1. Primary prevention of eating disorders: might it do more harm than good?
- Author
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J C Carter, D A Stewart, V J Dunn, and Christopher G. Fairburn
- Subjects
Program evaluation ,Gerontology ,medicine.medical_specialty ,Public health ,Social environment ,medicine.disease ,Psychiatry and Mental health ,Eating disorders ,Harm ,Primary prevention ,Intervention (counseling) ,medicine ,Psychology ,Psychiatry ,Disorder prevention - Abstract
Objective: The aim of this pilot study was to evaluate a new school-based eating disorder prevention program designed to reduce dietary restraint. Method: Forty-six school- girls, aged 13-14 years, took part. The intervention consisted of eight weekly sessions of 45 min duration. A battery of self-report questionnaires was administered before and after the intervention and 6 months later. Results: Unlike previous prevention studies, there was not only an increase in knowledge at postintervention but there was also a decrease in target behavior and attitudes. However, these effects were short-lived since they had disappeared 6 months later: indeed, at 6-month follow-up there was an increase in dietary restraint compared with baseline. Discussion: These findings suggest that the intervention had been counterproductive since it led to an increase in dietary restraint. They imply that school- based prevention programs may do more harm than good. © 1997 John Wiley & Sons, Inc. Int J Eat Disord 22: 167-172, 1997.
- Published
- 2016