Reducing eating disorder onset in a very high risk sample with significant comorbid depression: A randomized controlled trial

Journal of Consulting and Clinical Psychology
C Barr TaylorDenise E Wilfley

Abstract

Eating disorders (EDs) are serious problems among college-age women and may be preventable. An indicated online eating disorder (ED) intervention, designed to reduce ED and comorbid pathology, was evaluated. 206 women (M age = 20 ± 1.8 years; 51% White/Caucasian, 11% African American, 10% Hispanic, 21% Asian/Asian American, 7% other) at very high risk for ED onset (i.e., with high weight/shape concerns plus a history of being teased, current or lifetime depression, and/or nonclinical levels of compensatory behaviors) were randomized to a 10-week, Internet-based, cognitive-behavioral intervention or waitlist control. Assessments included the Eating Disorder Examination (EDE, to assess ED onset), EDE-Questionnaire, Structured Clinical Interview for DSM Disorders, and Beck Depression Inventory-II. ED attitudes and behaviors improved more in the intervention than control group (p = .02, d = 0.31); although ED onset rate was 27% lower, this difference was not significant (p = .28, NNT = 15). In the subgroup with highest shape concerns, ED onset rate was significantly lower in the intervention than control group (20% vs. 42%, p = .025, NNT = 5). For the 27 individuals with depression at baseline, depressive symptomatology improved mo...Continue Reading

Associated Clinical Trials

Citations

Feb 6, 2017·The International Journal of Eating Disorders·Andrea E KassC Barr Taylor
Jun 15, 2017·Contemporary Clinical Trials·Tiffany M StewartCarolyn Black Becker
Jul 7, 2018·Journal of American College Health : J of ACH·Andrea K GrahamC Barr Taylor
Sep 21, 2018·Current Opinion in Psychiatry·Tracey D Wade, Simon M Wilksch
May 6, 2019·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Stephanie BauerMarkus Moessner
Sep 1, 2020·The International Journal of Eating Disorders·Reza N SahlanCheri A Levinson
Sep 19, 2019·Journal of Eating Disorders·Claire McAulayStephen Touyz
Aug 13, 2017·The International Journal of Eating Disorders·Taona P Chithambo, Stanley J Huey
Dec 16, 2018·Journal of Medical Internet Research·Corinna JacobiC Barr Taylor
Jan 17, 2020·The International Journal of Eating Disorders·Mathias HarrerDavid D Ebert
Dec 11, 2020·Journal of American College Health : J of ACH·Beth Ann Kotarski, Jill Rodgers

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