Prevention of Eating Disorders in At-Risk College-Age Women
Open accessAbstract
CONTEXT: Eating disorders, an important health problem among college-age women, may be preventable, given that modifiable risk factors for eating disorders have been identified and interventions have been evaluated to reduce these risk factors. OBJECTIVE: To determine if an Internet-based psychosocial intervention can prevent the onset of eating disorders (EDs) in young women at risk for developing EDs. SETTING: San Diego and the San Francisco Bay Area in California. PARTICIPANTS: College-age women with high weight and shape concerns were recruited via campus e-mails, posters, and mass media. Six hundred thirty-seven eligible participants were identified, of whom 157 were excluded, for a total sample of 480. Recruitment occurred between November 13, 2000, and October 10, 2003. Intervention A randomized controlled trial of an 8-week, Internet-based cognitive-behavioral intervention (Student Bodies) that included a moderated online discussion group. Participants were studied for up to 3 years. MAIN OUTCOME MEASURES: The main outcome measure was time to onset of a subclinical or clinical ED. Secondary measures included change in scores on the Weight Concerns Scale, Global Eating Disorder Examination Questionnaire, and Eating Disorder Inventory drive for thinness and bulimia subscales and depressed mood. Moderators of outcome were examined. RESULTS: There was a significant reduction in Weight Concerns Scale scores in the Student Bodies intervention group compared with the control group at postintervention (P < .001), 1 year (P < .001), and 2 years (P < .001). The slope for reducing Weight Concerns Scale score was significantly greater in the treatment compared with the control group (P = .02). Over the course of follow-up, 43 participants developed subclinical or clinical EDs. While there was no overall significant difference in onset of EDs between the intervention and control groups, the intervention significantly reduced the onset of EDs in 2 subgroups identified through moderator analyses: (1) participants with an elevated body mass index (BMI) (> or =25, calculated as weight in kilograms divided by height in meters squared) at baseline and (2) at 1 site, participants with baseline compensatory behaviors (eg, self-induced vomiting, laxative use, diuretic use, diet pill use, driven exercise). No intervention participant with an elevated baseline BMI developed an ED, while the rates of onset of ED in the comparable BMI control group (based on survival analysis) were 4.7% at 1 year and 11.9% at 2 years. In the subgroup with a BMI of 25 or higher, the cumulative survival incidence was significantly lower at 2 years for the intervention compared with the control group (95% confidence interval, 0% for intervention group; 2.7% to 21.1% for control group). For the San Francisco Bay Area site sample with baseline compensatory behaviors, 4% of participants in the intervention group developed EDs at 1 year and 14.4%, by 2 years. Rates for the comparable control group were 16% and 30.4%, respectively. CONCLUSIONS: Among college-age women with high weight and shape concerns, an 8-week, Internet-based cognitive-behavioral intervention can significantly reduce weight and shape concerns for up to 2 years and decrease risk for the onset of EDs, at least in some high-risk groups. To our knowledge, this is the first study to show that EDs can be prevented in high-risk groups.
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The number of pages opened was negatively correlated to outcome in 1 study targeting depression but positively related to outcomes in 2 studies targeting body dissatisfaction.
“The number of pages opened was negatively correlated to outcome in 1 study targeting depression [58] but positively related to outcomes in 2 studies targeting body dissatisfaction [62,63].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [62]
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“…with the efficacy of the ‘Student Bodies’ program, a CBT-based intervention designed to reduce body dissatisfaction (Celio et al., 2000; Jacobi et al., 2007; Jacobi, V€olker, Trockel, & Taylor, 2012; Low et al., 2006; Taylor et al., 2006; Winzelberg et al., 1998, 2000; Zabinski et al., 2001).”
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“For the assessment of potential risk factors, the non-treatment study arm of a randomized controlled prevention trial for EDs was used (Taylor et al. 2006).”
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“CBT delivered by interactive CD-ROMs or the internet is effective in the prevention of EDs in student and community populations (Taylor et al. 2006 ; Jacobi et al. 2007 ; Paxton et al. 2007) and has shown promise in the treatment of BN, binge eating disorder (BED) and partial syndromes (Carrard et…”
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Becker, C. B., Bull, S., Schaumberg, K., Cauble, A., & Franco, A. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.2.347 · Cited by 151 · see citing works
Reducing eating disorder symptoms and risk factors using the internet: A meta‐analytic review
Melioli, T., Bauer, S., Franko, D. L., Moessner, M., Ozer, F., Chabrol, H., & Rodgers, R. F. (2016) · International Journal of Eating Disorders · doi:10.1002/eat.22477 · Cited by 147 · see citing works
“Yes Yes Yes (2%) 3 Taylor et al.(20) Yes No No (16%) 1 Low et al.”
InfluentialDoyle, A. C., Goldschmidt, A. B., Huang, C., Winzelberg, A. J., Taylor, C. B., & Wilfley, D. E. (2008) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2008.01.011 · Cited by 146 · see citing works
“In addition, Internet interventions have been successful in reducing ED risk factors, as well ED onset in some high-risk subgroups [20-21].”
BackgroundSelf-citationNeural correlates of body dissatisfaction in anorexia nervosa
Friederich, H., Brooks, S. J., Uher, R., Campbell, I. C., Giampietro, V., Brammer, M. J., Williams, S., Herzog, W., & Treasure, J. L. (2010) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2010.04.036 · Cited by 144 · see citing works
“Body dissatisfaction is important in the development, maintenance and relapse of eating disorders (ED) including anorexia nervosa (AN) (Jacobi, Hayward, de Zwaan, Kraemer, & Agras, 2004; Stice & Shaw, 2002; Taylor et al., 2006; Windauer, Lennerts, Talbot, Touyz, & Beumont, 1993).”
BackgroundStice, E. M., Rohde, P., Durant, S., & Shaw, H. E. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028016 · Cited by 143 · see citing works
“P A A uthor M anuscript The Internet-based eating disorder prevention program that has been evaluated most extensively is Student Bodies (e.g., Celio et al., 2000; Winzelberg et al., 1998, 2000; Zabinski et al., 2001).”
BackgroundResultInfluentialBeintner, I., Jacobi, C., & Taylor, C. B. (2012) · European Eating Disorders Review · doi:10.1002/erv.1130 · Cited by 139 · see citing works
Self-citationJacobi, C., Völker, U., Trockel, M. T., & Taylor, C. B. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.09.013 · Cited by 138 · see citing works
“While gains have beenmade in preventing EDs in young women with high weight and shape concerns and very low levels of compensatory behaviors (e.g., Taylor et al., 2006), many women show more frequent and severe symptoms and behaviors that may progress to full-syndrome eating disorders (Stice,…”
BackgroundSelf-citationFischer, S. F., Peterson, C. M., & McCarthy, D. M. (2012) · Psychology of Addictive Behaviors · doi:10.1037/a0029323 · Cited by 133 · see citing works
Stice, E., Onipede, Z. A., & Marti, C. N. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102046 · Cited by 132 · see citing works
Heinicke, B. E., Paxton, S. J., McLean, S. A., & Wertheim, E. H. (2007) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-006-9097-9 · Cited by 125 · see citing works
“Body dissatisfaction is frequently reported by adolescent girls (Neumark-Sztainer, Story, Hannan, Perry, & Irving, 2002; Ricciardelli & McCabe, 2001; Presnell, Bearman, & Stice, 2004; Stice & Whitenton, 2002; Wertheim, Paxton, & Blaney, in press) and is increasingly”
Harnessing the power of technology for the treatment and prevention of eating disorders
Bauer, S., & Moessner, M. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22109 · Cited by 128 · see citing works
E-Therapy for Mental Health Problems: A Systematic Review
Postel, M. G., de Haan, H. A., & De Jong, C. A. J. (2008) · Telemedicine and e-Health · doi:10.1089/tmj.2007.0111 · Cited by 125 · see citing works
The perfectionism model of binge eating: Tests of an integrative model.
Sherry, S., & Hall, P. A. (2009) · Journal of Personality and Social Psychology · doi:10.1037/a0014528 · Cited by 121 · see citing works
“Evidence also suggests subthreshold eating pathology is common among 16- to 20-year-old women, a time when many women leave home and attend university (Taylor et al., 2006).”
BackgroundCiao, A. C., Loth, K. A., & Neumark‐Sztainer, D. (2014) · Current Psychiatry Reports · doi:10.1007/s11920-014-0453-0 · Cited by 126 · see citing works
“…et al., 1995 [17]; (2) an untitled program by Stewart et al., 2001 [18]; (3) Planet Health by Austin et al., 2005; [19]; (4) Student Bodies™ by Taylor et al., 2006 [20]; (5) the Body Project by Stice et al., 2006 [21] and related Dissonance Programs [22]; (6)Healthy Weight by Stice et al.,…”
BackgroundWilksch, S. M., Paxton, S. J., Byrne, S. M., Austin, S. B., McLean, S. A., Thompson, K. M., Dorairaj, K., & Wade, T. D. (2014) · Psychological Medicine · doi:10.1017/s003329171400289x · Cited by 126 · see citing works
“…shape and weight at the 12-month follow-up provides a step towards the clinically relevant outcomes investigated in targeted prevention trials (e.g. Taylor et al. 2006) and adds to the previous 2.5-year follow-up where girls had significantly lower weight concerns than controls (Wilksch & Wade,…”
BackgroundInfluentialDoes internet-based prevention reduce the risk of relapse for anorexia nervosa?
Fichter, M. M., Quadflieg, N., Nisslmüller, K., Lindner, S., Osen, B., Huber, T., & Wünsch‐Leiteritz, W. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.12.003 · Cited by 117 · see citing works
Prevention of eating disorders at universities: A systematic review and meta‐analysis
Harrer, M., Adam, S. H., Meßner, E.-M., Baumeister, H., Cuijpers, P. J., Bruffaerts, R., Auerbach, R. P., Kessler, R. C., Jacobi, C., Taylor, C. B., et al. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23224 · Cited by 116 · see citing works
Self-citationUsing New Technologies to Improve the Prevention and Management of Chronic Conditions in Populations
Oldenburg, B. F., Taylor, C. B., O'Neil, A. E., Cocker, F., & Cameron, L. D. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122848 · Cited by 104 · see citing works
Self-citationSeekis, V., Bradley, G. L., & Duffy, A. L. (2020) · Psychology of Women Quarterly · doi:10.1177/0361684320920826 · Cited by 112 · see citing works
“…17–25 years, thereby potentially limiting generalizability, sampling from an undergraduate population is appropriate as university students are among the highest users of SNSs (Sensis, 2018) and both body image concerns and eating disorders often develop during this period (Taylor et al., 2006).”
BackgroundRosser, B. A., Vowles, K. E., Keogh, E., Eccleston, C., & Mountain, G. A. (2009) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2009.090116 · Cited by 101 · see citing works
Stice, E. M., Rohde, P., Shaw, H. E., & Marti, C. N. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0031235 · Cited by 100 · see citing works
Internet-based interventions for eating disorders in adults: a systematic review
Dölemeyer, R., Tietjen, A., Kersting, A., & Wagner, B. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-207 · Cited by 99 · see citing works
“Many of these internet-based programs have been developed with the aim of preventing eating disorders [3-11], but more recently”
BackgroundPretorius, N., Arcelus, J., Beecham, J., Dawson, H., Doherty, F., Eisler, I., Gallagher, C., Gowers, S., Isaacs, G., Johnson-Sabine, E., et al. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.05.006 · Cited by 97 · see citing works
“Only a handful of studies have explored the use of CD-ROM or web-based interactive programmes prevention for women at risk of an eating disorder (Jacobi et al., 2007; Taylor et al., 2006) or treatment of adults with BN (Carrard et al.”
Peer-Based Social Media Features in Behavior Change Interventions: Systematic Review
Elaheebocus, R., Weal, M. J., Morrison, L. G., & Yardley, L. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.8342 · Cited by 93 · see citing works
“Another potential challenge of including social media features was the associated cost for moderating shared data, but this was explicitly mentioned by only 1 study [125], which reported that moderation of the online discussion groups (online forums) was the most significant cost of their study.”
BackgroundEffectiveness of a chatbot for eating disorders prevention: A randomized clinical trial
Fitzsimmons‐Craft, E. E., Chan, W. W. ‐., Smith, A. C., Firebaugh, M., Fowler, L. A., Topooco, N., DePietro, B., Wilfley, D. E., Taylor, C. B., & Jacobson, N. C. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23662 · Cited by 89 · see citing works
“Second, we defined caseness in this study based on a self-report measure which is likely to inflate rates, compared to the use of clinical interview in other studies, including the one referenced above (Taylor et al., 2006).”
BackgroundMethodResultInfluentialSelf-citationChildhood Risk Factors for Thin Body Preoccupation and Social Pressure to Be Thin
Agras, W. S., Bryson, S. W., Hammer, L. D., & KRAEMER, H. C. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31802bd997 · Cited by 87 · see citing works
Self-citationNitsch, M., Dimopoulos, C. N., Flaschberger, E., Saffran, K., Kruger, J. F., Garlock, L., Wilfley, D. E., Taylor, C. B., & Jones, M. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4972 · Cited by 87 · see citing works
“…study aimed to explore and reveal different usability and engagement issues in the course of the redesign of the Healthy Body Image Program (HBI) [13-17], which is an evidence-based, guided online intervention for individuals with body image concerns or disordered eating symptoms, prior to its…”
Self-citationLipson, S. K., & Sonneville, K. R. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23188 · Cited by 86 · see citing works
Lipson, S. K., Jones, J. M., Taylor, C. B., Wilfley, D. E., Eichen, D. M., Fitzsimmons-Craft, E. E., & Eisenberg, D. (2017) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.03.020 · Cited by 83 · see citing works
“Our cut-off values and algorithms were based on our prior research in college populations (Jacobi et al., 2004; Taylor et al., 2006).”
MethodSelf-citationShaw, H. E., Stice, E. M., & Becker, C. B. (2008) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2008.07.012 · Cited by 83 · see citing works
Atkinson, M. J., & Wade, T. D. (2014) · Early Intervention in Psychiatry · doi:10.1111/eip.12160 · Cited by 83 · see citing works
Do adherence variables predict outcome in an online program for the prevention of eating disorders?
Manwaring, J. L., Bryson, S. W., Goldschmidt, A. B., Winzelberg, A. J., Luce, K. H., Cunning, D., Wilfley, D. E., & Taylor, C. B. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.2.341 · Cited by 73 · see citing works
“In this study, we examine the effects of type and amount of program adherence on outcome in the SB prevention trial (Taylor et al., 2006).”
BackgroundMethodInfluentialSelf-citationI’m not as slim as that girl: Neural bases of body shape self-comparison to media images
Friederich, H., Uher, R., Brooks, S. J., Giampietro, V., Brammer, M. J., Williams, S., Herzog, W., Treasure, J. L., & Campbell, I. C. (2007) · NeuroImage · doi:10.1016/j.neuroimage.2007.05.039 · Cited by 81 · see citing works
“This is important as body dissatisfaction and weight concern can be effectively treated with short-term internet-based intervention programs (Jacobi et al., 2007; Low et al., 2006; Taylor et al., 2006) and there is evidence that these programs help to prevent the onset of ED in ‘at high risk’ college women (Taylor et…”
BackgroundA Feminist Perspective on Risk Factor Research and on the Prevention of Eating Disorders
Piran, N. (2010) · Eating Disorders · doi:10.1080/10640261003719435 · Cited by 80 · see citing works
“Such programs were either administered in a group format (eg, Kaminski & McNamara, 1996 ), or have been administered via the Internet in combination with moderated asynchronous group discussion (eg, Taylor et al, 2006 ).”
MethodHow Do I Look? Body Image Perceptions among University Students from England and Denmark
Ansari, W. E., Vodder, A. R., Mabhala, M. A., & Stock, C. (2010) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph7020583 · Cited by 80 · see citing works
“Indeed, an increasing public health challenge is that 2% to 4% of young adult females have full-syndrome eating disorders that harm their general health and may cause death [4].”
Carrard, I., Fernández‐Aranda, F., Lam, T., Nevonen, L., Liwowsky, I., Volkart, A.-C., Rouget, P., Golay, A., der Linden, M. V., & Norring, C. E. A. (2010) · European Eating Disorders Review · doi:10.1002/erv.1043 · Cited by 77 · see citing works
“An online CBT-based prevention programme successfully reduced body and shape concern in groups of students at risk for eating disorders (Jacobi et al., 2007; Taylor et al., 2006).”
BackgroundCognitive-Behavioral Therapy for Weight Management and Eating Disorders in Children and Adolescents
Wilfley, D. E., Kolko, R. P., & Kass, A. E. (2011) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2011.01.002 · Cited by 77 · see citing works
Self-citationTomas Baader, M., Carmen Rojas, C., José Luis Molina, F., Gotelli, M., Álamo, C., Fierro-Freixenet, C., Silvia Venezian, B., & Paula Dittus, B. (2014) · Revista chilena de neuro-psiquiatría · doi:10.4067/s0717-92272014000300004 · Cited by 83 · see citing works
Psychiatric co-morbidity in women presenting across the continuum of disordered eating
Aspen, V., Weisman, H. L., Vannucci, A., Nafiz, N., Gredysa, D. M., Kass, A. E., Trockel, M., Jacobi, C., Wilfley, D. E., & Taylor, C. B. (2014) · Eating Behaviors · doi:10.1016/j.eatbeh.2014.08.023 · Cited by 77 · see citing works
“The Drug Checklist assesses frequency of use of 58 current drugs and illegal substances over the past 12 months, and was modified for the present study based on the version used by Taylor et al. (2006).”
BackgroundMethodInfluentialSelf-citationCognitive-behavioral roots of body image therapy and prevention
Lewis‐Smith, H., Diedrichs, P. C., & Halliwell, E. (2019) · Body Image · doi:10.1016/j.bodyim.2019.08.009 · Cited by 75 · see citing works
Prognosis of adolescent partial syndromes of eating disorder
Patton, G. C., Coffey, C., Carlin, J. B., Sanci, L. A., & Sawyer, S. M. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.106.031112 · Cited by 76 · see citing works
Online Cognitive–Behavioural Treatment of Bulimic Symptoms: A Randomized Controlled Trial
Ruwaard, J., Lange, A., Broeksteeg, J., Renteria‐Agirre, A., Schrieken, B., Dolan, C. V., & Emmelkamp, P. (2013) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1767 · Cited by 75 · see citing works
Bailey, K. A., Cline, L. E., & Gammage, K. L. (2016) · Body Image · doi:10.1016/j.bodyim.2016.02.007 · Cited by 73 · see citing works
Levinson, C. A., & Rodebaugh, T. L. (2016) · Appetite · doi:10.1016/j.appet.2016.07.024 · Cited by 75 · see citing works
“We tested these hypotheses in an all-female young adult sample because women are at higher risk than men for the development of disordered eating and this age group represents a crucial time period when eating disorders emerge (Taylor et al., 2006).”
BackgroundMethodInfluentialEngel, M. M., & Keizer, A. (2017) · Scientific Reports · doi:10.1038/s41598-017-16362-w · Cited by 73 · see citing works
Kass, A. E., Trockel, M., Safer, D. L., Sinton, M. M., Cunning, D., Rizk, M. T., Genkin, B. H., Weisman, H. L., Bailey, J. O., Jacobi, C., et al. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.09.010 · Cited by 71 · see citing works
“The decision to examine these variables was based on the moderating effect of BMI from a previous trial of Student Bodies (Taylor et al., 2006) and the association between depression and increased risk for eating disorder onset (Jacobi et al.”
InfluentialSelf-citationMond, J., Hay, P., Paxton, S. J., Rodgers, B., Darby, A., Nilsson, J., Quirk, F. H., & Owen, C. A. (2010) · Eating Disorders · doi:10.1080/10640266.2010.490115 · Cited by 71 · see citing works
“Although computer-based eating disorder prevention programs have been developed, to date these programs have been confined to selective prevention approaches in which all participants receive the same program content (Barr-Taylor et al., 2006).”
Taylor, C. B., Kass, A. E., Trockel, M., Cunning, D., Weisman, H., Bailey, J., Sinton, M., Aspen, V., Schecthman, K., Jacobi, C., et al. (2016) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000077 · Cited by 70 · see citing works
“The WCS was used to screen for “high risk” (score 47; Jacobi, Abascal, & Taylor, 2004; Killen et al., 1996; Taylor et al., 2006).”
BackgroundMethodResultInfluentialSelf-citationA Study of Asynchronous Mobile-Enabled SMS Text Psychotherapy
Hull, T. D., & Mahan, K. (2016) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2016.0114 · Cited by 70 · see citing works
“6,7 12 Of the communication technologies available, short message service (SMS) text is a particularly promising mode.”
Shah, J., DePietro, B., D’Adamo, L., Firebaugh, M., Laing, O., Fowler, L. A., Smolar, L., Sadeh‐Sharvit, S., Taylor, C. B., Wilfley, D. E., et al. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23798 · Cited by 74 · see citing works
Self-citationJones, M., Taylor, K. L., Kass, A. E., Burrows, A., Williams, J. W., Wilfley, D. E., & Taylor, C. B. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2995 · Cited by 70 · see citing works
“Student Bodies is an online eating disorder prevention program for adolescent and college-age women that has been shown to significantly reduce risk, onset, and progression of eating disorders [18].”
BackgroundMethodInfluentialSelf-citationRandomised controlled trial of CD–ROM-based cognitive–behavioural self-care for bulimia nervosa
Schmidt, U. H., Andiappan, M., Grover, M., Robinson, S., Perkins, S., Dugmore, O., Landau, S., Treasure, J. L., Eisler, I., & Williams, C. J. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.046607 · Cited by 69 · see citing works
Chen, X., Lunn, S., Deveaux, L., Li, X., Brathwaite, N. V., Cottrell, L., & STANTON, B. F. (2008) · AIDS and Behavior · doi:10.1007/s10461-008-9511-0 · Cited by 65 · see citing works
“Several randomized trials of interventions addressing a range of health behaviors have reported differential efficacies for different subgroups (Gueorguieva et al. 2007; McMahon et al. 2001; Taylor et al. 2006), supporting the utility of such analytical approach.”
Cruwys, T., Haslam, S. A., Fox, N. E., & McMahon, H. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.12.003 · Cited by 66 · see citing works
“Eating disorders are among the most widespread mental illnesses, affecting as many as 20% of women aged 15e25 (Crandall, 1988; Taylor et al., 2006).”
BackgroundClaudat, K., White, E. K., & Warren, C. S. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22234 · Cited by 65 · see citing works
Levinson, C., Byrne, M. E., & Rodebaugh, T. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.06.016 · Cited by 50 · see citing works
Yong, C., Liu, H., Yang, Q., Luo, J., Ouyang, Y., Sun, M., Xi, Y., Xiang, C., & Lin, Q. (2021) · Nutrients · doi:10.3390/nu13030990 · Cited by 69 · see citing works
“Another 8-week intervention in college-age women with high weight and body size concerns showed that Internet-based cognitive behavioral intervention could significantly reduce weight and body size concerns for up to two years and reduce the incidence of eating disorders [78].”
BackgroundSaekow, J., Jones, M., Gibbs, E., Jacobi, C., Fitzsimmons-Craft, E. E., Wilfley, D., & Barr Taylor, C. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.10.004 · Cited by 63 · see citing works
“Contents lists available at ScienceDirect Internet Interventions j ourna l homepage: www. invent - journa l .com/ StudentBodies-eating disorders: A randomized controlled trial of a coached online intervention for subclinical eating disorders☆ Jenine Saekow a, Megan Jones b,c,⁎, Elise Gibbs a, Corinna Jacobi d, Ellen E…”
BackgroundMethodInfluentialSelf-citationFitzsimmons‐Craft, E. E., Balantekin, K. N., Eichen, D. M., Graham, A. K., Monterubio, G. E., Sadeh‐Sharvit, S., Goel, N. J., Flatt, R. E., Saffran, K., Karam, A. M., et al. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23134 · Cited by 63 · see citing works
“Women at high risk for an ED were offered Student Bodies-Classic, an online, targeted ED preventive intervention (Beintner et al., 2012; Kass et al., 2014; Taylor et al., 2006, 2016).”
MethodSelf-citation147 Swain Hall, P. O. B. 2., & Thompson, S. (2015) · Journal of Diabetes and Obesity · doi:10.15436/2376-0494.15.035 · Cited by 59 · see citing works
Using technology within the treatment of eating disorders: A clinical practice review.
Shingleton, R. M., Richards, L. K., & Thompson‐Brenner, H. (2013) · Psychotherapy · doi:10.1037/a0031815 · Cited by 58 · see citing works
“…Set Your Body Free Gollings & Paxton (2006); Paxton et al. (2007) http://www.nedc.com.au/resource/69/set-your-body-free StudentBodies Taylor et al., 2006 http://www.beyondblackboards.com/StudentBodies.aspx Overcoming Bulimia Online Williams et al. (1998)…”
InfluentialBauer, S., Moessner, M., Wolf, M., Haug, S., & Kordy, H. (2009) · British Journal of Guidance & Counselling · doi:10.1080/03069880902957049 · Cited by 56 · see citing works
“The study also provided first evidence for the potential of the programme in the prevention of ED onset in two subgroups of participants (Taylor et al., 2006).”
BackgroundBrosof, L. C., & Levinson, C. A. (2016) · Appetite · doi:10.1016/j.appet.2016.10.015 · Cited by 55 · see citing works
Self-Compassionate Writing Exercises Increase College Women’s Body Satisfaction
Stern, N. G., & Engeln, R. (2018) · Psychology of Women Quarterly · doi:10.1177/0361684318773356 · Cited by 58 · see citing works
“Nonetheless, college-aged women are a population of particular interest in body image research, as they are at a greater risk of experiencing body dissatisfaction (Klemchuk, Hutchinson, & Frank, 1990; Taylor et al., 2006) and developing eating disorders or sub-clinical eating pathology, compared to other women (Eisenb…”
BackgroundCerea, S., Ghisi, M., Bottesi, G., Manoli, T., Carraro, E., & Doron, G. (2020) · Behavior Therapy · doi:10.1016/j.beth.2020.04.002 · Cited by 56 · see citing works
Imperatori, C., Panno, A., Carbone, G. A., Corazza, O., Taddei, I., Bernabei, L., Massullo, C., Prevete, E., Tarsitani, L., Pasquini, M., et al. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01232-2 · Cited by 60 · see citing works
Atkinson, M. J., & Wade, T. D. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028263 · Cited by 55 · see citing works
- Authors
- Taylor, C. B., Bryson, S., Luce, K. H., Cunning, D., Doyle, A. C., Abascal, L. B., Rockwell, R., Dev, P., Winzelberg, A. J., & Wilfley, D. E.
- Affiliations
- Stanford Medicine (US)
- Stanford University (US)
- University of Chicago (US)
- San Diego State University (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2006-08-01
- Volume
- 63
- Issue
- 8
- Pages
- 881
- ISSN
- 0003-990X (ISSN-L)
- PMC
- PMC3837629
- OpenAlex
- W2096322054
- Cited by
- 354
- References
- 40
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 5 · 2023: 13 · 2022: 16 · 2021: 14 · 2020: 13 · 2019: 16 · 2018: 14 · 2017: 22 · 2016: 29 · 2015: 27 · 2014: 37 · 2013: 18 · 2012: 25
- FWCI
- 18.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01MH060453, K24MH070446)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK056341)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- eating disorders, prevention, college-age women, online intervention, cognitive-behavioral intervention, weight concern, body image, body mass index, compensatory behavior, bulimia nervosa, drive for thinness, student population, risk factors, eating disorder onset, depressive mood, moderator analysis, long-term follow-up, eating disorder screening
- MeSH terms
- Adolescent, Adult, Age Factors, Feeding and Eating Disorders, Body Image, Body Weight, Bulimia, California, Female, Humans, Longitudinal Studies, Personality Inventory, Surveys and Questionnaires, Risk Factors, Somatotypes, Thinness, Time Factors, Cognitive Behavioral Therapy, Body Mass Index, Treatment Outcome, Internet
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