Cited by 71Eating Disorders and BehaviorsNutrition, Health and Food BehaviorDigital Mental Health Interventions

Internet-based preventive intervention for reducing eating disorder risk: A randomized controlled trial comparing guided with unguided self-help

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Kass, Andrea E., Trockel, Mickey, Safer, Debra L., Sinton, Meghan M., Cunning, Darby, Rizk, Marianne T., Genkin, Brooke H., Weisman, Hannah L. +4 more·2014·Behaviour Research and Therapy

Abstract

Student Bodies, an internet-based intervention, has successfully reduced weight/shape concerns and prevented eating disorders in a subset of college-age women at highest risk for an eating disorder. Student Bodies includes an online, guided discussion group; however, the clinical utility of this component is unclear. This study investigated whether the guided discussion group improves program efficacy in reducing weight/shape concerns in women at high risk for an eating disorder. Exploratory analyses examined whether baseline variables predicted who benefitted most. Women with high weight/shape concerns (N = 151) were randomized to Student Bodies with a guided discussion group (n = 74) or no discussion group (n = 77). Regression analyses showed weight/shape concerns were reduced significantly more among guided discussion group than no discussion group participants (p = 0.002; d = 0.52); guided discussion group participants had 67% lower odds of having high-risk weight/shape concerns post-intervention (p = 0.02). There were no differences in binge eating at post-intervention between the two groups, and no moderators emerged as significant. Results suggest the guided discussion group improves the efficacy of Student Bodies in reducing weight/shape concerns in college students at high risk for an eating disorder.

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  1. First MB Spitzer RL Gibbon M Williams JBW 2002 Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) New York Biometrics Research, New York State Psychiatric Institute

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Authors
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., Wilfley, D. E., & Taylor, C. B.
Affiliations
  • Washington University in St. Louis (US)
  • Stanford Medicine (US)
  • William & Mary (US)
  • Technische Universität Dresden (DE)
Corresponding author
Wilfley, Denise E.
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2014-12
Volume
63
Pages
90-98
ISSN
0005-7967 (ISSN-L)
OpenAlex
W2031233838
Cited by
71
References
63
Citations by year
2026: 7 · 2025: 7 · 2024: 6 · 2023: 9 · 2022: 8 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 9 · 2017: 3 · 2016: 6 · 2015: 2
FWCI
4.34
Type
journal article
Language
en
Open access
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • W&M Publish (College of William & Mary) (submittedVersion)
Funders
  • National Institute of Mental Health (R01 MH081125, K24 MH070446)
  • National Heart, Lung, and Blood Institute (T32 HL007456)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
eating disorder prevention, online intervention, female university students, binge eating, student population, vulnerable populations, moderated mediation
MeSH terms
Feeding and Eating Disorders, Body Weight, Female, Humans, Patient Compliance, Self Care, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Internet, Young Adult, Body Dysmorphic Disorders

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