Cited by 510Eating Disorders and BehaviorsNutrition, Health and Food BehaviorAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Eating disorder prevention programs: A meta-analytic review.

Stice, Eric, Shaw, Heather·2004·Psychological Bulletin

DOI 10.1037/0033-2909.130.2.206

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Abstract

This meta-analysis of eating disorder prevention programs found that intervention effects ranged from an absence of any effects to reductions in current and future eating pathology. Certain effects persisted as long as 2 years and were superior to minimal-intervention control conditions. Larger effects occurred for selected (vs. universal), interactive (vs. didactic), and multisession (vs. single session) programs; for programs offered solely to females and to participants over age 15; for programs without psychoeducational content; and for trials that used validated measures. The results identify promising prevention programs and delineate sample, format, and design features that are associated with larger effects, but they suggest the need for improved methodological rigor and statistical modeling of trials and enhanced theoretical rationale for interventions.

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POPS: a school-based prevention programme for eating disorders
Warschburger, P., Helfert, S., & Krentz, E. M. (2011) · Journal of Public Health · doi:10.1007/s10389-011-0425-3 · Cited by 14
“Stice and Shaw 2004; Fingeret et al. 2006; Stice et al. 2007) provide specific information on how to approach the prevention of eating disorders effectively.”
BackgroundInfluential
Testing for interactive and non-linear effects of risk factors for binge eating and purging eating disorders
Allen, K. L., Byrne, S. M., Crosby, R. D., & Stice, E. M. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.08.019 · Cited by 14
Self-citation
Prevention: A Report of Progress and Momentum into the Future.
Barrera, M., & Sandler, I. N. (2006) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2006.00028.x · Cited by 14
Reduktion von Risikofaktoren für gestörtes Essverhalten:
Jacobi, C., Morris, L., Beckers, C., Bronisch‐Holtze, J., Winter, J., Winzelberg, A. J., & Taylor, C. B. (2005) · Zeitschrift für Gesundheitspsychologie · doi:10.1026/0943-8149.13.2.92 · Cited by 14
Changing behaviors: Using norms to promote physical activity for type 2 diabetes patients
Pansu, P., Fointiat, V., Lima, L., Blatier, C., Flore, P., & Vuillerme, N. (2019) · European Review of Applied Psychology · doi:10.1016/j.erap.2019.03.001 · Cited by 13
REbeL Peer Education: A model of a voluntary, after-school program for eating disorder prevention
Breithaupt, L. E., Eickman, L., Byrne, C. E., & Fischer, S. F. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.08.003 · Cited by 13
Development and effectiveness of a school programme on improving body image among elementary school students in Taiwan
Yeh, M.-C., Liou, Y., & Chien, L. (2011) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2011.05735.x · Cited by 14
Enhancing Positive Body Image in Women: An Evaluation of a Group Intervention Program
Devaraj, S., & Lewis, V. (2010) · Journal of Applied Biobehavioral Research · doi:10.1111/j.1751-9861.2010.00054.x · Cited by 13
Helping the “couch potato”: A cognitive dissonance approach to increasing exercise in the elderly
Cooper, J., & Feldman, L. A. (2019) · Journal of Applied Social Psychology · doi:10.1111/jasp.12639 · Cited by 9
Acceptability of programs for the prevention of eating disorders
Varnado‐Sullivan, P. J., & Horton, R. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20258 · Cited by 13
Gaze behaviour, body image in women and online apparel shopping
Hollett, R. C., Panaia, P. M., & Smart, A. H. (2023) · International Journal of Consumer Studies · doi:10.1111/ijcs.12977 · Cited by 12
Moderators of the Relationship Between Body Dissatisfaction and Eating Pathology in Preadolescent Girls
Rosewall, J. K., Gleaves, D. H., & Latner, J. D. (2019) · The Journal of Early Adolescence · doi:10.1177/0272431619837385 · Cited by 12
“Researchers have recommended that prevention programs are most effective when they are focused on reducing established risk factors, targeting those with higher EP, and when implemented at a younger age (McVey & Davis, 2002; Stice & Shaw, 2004).”
Background
Exploring the impact of the COVID-19 pandemic on perceptual disturbances and dysfunctional eating attitudes and behaviors: A review of the literature
Monthuy‐Blanc, J., Corno, G., & Chabake, S. A. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1139261 · Cited by 16
“, 2019) or the risk to be fascinating by alarmist message about complications of eating disorders (e.g., induced vomiting; Stice and Shaw, 2004; Noordenbos, 2016; Monthuy-Blanc et al., 2020).”
Background
Prävention psychischer Störungen
Junge‐Hoffmeister, J. (2009) · Springer eBooks · doi:10.1007/978-3-540-79545-2_50 · Cited by 12
Experiential avoidance and dysfunctional beliefs in the prediction of body image disturbance in a nonclinical sample of women
Blakey, S. M., Reuman, L., Buchholz, J. L., & Abramowitz, J. S. (2017) · Body Image · doi:10.1016/j.bodyim.2017.06.003 · Cited by 13
Disordered eating in the context of Self-determination theory
Hricová, L., Orosová, O., & Bačíková-Slešková, M. (2018) · Current Psychology · doi:10.1007/s12144-018-9782-1 · Cited by 15
Deutschsprachige Präventionsprogramme für Essstörungen – Ein systematisches Review
Pickhardt, M., Adametz, L., Richter, F., Strauss, B. M., & Berger, U. (2018) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0043-124766 · Cited by 12
“Psychoedukative Anteile und erfolgreiche Wissensvermittlung allein erwiesen sich jedoch nicht als ausreichend wirksam in der Prävention von Essstörungen [11].”
Primärprävention bei Essstörungen
Berger, U. (2006) · Psychotherapeut · doi:10.1007/s00278-006-0489-7 · Cited by 12
Two distinct mediated pathways to disordered eating in response to weight stigmatization and their application to prevention programs
Simone, M., & Lockhart, G. (2016) · Journal of American College Health · doi:10.1080/07448481.2016.1188106 · Cited by 17
REbeL peer education: A model of a voluntary, after-school program for eating disorder prevention
Breithaupt, L. E., Eickman, L., Byrne, C. E., & Fischer, S. F. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.10.010 · Cited by 12
The European Initiative ProYouth for the Promotion of Mental Health and the Prevention of Eating Disorders* Screening Results in Hungary
Szabó, K., Czeglédi, E., Babusa, B., Szumska, I., Túry, F., Sándor, I., & Bauer, S. (2015) · European Eating Disorders Review · doi:10.1002/erv.2345 · Cited by 11
Effect of animated movie in combating child sleep health problems
Surani, S., Surani, Z., Sadasiva, S., Surani, Z., Khimani, A., & Surani, S. S. (2015) · SpringerPlus · doi:10.1186/s40064-015-1130-4 · Cited by 12
“Interactive programs with student participation are more effective than brief lecture-style programs in changing behavior (Clarke et al. 1993; Stice and Shaw 2004).”
Background
School-Based Interventions to Promote Positive Body Image and The Acceptance of Diversity in Appearance
Diedrichs, P. C., & Halliwell, E. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199580521.013.0038 · Cited by 13
Effects of a Multilevel Resilience-Based Intervention on Mental Health for Children Affected by Parental HIV: A Cluster Randomized Controlled Trial
Jiang, Y.-P., Li, X.-M., Harrison, S., Zhang, J.-J., Qiao, S., Zhao, J.-F., & Zhao, G.-X. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02236-x · Cited by 8
“Girls have been suggested to be more likely to experience anxiety at school than boys (Frawley et al., 2014; Freudenthaler et al., 2008), which, in turn, may make them more motivated to participate in the intervention and have more room to show symptom reductions (Stice & Shaw, 2004).”
Background
Independent pragmatic replication of the Dove Confident Me body image program in an Australian Girls Independent Secondary School
Forbes, J., Paxton, S. J., & Yager, Z. (2023) · Body Image · doi:10.1016/j.bodyim.2023.06.001 · Cited by 10
Traditional and new strategies in the primary prevention of eating disorders: a comparative study in Spanish adolescents
Jáuregui‐Lobera, I. (2010) · International Journal of General Medicine · doi:10.2147/ijgm.s13056 · Cited by 10
The body satisfaction and psychological well-being of retired women athletes: A long-term qualitative analysis of bodies in motion
Barrett, S. L., Petrie, T. A., Voelker, D. K., & Jackson, R. (2022) · Body Image · doi:10.1016/j.bodyim.2022.08.009 · Cited by 10
Boom or Boomerang
Banerjee, S. C., & Kubey, R. W. (2012) · Wiley eBooks · doi:10.1002/9781444361506.wbiems994 · Cited by 12
When Eating Intuitively Is Not Always a Positive Response: Using Machine Learning to Better Unravel Eaters Profiles
Monthuy‐Blanc, J., Faghihi, U., Fardshad, M. N. G., Corno, G., Iceta, S., St-Pierre, M.-J., & Bouchard, S. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12165172 · Cited by 13
“In addition„ these programs should focus on protective factors, such as positive physical self-perceptions, in an ecological environment [83,85,86].”
Background
Eating Disorders and Self-Esteem
Welch, E., & Ghaderi, A. (2012) · Springer eBooks · doi:10.1007/978-1-4614-4130-4_3 · Cited by 9
Abnormal Eating Behavior in Elementary and Junior High School Students : Relation to Mental Health and Social Maladjustment
Ito, H., Murayama, Y., Katagiri, M., Nakajima, S., Hamada, M., Tanaka, Y., Noda, W., Takayanagi, N., & Tsujii, M. (2016) · The Japanese Journal of Educational Psychology · doi:10.5926/jjep.64.170 · Cited by 9
La promotion d’une image corporelle positive chez les jeunes
Carrard, I., Torre, S. B. D., & Levine, M. P. (2019) · Santé Publique · doi:10.3917/spub.194.0507 · Cited by 9
Quality of randomized controlled trials in eating disorder prevention
Watson, H. J., Goodman, E. L., McLagan, N. B., Joyce, T., French, E., Willan, V., & Egan, S. J. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22712 · Cited by 9
“On the grounds that intervention effects can be statistically significant without being clinically significant, they encouraged prevention researchers to include analyses of clinically significant change (Stice & Shaw, 2004).”
BackgroundMethodInfluential

Authors: Stice, E., & Shaw, H.
Affiliations: The University of Texas at Austin (US)
ORCID: Stice, Eric
Shaw, Heather
Venue: Psychological Bulletin
Publisher: American Psychological Association (APA)
Published: 2004
Volume: 130
Issue: 2
Pages: 206-227
ISSN: 0033-2909 (ISSN-L)
1939-1455
DOI: 10.1037/0033-2909.130.2.206
OpenAlex: W2135258436
Cited by: 510
References: 110
Citations by year: 2026: 6 · 2025: 3 · 2024: 8 · 2023: 14 · 2022: 17 · 2021: 17 · 2020: 11 · 2019: 20 · 2018: 16 · 2017: 22 · 2016: 26 · 2015: 26 · 2014: 26 · 2013: 25 · 2012: 27
FWCI: 5.83
Type: journal article
Language: en
Open access: closed
Locations: Psychological Bulletin (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (MH 01708, MH64560, K01MH001708, MH/DK61957, R01MH064560)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: eating disorder prevention, prevention programs, eating pathology, psychoeducation, intervention effects, methodological quality, trial design, theoretical rationale
MeSH terms: Feeding and Eating Disorders, Female, Humans, Male, Mental Health Services, Program Evaluation

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Eating disorder prevention programs: A meta-analytic review.

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