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[German Prevention Programs for Eating Disorders - A Systematic Review].

Mara Pickhardt1, Luise Adametz1, Felicitas Richter1

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Summary
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This systematic review identifies German eating disorder prevention programs. Secondary prevention showed higher effectiveness in reducing risk factors like body dissatisfaction and increasing self-esteem.

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Area of Science:

  • Psychology
  • Public Health
  • Clinical Medicine

Background:

  • Numerous primary and secondary prevention programs for eating disorders have been developed in German-speaking countries.
  • A systematic review of their content and evaluation is lacking.
  • This review aims to bridge that gap for professionals.

Purpose of the Study:

  • To systematically identify and outline German prevention programs for eating disorders.
  • To facilitate the selection of effective interventions for medical experts, professionals, and teachers.
  • To provide an overview of program content and evaluation outcomes.

Main Methods:

  • A systematic literature search was conducted.
  • 22 German-language primary and secondary prevention programs were identified.
  • Evaluated programs were analyzed for effectiveness and delivery settings (school, internet, group).

Main Results:

  • Half of the identified programs were evaluated.
  • Programs consistently reduced weight/shape concerns and drive for thinness, and increased body self-esteem.
  • Effectiveness in reducing disordered eating behavior was inconsistent, though all programs reduced at least one risk factor.
  • Secondary prevention programs demonstrated higher effect sizes than primary prevention programs.

Conclusions:

  • German eating disorder prevention programs show promise in reducing risk factors and improving body image.
  • Secondary prevention appears more effective than primary prevention.
  • Further research is needed to enhance the effectiveness of disordered eating behavior reduction and address study limitations.