Levine Michael P
Department of Psychology (Emeritus), Kenyon College, Gambier, Ohio, USA.
Eat Disord. 2021 Jun 29:1-17. doi: 10.1080/10640266.2021.1909794.
Fifteen prevention-related publications in during 2020 are reviewed. Two models frame this analysis: (1) the Mental Health Intervention Spectrum: health promotion → types of prevention → case identification and referral → treatment; and (2) parsing phases of prevention into a cycle: rationale, theory, and methodology, shaped by critical, integrative reviews → clarification of risk and protective factors → program innovation and feasibility studies → efficacy and effectiveness research → program dissemination. In this cycle the first two phases and the last phase inform advocacy for social policies supporting prevention. Ten articles comprising a special issue on yoga demonstrate the value of investing in translational prevention science that acknowledges (a) embodying experiences as a broad category of protective factors; (b) the utility of multidimensional theoretical models; and (c) social justice issues that advocacy efforts must address to make programs widely and equitably available. Other articles reviewed show, for example, that studies of emotion dysregulation and emotional eating are needed to enter a prevention cycle that moves us beyond body image (or weight/shape) concerns in defining high-risk groups and developing indicated prevention. Finally, implications of the absence of efficacy, effectiveness, dissemination, and advocacy studies are discussed.
本文回顾了2020年期间15篇与预防相关的出版物。有两种模型构成了这一分析框架:(1)心理健康干预频谱:健康促进→预防类型→病例识别与转诊→治疗;(2)将预防阶段解析为一个循环:由批判性综合评论塑造的基本原理、理论和方法→风险和保护因素的阐明→项目创新与可行性研究→疗效和效果研究→项目推广。在这个循环中,前两个阶段和最后一个阶段为支持预防的社会政策倡导提供信息。包含瑜伽特刊的十篇文章展示了投资转化预防科学的价值,该科学承认(a)将身体体验作为一类广泛的保护因素;(b)多维理论模型的效用;(c)倡导工作必须解决的社会正义问题,以使项目广泛且公平地可得。其他被回顾的文章表明,例如,需要对情绪调节和情绪化进食进行研究,以进入一个预防循环,使我们在定义高危群体和开展针对性预防时,超越对身体形象(或体重/体型)的关注。最后,讨论了缺乏疗效、效果、推广和倡导研究的影响。