Department of Psychology, Kenyon College, Gambier, Ohio, USA.
Eat Disord. 2020 Jan-Feb;28(1):6-20. doi: 10.1080/10640266.2020.1719342.
This article reviews 11 prevention-related publications in on during 2019. Two models from the 2018 review continue to frame this analysis: (1) the Mental Health Intervention Spectrum from health promotion → types of prevention → case identification and referral → treatment; and (2) parsing phases of prevention into rationale, theory, and methodology → clarification of risk factors → implications for specific preventive interventions → design innovation and feasibility (pilot) research → efficacy and effectiveness research → program dissemination. These articles illustrate how the theoretical complexity and rigorous methodological demands of prevention science are manifest in the eating disorder field. A subset of articles also demonstrates the importance of working with researchers and community stakeholders to improve our understanding of how ethnicity, class, and gender intersect with planning for improvements in all phases of prevention. Other subsets show the need to expand the list of relevant risk factors, and how the traditional schema of masculinity creates both maladaptive biases in case identification and obstacles to an effective and compassionate understanding of EDs. Finally, implications of the absence of efficacy, effectiveness, and dissemination studies are discussed.
本文回顾了 2019 年期间的 11 篇与预防相关的出版物。2018 年审查中的两个模型继续构成了这一分析:(1)从健康促进到预防类型,再到病例识别和转介,再到治疗的心理健康干预谱;(2)将预防阶段划分为原理、理论和方法学,然后阐明风险因素,对特定预防干预措施的影响,设计创新和可行性(试点)研究,有效性和有效性研究,以及项目传播。这些文章说明了预防科学的理论复杂性和严格的方法论要求如何在饮食失调领域中表现出来。一部分文章还展示了与研究人员和社区利益相关者合作的重要性,以增进我们对种族、阶级和性别如何与预防各个阶段的改进计划相互交织的理解。其他部分则表明需要扩大相关风险因素的清单,以及传统的男子气概模式如何在病例识别中产生适应性偏差,并对 ED 的有效和富有同情心的理解造成障碍。最后,讨论了缺乏有效性、有效性和传播研究的影响。