a Department of Psychology , Kenyon College , Gambier , Ohio , USA.
Eat Disord. 2019 Jan-Feb;27(1):18-33. doi: 10.1080/10640266.2019.1568773. Epub 2019 Jan 31.
This article reviews the 10 prevention-related publications in Eating Disorders: The Journal of Treatment & Prevention during 2018. Two models frame this analysis. This first is the Mental Health Intervention Spectrum from health promotion → types of prevention → case identification and referral → treatment (recovery). The second parses the phases of prevention into rationale, theory, and methodology → clarification of risk factors, including very high risk, shading into warning signs → implications for specific preventive interventions → design innovation and feasibility (pilot) research → efficacy and effectiveness research → program dissemination. Collectively, the articles illustrate how complex and demanding the field of prevention is, with respect to, for example, phases of program development, the multidimensional ecology of interventions, and methodological requirements for demonstrating that a program deserves to be designated "evidence-based." A subset of the articles also illustrates how far the increasingly broad and dynamic field of prevention has advanced. Examples include models of eating disorder development in high-risk populations such as people with type 1 diabetes; prevention programming for young children; and after-school preventive interventions that combine dissonance-based lessons with empowering participation in community advocacy and activism.
这篇文章回顾了 2018 年《饮食失调期刊:治疗与预防》中与预防相关的 10 篇出版物。有两种模式可以构成这种分析。第一个是心理健康干预范围,从健康促进→各种预防→病例识别和转介→治疗(康复)。第二个将预防阶段分为基本原理、理论和方法→澄清风险因素,包括极高风险,逐渐变成警告信号→对特定预防干预的影响→设计创新和可行性(试点)研究→疗效和有效性研究→计划传播。总的来说,这些文章说明了预防领域的复杂性和艰巨性,例如,在项目开发的阶段、干预的多维生态以及证明一个项目值得被指定为“基于证据”的方法学要求等方面。这些文章中的一部分还说明了预防领域的发展有多么广泛和迅速。例如,在 1 型糖尿病等高危人群中饮食失调发展的模型;针对幼儿的预防编程;以及将基于不和谐的课程与赋权参与社区宣传和行动主义相结合的课后预防干预。