Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial

Heinicke, Brooke E.; Paxton, Susan J.; McLean, Siân A.; Wertheim, Eleanor H.

doi:10.1007/s10802-006-9097-9

Cited by 125Eating Disorders and BehaviorsBody Image and Dysmorphia StudiesNutrition, Health and Food Behavior

Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial

Heinicke, Brooke E., Paxton, Susan J., McLean, Siân A., Wertheim, Eleanor H.·2007·Journal of Abnormal Child Psychology

DOI 10.1007/s10802-006-9097-9

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Abstract

This study evaluated a targeted intervention designed to alleviate body image and eating problems in adolescent girls that was delivered over the internet so as to increase access to the program. The program consisted of six, 90-minute weekly small group, synchronous on-line sessions and was facilitated by a therapist and manual. Participants were 73 girls (mean age=14.4 years, SD=1.48) who self-identified as having body image or eating problems and were randomly assigned to an intervention group (n=36) (assessed at baseline, post-intervention and at 2- and 6-months follow-up) or a delayed treatment control group (n=37) (assessed at baseline and 6-7 weeks later). Clinically significant improvements in body dissatisfaction, disordered eating, and depression were observed at post-intervention and maintained at follow-up. Internet delivery was enthusiastically endorsed. The program offers a promising approach to improve body image and eating problems that also addresses geographic access problems.

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CHANGE MECHANISMS AND EFFECTIVENESS OF SMALL GROUP TREATMENTS
Hapter, C., Burlingame, G. M., Strauss, B., & Joyce, A. S. (2012) · Cited by 137 · see citing works
Cochrane Review: Psychological and educational interventions for preventing depression in children and adolescents
Merry, S., Hetrick, S. E., Cox, G., Brudevold‐Iversen, T., Bir, J. J., & McDowell, H. (2012) · Evidence-Based Child Health A Cochrane Review Journal · doi:10.1002/ebch.1867 · Cited by 129 · see citing works
The potential of technology-based psychological interventions for anorexia and bulimia nervosa: a systematic review and recommendations for future research
Schlegl, S., Bürger, C., Schmidt, L., Herbst, N., & Voderholzer, U. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3554 · Cited by 123 · see citing works
“Some patients stated that they preferred participating in a program offered via the Internet over face-to-face treatment [71,73].”
Influential
A Review of Technology-Based Youth and Family-Focused Interventions
MacDonell, K. W., & Prinz, R. J. (2016) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-016-0218-x · Cited by 113 · see citing works
“Heinicke et al. (2007) 73 100 14 3 *(0.56) *(0.53)”
Influential
Comparison of face‐to‐face and internet interventions for body image and eating problems in adult women: An RCT
Paxton, S. J., McLean, S. A., Gollings, E. K., Faulkner, C., & Wertheim, E. H. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20446 · Cited by 111 · see citing works
Self-citation
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
“While internetbased interventions addressing bulimia nervosa [14-19], binge eating [12,13,16], EDNOS (eating disorder not otherwise specified) [17,19] and body dissatisfaction [20,21] have been conducted, there is still a relatively low number of investigations into the application of internet-based interventions for…”
Background
Guided self-help for eating disorders: a systematic review and metaregression
Traviss‐Turner, G. D., West, R. M., & Hill, A. J. (2017) · European Eating Disorders Review · doi:10.1002/erv.2507 · Cited by 98 · see citing works
“One study included students with body image concerns and some symptoms of eating disorders (Heinicke et al., 2007).”
BackgroundInfluential
Telepsychology outcome research with children and adolescents: A review of the literature.
Slone, N. C., Reese, R. J., & McClellan, M. J. (2012) · Psychological Services · doi:10.1037/a0027607 · Cited by 94 · see citing works
The age of cyberpsychology: An overview.
Ancis, J. R. (2020) · Technology Mind and Behavior · doi:10.1037/tmb0000009 · Cited by 84 · see citing works
“…et al., 2004), children with depression (Nelson et al., 2003), combat veterans with PTSD (Frueh et al., 2007), adolescents and adults enrolled in smoking cessation programs (Spohr et al., 2015; Woodruf et al., 2007), and adolescents with symptoms of disordered eating (Heinicke et al., 2007).”
Background
Review of interventions to reduce ultraviolet tanning: Need for treatments targeting excessive tanning, an emerging addictive behavior.
Stapleton, J. L., Hillhouse, J., Levonyan‐Radloff, K., & Manne, S. L. (2017) · Psychology of Addictive Behaviors · doi:10.1037/adb0000289 · Cited by 70 · see citing works
A Controlled Evaluation of Web-Based Training for Teachers and Public Health Practitioners on the Prevention of Eating Disorders
McVey, G. L., Gusella, J. L., Tweed, S., & Ferrari, M. (2008) · Eating Disorders · doi:10.1080/10640260802570064 · Cited by 68 · see citing works
“Future research could explore whether or not a more interactive format, one that allows users to communicate with each other or with the researchers (e.g., chat rooms, discussion groups), might lead to different outcomes in terms of participants’ knowledge or competencies to address weight bias in their school ( Heini…”
Background
ADVANCING THE PRACTICE OF ONLINE PSYCHOTHERAPY: AN APPLICATION OF ROGERS' DIFFUSION OF INNOVATIONS THEORY
Lovejoy, T. I., Demireva, P. D., Grayson, J. L., & McNamara, J. R. (2009) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/a0015153 · Cited by 64 · see citing works
Trajectories of Body Dissatisfaction and Dietary Restriction in Early Adolescent Girls: A Latent Class Growth Analysis
Rodgers, R. F., McLean, S. A., Marques, M. D., Dunstan, C. J., & Paxton, S. J. (2015) · Journal of Youth and Adolescence · doi:10.1007/s10964-015-0356-3 · Cited by 61 · see citing works
“Previous studies have revealed that the scores from this scale demonstrate good reliability among adolescent girls (Heinicke, Paxton, McLean, & Wertheim, 2007).”
Self-citation
Outcome Domains in Child Mental Health Research Since 1996: Have They Changed and Why Does It Matter?
Hoagwood, K., Jensen, P. S., Acri, M. C., Olin, S.-C. S., Lewandowski, R. E., & Herman, R. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.09.004 · Cited by 60 · see citing works
Telemental health and Web-based applications in children and adolescents
Siemer, C. P., Fogel, J., & Van Voorhees, B. W. (2011) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2010.08.012 · Cited by 54 · see citing works
BodiMojo: Effective Internet-based promotion of positive body image in adolescent girls
Franko, D. L., Cousineau, T. M., Rodgers, R. F., & Roehrig, J. P. (2013) · Body Image · doi:10.1016/j.bodyim.2013.04.008 · Cited by 50 · see citing works
Comparing Online and Face-to-Face Dissonance-Based Eating Disorder Prevention
Serdar, K., Kelly, N. R., Palmberg, A. A., Lydecker, J. A., Thornton, L. M., Tully, C. E., & Mazzeo, S. E. (2014) · Eating Disorders · doi:10.1080/10640266.2013.874824 · Cited by 46 · see citing works
Where Did Universal Eating Disorder Prevention Go?
Wilksch, S. M. (2013) · Eating Disorders · doi:10.1080/10640266.2013.864889 · Cited by 45 · see citing works
Computers and psychosocial treatment for child anxiety: recent advances and ongoing efforts
Kendall, P. C., Khanna, M. S., Edson, A. L., Cummings, C. M., & Harris, M. S. H. (2010) · Depression and Anxiety · doi:10.1002/da.20757 · Cited by 45 · see citing works
“A number of studies exist evaluating the efficacy of computer-based treatments for child anxiety, [65–67] selective mutism, [68] specific phobia, [69] disordered eating, [70] and depression [67,71–73] among youth.”
Background
Teaching adolescents about changing bodies: Randomized controlled trial of an Internet puberty education and body dissatisfaction prevention program
Cousineau, T. M., Franko, D. L., Trant, M., Rancourt, D., Ainscough, J. L., Chaudhuri, A., & Brevard, J. A. (2010) · Body Image · doi:10.1016/j.bodyim.2010.06.003 · Cited by 43 · see citing works
Evaluation of Vipassana Meditation Course Effects on Subjective Stress, Well‐being, Self‐kindness and Mindfulness in a Community Sample: Post‐course and 6‐month Outcomes
Szekeres, R. A., & Wertheim, E. H. (2014) · Stress and Health · doi:10.1002/smi.2562 · Cited by 41 · see citing works
Self-citation
Systematic review of mental health and well-being outcomes following community-based obesity prevention interventions among adolescents
Hoare, E., Fuller‐Tyszkiewicz, M., Skouteris, H., Millar, L., Nichols, M. S., & Allender, S. E. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006586 · Cited by 41 · see citing works
Pragmatic, Randomized Controlled Trials of the Girls on the Go! Program to Improve Self-Esteem in Girls
Tirlea, L., Truby, H., & Haines, T. P. (2016) · American Journal of Health Promotion · doi:10.1177/0890117116639572 · Cited by 41 · see citing works
Internet‐delivered eating disorder prevention: A randomized controlled trial of dissonance‐based and cognitive‐behavioral interventions
Chithambo, T. P., & Huey, S. J. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22762 · Cited by 39 · see citing works
Therapeutic Alliance and Group Cohesion in an Online Support Program for Adolescent and Young Adult Cancer Survivors: Lessons from “Recapture Life”
McGill, B. C., Sansom‐Daly, U. M., Wakefield, C. E., Ellis, S. J., Robertson, E. G., & Cohn, R. J. (2017) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2017.0001 · Cited by 39 · see citing works
Genetic and Environmental Influences on Thin-Ideal Internalization
Suisman, J. L., O'Connor, S., Sperry, S., Thompson, J., Keel, P., Burt, S., Neale, M., Boker, S., Sisk, C., & Klump, K. (2012) · International Journal of Eating Disorders · doi:10.1002/eat.22056 · Cited by 39 · see citing works
Klinisch-psychologische Intervention im Internet
Eichenberg, C., & Ott, R. (2011) · Psychotherapeut · doi:10.1007/s00278-011-0832-5 · Cited by 36 · see citing works
Exposure to body diversity images as a buffer against the thin-ideal: An experimental study
Ogden, J., Gosling, C., Hazelwood, M., & Atkins, E. (2020) · Psychology Health & Medicine · doi:10.1080/13548506.2020.1734219 · Cited by 38 · see citing works
Examination of the Sociocultural Attitudes Towards Appearance Questionnaire-3 in a mixed-gender young-adolescent sample.
Wilksch, S. M., & Wade, T. D. (2011) · Psychological Assessment · doi:10.1037/a0025618 · Cited by 31 · see citing works
Internet and well-being
Amichai‐Hamburger, Y., & Barak, A. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511635373.003 · Cited by 31 · see citing works
Promoting Youth Mental Health through Computer-Mediated Communication
Rickwood, D. (2010) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2010.9721817 · Cited by 30 · see citing works
“…intervention to alleviate body image and eating problems in very high-risk adolescent girls revealed that the synchronous online therapist-facilitated group sessions resulted in significant improvements in body dissatisfaction, disordered eating and depression (Heinicke et al , 2007).”
Background
Evaluating reach, adoption, implementation and maintenance of Internet-based interventions to prevent eating disorders in adolescents: a systematic review
Zeiler, M. D., Kuso, S., Nacke, B., Klesges, L. M., & Waldherr, K. (2019) · European Journal of Public Health · doi:10.1093/eurpub/ckz130 · Cited by 30 · see citing works
Cyber Counselling: An Innovative Field Education Pilot Project
Mishna, F., Levine, D., Bogo, M., & Wert, M. V. (2012) · Social Work Education · doi:10.1080/02615479.2012.685066 · Cited by 29 · see citing works
“…in counselling sessions (e.g. Reese et al. , 2002; Prado and Meyer, 2004; Carlbring et al. , 2006; King et al. , 2006; Hanley, 2009) with clients struggling with a variety of difﬁculties, including anxiety (Alleman, 2002) and eating disorders (Heinicke et al. , 2007; Paxton et al. , 2007).”
Background
Maximizing the public health impact of eating disorder services: A simulation study
Moessner, M., & Bauer, S. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22792 · Cited by 28 · see citing works
Increasing equity of access to high-quality mental health services in primary care: a mixed-methods study
Dowrick, C., Chew-Graham, C., Lovell, K., Lamb, J., Aseem, S., Beatty, S., Bower, P., Burroughs, H., Clarke, P., Edwards, S., et al. (2013) · Programme Grants for Applied Research · doi:10.3310/pgfar01020 · Cited by 27 · see citing works
The Acceptability of E-mental Health Services for Children, Adolescents, and Young Adults: A Systematic Search and Review
Struthers, A., Charette, C., Bapuji, S. B., Winters, S., Ye, X., Metge, C., Kreindler, S., Raynard, M., Lemaire, J., Synyshyn, M., et al. (2015) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2015-006 · Cited by 27 · see citing works
Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis
Qiu, L.-T., Sun, G.-X., Li, L., Zhang, J., Wang, D., & Fan, B.-Y. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.999702 · Cited by 28 · see citing works
Internet‐based interpretation bias modification for body dissatisfaction: A three‐armed randomized controlled trial
Dietel, F. A., Zache, C., Bürkner, P., Schulte, J., Möbius, M., Bischof, A., Wilhelm, S., & Buhlmann, U. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23280 · Cited by 24 · see citing works
Associations between eating disorder related symptoms and participants’ utilization of an individualized <scp>I</scp>nternet‐based prevention and early intervention program
Kindermann, S., Moessner, M., Ozer, F., & Bauer, S. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22774 · Cited by 23 · see citing works
Randomized controlled trial of a web-based indoor tanning intervention: Acceptability and preliminary outcomes.
Stapleton, J. L., Manne, S. L., Darabos, K., Greene, K. L., Ray, A. E., Turner, A. L., & Coups, E. J. (2015) · Health Psychology · doi:10.1037/hea0000254 · Cited by 23 · see citing works
“Content related to media influences on body image was primarily adapted from and informed by disordered eating interventions (Heinicke et al., 2007; Stewart et al., 2001; Stice et al., 2012).”
Background
Evaluation of the Effects of Telepsychotherapy in the Treatment and Prevention of Eating Disorders in Adolescents
Maglia, M. G., Corello, G. M., & Caponnetto, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312573 · Cited by 22 · see citing works
“The first study [42] focused its intervention on the use of an application that allows a good therapeutic alliance between patient and psychologist in the long term that promoted an increase in weight parameters and a decrease in depressive aspects.”
BackgroundMethodInfluential
The impact of indicated prevention and early intervention on co-morbid eating disorder and depressive symptoms: a systematic review
Rodgers, R. F., & Paxton, S. J. (2014) · Journal of Eating Disorders · doi:10.1186/s40337-014-0030-2 · Cited by 21 · see citing works
“Heinicke [42] N intervention =36; N control =37; F 14.”
BackgroundSelf-citation
Body weight and body dissatisfaction among Chinese adolescents: Mediating and moderating roles of weight-related teasing
Chen, G., He, J., Zhang, B., & Fan, X. (2019) · Current Psychology · doi:10.1007/s12144-019-00572-8 · Cited by 20 · see citing works
Investigation of the effectiveness of the “Girls on the Go!” program for building self-esteem in young women: trial protocol
Tirlea, L., Truby, H., & Haines, T. P. (2013) · SpringerPlus · doi:10.1186/2193-1801-2-683 · Cited by 17 · see citing works
“Also, poor body image has been associated with unhealthy weight loss practices such as engaging in extreme dieting behaviours like purging, and also binge eating (Heinicke et al., 2007; Paxton, 2000; Paxton, 1993).”
Background
Secondary effects of body dissatisfaction interventions on adolescent depressive symptoms: A meta‐analysis
Ahuvia, I. L., Jans, L. K., & Schleider, J. L. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23659 · Cited by 15 · see citing works
Research Note—A Pilot Cyber Counseling Course in a Graduate Social Work Program
Mishna, F., Tufford, L., Cook, C., & Bogo, M. (2013) · Journal of Social Work Education · doi:10.1080/10437797.2013.796855 · Cited by 14 · see citing works
Erratum to: Evaluating reach, adoption, implementation and maintenance of internet-based interventions to prevent eating disorders in adolescents: A systematic review
Zeiler, M. D., Kuso, S., Nacke, B., Klesges, L. M., & Waldherr, K. (2021) · European Journal of Public Health · doi:10.1093/eurpub/ckab109 · Cited by 14 · see citing works
Virtual prevention of eating disorders in children, adolescents, and emerging adults: a scoping review
Pellegrini, D., Grennan, L., Bhatnagar, N., McVey, G. L., & Couturier, J. L. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00616-8 · Cited by 13 · see citing works
Facilitating social work role plays in online courses: The use of video conferencing
Fitch, D., Canada, K. E., Cary, S., & Freese, R. (2016) · Advances in Social Work · doi:10.18060/20874 · Cited by 13 · see citing works
Kindes- und Jugendalter
Lunkenheimer, F., Ebert, D. D., & Baumeister, H. (2023) · Springer eBooks · doi:10.1007/978-3-662-65816-1_19 · Cited by 13 · see citing works
Using new technologies to deliver cognitive behaviour therapy with children and adolescents
Donovan, C. L., Spence, S. H., & March, S. (2013) · Cambridge University Press eBooks · doi:10.1017/cbo9781139344456.031 · Cited by 12 · see citing works
“Heinicke et al .”
Method
Reductions in Employee Productivity Impairment Observed After Implementation of Web-Based Worksite Health Promotion Programs
Silberman, J., Schwartz, S., Giuseffi, D. L., Wang, C., Nevedal, D. C., & Bedrosian, R. C. (2011) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3182337726 · Cited by 12 · see citing works
Healthy Body Image Intervention Delivered to Young Women via Facebook Groups: Formative Study of Engagement and Acceptability
Stapleton, J. L., Manne, S. L., Day, A. K., Levonyan‐Radloff, K., & Pagoto, S. (2018) · JMIR Research Protocols · doi:10.2196/resprot.9429 · Cited by 11 · see citing works
“The goals of the dissonance-based Facebook intervention approach mirrored those of existing interventions for disordered eating and indoor tanning [11,15-17] including: raising awareness and promoting reflection of sociocultural and media influences on body image and risk behaviors; 2) promoting dissonance by encourag…”
BackgroundMethodInfluential
Key Components and Content of Effective Evidence-Based Digital Prevention Programs for Anxiety and Depression in Children and Adolescents: A Systematic Umbrella Review
Reitegger, F., Peras, I., Wright, M., & Gasteiger‐Klicpera, B. (2024) · Adolescent Research Review · doi:10.1007/s40894-024-00237-z · Cited by 13 · see citing works
Is the Effect of Body Dissatisfaction on Depressive Symptoms Dependent on Weight Status? A Study with Early-to-Middle Adolescents
Carapeto, M., Domingos, R., & Veiga, G. (2020) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe10040072 · Cited by 9 · see citing works
“As implications for practice in clinical and educational contexts with adolescents, this study reinforces the importance of including body dissatisfaction in preventing and treating depression [83].”
Background
Telehealth approaches to obsessive-compulsive related disorders
Brand, J., & Mckay, D. (2012) · Psychotherapy Research · doi:10.1080/10503307.2011.650655 · Cited by 9 · see citing works
“In terms of patient preferences, 65% of the participants in this study preferred an internetbased group, and 85% reported that an internetbased group was more realistic to access (Heinicke et al., 2007).”
Background
Qualitätskriterien internetbasierter kognitiv-behavioraler Interventionen für Kinder und Jugendliche sowie deren Eltern – Ein systematisches Review
Tutus, D., Plener, P. L., & Niemitz, M. (2018) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000640 · Cited by 8 · see citing works
Transtornos alimentares e imagem corporal na adolescência: uma análise da produção científica em psicologia
de Carvalho, R. S., Amaral, A. C. S., & Ferreira, M. E. C. (2009) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 8 · see citing works
Cognitive and Behavioral Approaches to the Prevention of Eating Disorders
Becker, C. B., MacKenzie, K., & Stewart, T. M. (2015) · doi:10.1002/9781118574089.ch44 · Cited by 8 · see citing works
School‐Based Prevention
Yager, Z., & O’Dea, J. (2015) · doi:10.1002/9781118574089.ch42 · Cited by 8 · see citing works
Programme Grants for Applied Research
Library, N. J. (2012) · Cited by 5 · see citing works
Implementation of a Web-Based Organ Donation Educational Intervention: Development and Use of a Refined Process Evaluation Model
Redmond, N., Harker, L., Bamps, Y. A., Flemming, S. S. C., Perryman, J. P., Thompson, N. J., Patzer, R. E., Williams, N. S. D., & Arriola, K. J. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.8501 · Cited by 5 · see citing works
“And whereas research has found the Internet to be a feasible modality for implementing behavioral studies on sensitive topics [14-16,19,20], introducing organ donation on the Internet may heighten uncertainty around a controversial topic.”
Background
Using Immediate Response Technology to Gather Electronic Health Data and Promote Telemental Health Among Youth
Toscos, T., Carpenter, M., Drouin, M. A., Roebuck, A. E., Howard, A. R., Flanagan, M., & Kerrigan, C. (2018) · eGEMs (Generating Evidence & Methods to improve patient outcomes) · doi:10.5334/egems.231 · Cited by 5 · see citing works
The inclusion and impact of digital determinants of health in digital nutrition interventions for adolescents: a systematic review
Mooney, P., Lam, L. T. V., Todd, A., Partridge, S. R., & Raeside, R. (2025) · Health Promotion International · doi:10.1093/heapro/daaf154 · Cited by 4 · see citing works
“%) have somewhat addressed or addressed four or more criteria in their interventions (Heinicke et al .”
Influential
If they like it they can take it with them: A mixed methods look at the use of Internet-based instruction of mindfulness meditation with incarcerated youth
Evans‐Chase, M. (2015) · Advances in Social Work · doi:10.18060/17973 · Cited by 6 · see citing works
E-mental health: state of the art
Thewissen, V., & Günther, N. (2015) · Tijdschrift voor Psychotherapie · doi:10.1007/s12485-015-0102-z · Cited by 4 · see citing works
Internet-Based Therapies for Child and Adolescent Emotional and Behavioral Problems
Spence, S. H., March, S., Vigerland, S., & Serlachius, E. (2016) · Springer eBooks · doi:10.1007/978-3-319-06083-5_11 · Cited by 4 · see citing works
Improvements in Adolescents’ Disordered Eating Behaviors in a Collaborative Care Digital Mental Health Intervention: Retrospective Observational Study
Huffman, L. G., Lawrence‐Sidebottom, D., Beam, A. B., Parikh, A., Guerra, R., Roots, M., & Huberty, J. (2023) · JMIR Formative Research · doi:10.2196/54253 · Cited by 4 · see citing works
A meta‐analytic review of impact of measurement choice on RCTs to reduce appearance internalization
Mol, T., Thompson, J. K., & Fuller‐Tyszkiewicz, M. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.23990 · Cited by 4 · see citing works
Evaluation of Teen BodyWise: A pilot study of a body image group adapted for adolescent inpatients with anorexia nervosa
Rosewall, J. K., Beavan, A., Houlihan, C., Bates, S., Melhuish, L., Mountford, V. A., & Lacey, J. H. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00658-z · Cited by 4 · see citing works
Development of Acceptance and Commitment Therapy Group Counseling Models and Mindfulness-Based Stress Reduction to Reduce Academic Burnout in High School Students
Sofyan, A., Ramli, M., Sugiyo, S., & Kurniawan, K. (2023) · COUNS-EDU| The International Journal of Counseling and Education · doi:10.23916/0020220736730 · Cited by 3 · see citing works
Testing Theory-Based Expressive Writing Interventions to Reduce Disordered Eating Behaviors and Cognitions
Skubisz, C., Seeney, A. N., & Pacanowski, C. R. (2022) · American Journal of Lifestyle Medicine · doi:10.1177/15598276221082604 · Cited by 3 · see citing works
Quality and Methodological Challenges in Internet-Based Mental Health Trials
Ye, X., Bapuji, S. B., Winters, S. E., Metge, C. J., & Raynard, M. (2014) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2013.0298 · Cited by 3 · see citing works
The impact of indicated prevention and early intervention on co-morbid eating disorder and depressive symptoms: a systematic review
Rodgers, R. F., & Paxton, S. J. (2014) · Journal of Eating Disorders · doi:10.1186/preaccept-2115202036129193 · Cited by 3 · see citing works
Self-citation
Leveraging Technology to Enhance Eating Disorder Treatment Outcomes
Howe, C. P., D’Adamo, L., & Fitzsimmons‐Craft, E. E. (2026) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2025.08.015 · Cited by 2 · see citing works
Tratamiento de la imagen corporal en los trastornos de la conducta alimentaria desde la terapia online
Felipe, I. F., Salvador, H. M., & Castellano, S. Q. (2019) · Àgora de salut · doi:10.6035/agorasalut.2019.6.10 · Cited by 2 · see citing works
Uso de abordagens online na prevenção dos transtornos alimentares: Uma revisão narrativa
Dunker, K. L. L., dos Santos, J. F., da Silva, N. M., & Grigolon, R. B. (2021) · Research Society and Development · doi:10.33448/rsd-v10i9.17694 · Cited by 2 · see citing works
New Technological Settings of Communication to Improve the Traditional Techniques in Clinical Psychology and Psychotherapy
Castelnuovo, G. (2008) · The Open Communication Journal · doi:10.2174/1874916x00802010086 · Cited by 2 · see citing works
Klinisch-psychologische Intervention im Internet Review zu empirischen Befunden störungsspezifischer Angebote
Medien, N. (2011) · Cited by 2 · see citing works
Effectiveness of Internet Based Psychotherapeutic Intervention in Common Psychiatric Disorders
Bisen, S. S., & Deshpande, Y. (2018) · International Journal of Cyber Behavior Psychology and Learning · doi:10.4018/ijcbpl.2018040104 · Cited by 2 · see citing works
Digital Interventions for Improving Body Dissatisfaction in Children and Emerging Adults: Systematic Review and Meta-Analysis
Liu, L., Yang, J., Tan, F., Yang, X., Luo, H., Chen, Y., & Zhao, X. (2025) · Interactive Journal of Medical Research · doi:10.2196/72231 · Cited by 1 · see citing works
“One study [46] claimed that its missing item values were replaced with the mean value of that participant’s scale scores.”
Influential

The internet-based My Body, My Life: Body Image Program for adolescent girls improves body image and disordered eating
Paxton, S. J. (2008)
Self-citation
Comparison of Internet and Face-to-Face Delivery of a Group Body Image and Disordered Eating Intervention for Women: A Pilot Study
Gollings, E. K., & Paxton, S. J. (2006) · Eating Disorders · doi:10.1080/10640260500403790 · Cited by 68 · see citing works
Self-citation
Comparison of face‐to‐face and internet interventions for body image and eating problems in adult women: An RCT
Paxton, S. J., McLean, S. A., Gollings, E. K., Faulkner, C., & Wertheim, E. H. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20446 · Cited by 111 · see citing works
Self-citation
An Interactive Psychoeducational Intervention for Women at Risk of Developing an Eating Disorder.
Zabinski, M. F., Wilfley, D. E., Calfas, K. J., Winzelberg, A. J., & Taylor, C. B. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.5.914 · Cited by 122 · see citing works
A preliminary trial of a prototype internet dissonance-based eating disorder prevention program for young women with body image concerns.
Stice, 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

Authors: Heinicke, B. E., Paxton, S. J., McLean, S. A., & Wertheim, E. H.
Affiliations: La Trobe University (AU)
Corresponding author: Paxton, Susan J.
ORCID: Paxton, Susan J.
McLean, Siân A.
Wertheim, Eleanor H.
Venue: Journal of Abnormal Child Psychology
Publisher: Springer Science and Business Media LLC
Published: 2007-01-23
Volume: 35
Issue: 3
Pages: 379-391
ISSN: 0091-0627 (ISSN-L)
1573-2835
DOI: 10.1007/s10802-006-9097-9
OpenAlex: W2031460810
Cited by: 125
References: 68
Citations by year: 2026: 2 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 12 · 2016: 6 · 2015: 15 · 2014: 7 · 2013: 13 · 2012: 10
FWCI: 6.55
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Research on Child and Adolescent Psychopathology (publishedVersion)
PubMed (publishedVersion)
Victoria University Research Repository (Victoria University) (submittedVersion)
Funders: Telstra Foundation
Myer Foundation
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: body dissatisfaction, disordered eating, adolescent girls, online intervention, small group therapy, body image, depression, eating disorder prevention
MeSH terms: Adolescent, Psychology, Adolescent, Feeding and Eating Disorders, Body Image, Female, Humans, Personal Satisfaction, Personality Inventory, Psychotherapy, Group, Surveys and Questionnaires, Self-Help Groups, Body Mass Index, Treatment Outcome, Remote Consultation, Internet, Control Groups

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Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial

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