女开发了一种德国基于学校的干预项目（“PriMa”），用于原发性预防神经性厌食症，并在图林根州的少女群体中评估了该项目的效果。
方法
干预措施包括九节有专门海报和小组讨论的指导课程。2007 年至 2008 年，我们在 92 所图林根州学校（n=1553 名少女）中进行了一项具有前后测量和三个月随访的平行对照试验。主要结果是明显的进食行为、身体自尊和与 AN 相关的知识。
结果
在调整了女孩的年龄和学校类型后，我们观察到在知识领域（d=.24）和身体自尊（d=.29）方面有显著改善，但在进食行为方面没有改善。
结论
PriMa 干预提供了一种有效且实用的模式，可以增加与 AN 相关的保护因素。
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