Beyond Body Image: A Systematic Review of Classroom-Based Interventions Targeting Body Image of Adolescents
Abstract
Body image is especially relevant to the developmental period of adolescence, given the various physical and social changes that take place during this time. Though body dissatisfaction tends to be normative, especially among females, universal prevention programs have been established to intervene prior to body image concerns becoming severe and established. However, prevention efforts vary in their impact on body image. The current project systematically reviewed the literature on body image to determine how universal, classroom-based efforts impact adolescent body image and what program and participant elements help make programs successful. Findings are promising, demonstrating that interactive universal prevention programs can improve adolescents’ body image. However, program effects are generally small and short in duration. The Developmental Theory of Embodiment, which emphasizes body relations that extend beyond body image, is used to evaluate current programs and to guide recommendations for future interventions in an attempt to make these programs more effective.
Keywords
Body image Prevention School Adolescence Developmental Theory of EmbodimentNotes
Authors’ Contributions
J.K. conceived of the study, completed the systematic literature search and review, drafted the manuscript, and completed the revised version of the manuscript; J.E. aided in the critical revision of the manuscript. All authors read and approved the final manuscript.
Funding
There were no funds used to conduct this research.
Compliance with Ethical Standards
Conflicts of interest
The authors declare that they have no conflict of interest.
References
- Alleva, J. M., Sheeran, P., Webb, T. L., Martijn, C., & Miles, E. (2015). A meta-analytic review of stand-alone interventions to improve body image. PLoS ONE, 10(9), 1–33. https://doi.org/10.1371/journal.pone.0139177.CrossRefGoogle Scholar
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.CrossRefGoogle Scholar
- Atkinson, M. J., & Wade, T. D. (2015). Mindfulness-based prevention for eating disorders: A school-based cluster randomized controlled study. International Journal of Eating Disorders, 48(7), 1024–1037. https://doi.org/10.1002/eat.22416.CrossRefPubMedGoogle Scholar
- Austin, S. B. (2000). Prevention research in eating disorders: theory and new directions. Psychological Medicine, 30(6), 1249–1262. https://doi.org/10.1017/S0033291799002573.CrossRefPubMedGoogle Scholar
- Banfield, S. S., & McCabe, M. P. (2002). An evaluation of the construct of body image. Adolescence, 37(146), 373–393.PubMedGoogle Scholar
- Bar, R. J., Cassin, S. E., Dionne, M. M., Bar, R. J., Cassin, S. E., & The, M. M. D. (2017). The long-term impact of an eating disorder prevention program for professional ballet school students: A 15-year follow-up study. Eating Disorders, 25(5), 375–387. https://doi.org/10.1080/10640266.2017.1308731.CrossRefPubMedGoogle Scholar
- Bearman, S. K., Presnell, K., Martinez, E., & Stice, E. (2006). The skinny on body dissatisfaction: A longitudinal study of adolescent girls and boys. Journal of Youth and Adolescence, 35(2), 229–241. https://doi.org/10.1007/s10964-005-9010-9.CrossRefGoogle Scholar
- Becker, C. B., & Stice, E. (2017). From efficacy to effectiveness to broad implementation: Evolution of the body project. Journal of Consulting and Clinical Psychology, 85(8), 767–782. https://doi.org/10.1037/ccp0000204.CrossRefPubMedPubMedCentralGoogle Scholar
- Berger, U., Schaefer, J. M., Wick, K., Brix, C., Bormann, B., Sowa, M.,… Strauss, B. (2014). Effectiveness of reducing the risk of eating-related problems using the German school-based intervention program, “Torera”, for preadolescent boys and girls. Prevention Science, 15(4), 557–569. https://doi.org/10.1007/s11121-013-0396-4.
- Brahler, E., Strauss, B., Hessel, A., & Schumacher, J. (2000). Normierung des Fragebogens zur Beurteilung des eigenen Korpers (FBeK) an einer reprasentativen Bevolkerungsstichprobe. Diagnostica, 46(3), 156–164. https://doi.org/10.1026//0012-1924.46.3.156.CrossRefGoogle Scholar
- Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990). Attitudinal body-image assessment: Factor analysis of the body-self relations questionnaire. Journal of Personality Assessment, 55(1&2), 135–144.CrossRefPubMedGoogle Scholar
- Bruning Brown, J., Winzelberg, A. J., Abascal, L. B., & Taylor, C. B. (2004). An evaluation of an internet-delivered eating disorder prevention program for adolescents and their parents. Journal of Adolescent Health, 35(4), 290–296. https://doi.org/10.1016/j.jadohealth.2003.10.010.CrossRefPubMedGoogle Scholar
- Bucchianeri, M. M., & Corning, A. F. (2012). An experimental test of women’s body dissatisfaction reduction through self-affirmation. Applied Psychology: Health and Well-Being, 4(2), 188–201. https://doi.org/10.1111/j.1758-0854.2012.01068.x.CrossRefPubMedGoogle Scholar
- Cash, T. F. (2011). Cognitive-behavioral perspectives on body image. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice, and prevention (pp. 39–47). New York: The Guilford Press.Google Scholar
- Ciao, A. C., Latner, J. D., Brown, K. E., Ebneter, D. S., & Becker, C. B. (2015). Effectiveness of a peer-delivered dissonance-based program in reducing eating disorder risk factors in high school girls. International Journal of Eating Disorders, 48(6), 779–784. https://doi.org/10.1002/eat.22418.CrossRefPubMedGoogle Scholar
- Clabaugh, A., Karpinski, A., & Griffin, K. (2008). Body weight contingency of self-worth. Self and Identity, 7(4), 337–359. https://doi.org/10.1080/15298860701665032.CrossRefGoogle Scholar
- Clausen, L., Rokkedal, K., & Rosenvinge, J. H. (2009). Validating the Eating Disorder Inventory (EDI-2) in two Danish samples: A comparison between female eating disorder patients and females from the general population. European Eating Disorders Review, 17(6), 462–467. https://doi.org/10.1002/erv.945.CrossRefPubMedGoogle Scholar
- Clausen, L., Rosenvinge, J. H., Friborg, O., & Rokkedal, K. (2011). Validating the Eating Disorder Inventory-3 (EDI-3): A comparison between 561 female eating disorders patients and 878 females from the general population. Journal of Psychopathology and Behavioral Assessment, 33(1), 101–110. https://doi.org/10.1007/s10862-010-9207-4.CrossRefPubMedGoogle Scholar
- Cohane, G. H., & Pope, H. G., Jr. (2001). Body image in boys: A review of the literature. International Journal of Eating Disorders, 29(4), 373–379.CrossRefPubMedGoogle Scholar
- Cook-Cottone, C. P. (2015). Incorporating positive body image into the treatment of eating disorders: A model for attunement and mindful self-care. Body Image, 14, 158–167. https://doi.org/10.1016/j.bodyim.2015.03.004.CrossRefPubMedGoogle Scholar
- Cook-Cottone, C. P., & Guyker, W. M. (2018). The development and validation of the Mindful Self-Care Scale (MSCS): An assessment of practices that support positive embodiment. Mindfulness, 9(1), 161–175. https://doi.org/10.1007/s12671-017-0759-1.CrossRefGoogle Scholar
- Cooper, P. J., Taylor, M. J., Cooper, Z., & Fairbum, C. G. (1987). The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders, 6(4), 485–494. https://doi.org/10.1002/1098-108X(198707)6:4%3c485:AID-EAT2260060405%3e3.0.CO;2-O.CrossRefGoogle Scholar
- Corning, A. F., & Heibel, H. D. (2016). Re-thinking eating disorder prevention: The case for prioritizing the promotion of healthy identity development. Eating Disorders, 24(1), 106–113. https://doi.org/10.1080/10640266.2015.1034057.CrossRefPubMedGoogle Scholar
- Crocker, J., & Knight, K. M. (2005). Contingencies of self-worth. Current Directions in Psychological Science, 14(4), 200–203. https://doi.org/10.1111/j.0963-7214.2005.00364.x.CrossRefGoogle Scholar
- Diedrichs, P. C., Atkinson, M. J., Steer, R. J., Garbett, K. M., Rumsey, N., & Halliwell, E. (2015). Effectiveness of a brief school-based body image intervention “Dove Confident Me: Single Session” when delivered by teachers and researchers: Results from a cluster randomised controlled trial. Behaviour Research and Therapy, 74, 94–104. https://doi.org/10.1016/j.brat.2015.09.004.CrossRefPubMedGoogle Scholar
- Dunstan, C. J., Paxton, S. J., & McLean, S. A. (2017). An evaluation of a body image intervention in adolescent girls delivered in single-sex versus co-educational classroom settings. Eating Behaviors, 25, 23–31. https://doi.org/10.1016/j.eatbeh.2016.03.016.CrossRefPubMedGoogle Scholar
- Durkin, S. J., & Paxton, S. J. (2002). Predictors of vulnerability to reduced body image satisfaction and psychological wellbeing in response to exposure to idealized female media images in adolescent girls. Journal of Psychosomatic Research, 53, 995–1005.CrossRefPubMedGoogle Scholar
- Eickman, L., Betts, J., Pollack, L., Bozsik, F., & Lundgren, J. (2018). Randomized controlled trial of REbeL: A peer education program to promote positive body image, healthy eating behavior, and empowerment in teens. Eating Disorders, 26(2), 127–142. https://doi.org/10.1080/10640266.2017.1349005.CrossRefPubMedGoogle Scholar
- Erikson, E. (1956). The problem of ego identity. Journal of the American Psychoanalytic Association, 4(1), 56–121.CrossRefPubMedGoogle Scholar
- Fairburn, C. G. (2008). Cognitive behavioral therapy and eating disorders. New York: The Guilford Press.Google Scholar
- Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorder psychopathology: Interview or self-report questionnaire. International Journal of Eating Disorders, 16(4), 363–370.PubMedGoogle Scholar
- Fallon, A. E., & Rozin, P. (1985). Short reports: Sex differences in perceptions of desirable body shape. Journal of Abnormal Psychology, 94(1), 102–105. https://doi.org/10.1037/0021-843X.94.1.102.CrossRefPubMedGoogle Scholar
- Fingeret, M. C., Warren, C. S., Cepeda-Benito, A., & Gleaves, D. H. (2006). Eating disorder prevention research: a meta-analysis. Eating Disorders, 14(3), 191–213. https://doi.org/10.1080/10640260600638899.CrossRefGoogle Scholar
- Franko, D. L., Cousineau, T. M., Rodgers, R. F., & Roehrig, J. P. (2013). BodiMojo: Effective Internet-based promotion of positive body image in adolescent girls. Body Image, 10(4), 481–488. https://doi.org/10.1016/j.bodyim.2013.04.008.CrossRefPubMedPubMedCentralGoogle Scholar
- Frederick, D., Bohrnstedt, G. W., Hatfield, E., & Berscheid, E. (2014). Factor structure and validity of the Body Parts Satisfaction Scale: Results from the 1972 Psychology Today Survey. Psihologijske Teme, 23(June 2017), 223–242. Retrieved from http://hrcak.srce.hr/file/184664.
- Fredrickson, B. L., & Roberts, T.-A. (1997). Objectification Theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x.CrossRefGoogle Scholar
- Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Multidimensional Eating Disorder Inventory for Anorexia Nervosa and Bulimia. International Journal of Eating Disorders, 2(2), 15–34. https://doi.org/10.1002/1098-108X(198321)2:2%3c15:AID-EAT2260020203%3e3.0.CO;2-6.CrossRefGoogle Scholar
- Griffiths, S., Murray, S. B., Bentley, C., Gratwick-Sarll, K., Harrison, C., & Mond, J. M. (2017). Sex differences in quality of life impairment associated with body dissatisfaction in adolescents. Journal of Adolescent Health, 61(1), 77–82. https://doi.org/10.1016/j.jadohealth.2017.01.016.CrossRefPubMedGoogle Scholar
- Halliwell, E. (2015). Future directions for positive body image research. Body Image, 14, 177–189. https://doi.org/10.1016/j.bodyim.2015.03.003.CrossRefPubMedGoogle Scholar
- Halliwell, E., & Diedrichs, P. C. (2014). Brief report: Testing a dissonance body image intervention among young girls. Health Psychology, 33(2), 201–204. https://doi.org/10.1037/a0032585.CrossRefPubMedGoogle Scholar
- Halliwell, E., Jarman, H., McNamara, A., Risdon, H., & Jankowski, G. (2015). Dissemination of evidence-based body image interventions: A pilot study into the effectiveness of using undergraduate students as interventionists in secondary schools. Body Image, 14, 1–4. https://doi.org/10.1016/j.bodyim.2015.02.002.CrossRefPubMedGoogle Scholar
- Hallsworth, L., Wade, T., & Tiggemann, M. (2005). Individual differences in male body-image: An examination of self-objectification in recreational body builders. British Journal of Health Psychology, 10(3), 453–465. https://doi.org/10.1348/135910705X26966.CrossRefPubMedGoogle Scholar
- Homan, K. J., & Cavanaugh, B. N. (2013). Perceived relationship with God fosters positive body image in college women. Journal of Health Psychology. https://doi.org/10.1177/1359105312465911.CrossRefPubMedGoogle Scholar
- Johnson, C., Burke, C., Brinkman, S., & Wade, T. (2016). Effectiveness of a school-based mindfulness program for transdiagnostic prevention in young adolescents. Behaviour Research and Therapy, 81, 1–11. https://doi.org/10.1016/j.brat.2016.03.002.CrossRefPubMedGoogle Scholar
- Jones, D. C., Vigfusdottir, T. H., & Lee, Y. (2004). Body image and the appearance culture among adolescent girls and boys: An examination of friend conversations, peer criticism, appearance magazines, and the internalization of appearance ideals. Journal of Adolescent Research, 19(3), 323–339. https://doi.org/10.1177/0743558403258847.CrossRefGoogle Scholar
- Karazsia, B. T., Murnen, S. K., & Tylka, T. L. (2017). Is body dissatisfaction changing across time? A cross-temporal meta-analysis. Psychological Bulletin, 143(3), 293–320. https://doi.org/10.1037/bul0000081.CrossRefPubMedGoogle Scholar
- Killen, J. D., Taylor, C. B., Hammer, L. D., Litt, I., Wilson, D. M., Rich, T.,… Varady, A. (1993). An attempt to modify unhealthful eating attitudes and weight regulation. International Journal of Eating Disorders, 13(4), 369–384.Google Scholar
- Levine, M. P., & Kelly, J. (2012). Mass media: A primer on media literacy’s role in the prevention of negative body image and disordered eating. In G. L. McVey, M. P. Levine, N. Piran, & H. B. Ferguson (Eds.), Preventing eating-related and weight-related disorders: Collaborative research, advocacy, and policy change (pp. 85–111). Waterloo, ON: Wilfrid Laurier University Press.Google Scholar
- Levine, M. P., & McVey, G. L. (2012). Prevention, prevention science, and an ecological perspective: A framework for programs, research, and advocacy. In G. L. McVey, M. P. Levine, N. Piran, & H. B. Ferguson (Eds.), Preventing eating-related and weight-related disorders: Collaborative research, advocacy, and policy change (pp. 19–43). Waterloo, ON: Wilfrid Laurier University Press.Google Scholar
- Lopez-Guimera, G., Sanchez-Carracedo, D., Fauquet, J., Portell, M., & Raich, R. M. (2011). Impact of a school-based disordered eating prevention program in adolescent girls: General and specific effects depending on adherence to the interactive activities. The Spanish Journal of Psychology, 14(1), 293–303. https://doi.org/10.5209/rev_SJOP.2011.v14.n1.26.CrossRefPubMedGoogle Scholar
- Markey, C. N. (2010). Invited Commentary: Why body image is important to adolescent development. Journal of Youth and Adolescence, 39(12), 1387–1391. https://doi.org/10.1007/s10964-010-9510-0.CrossRefPubMedGoogle Scholar
- Martinsen, M., Bahr, R., Borrensen, R., Holme, I., Pensgaard, A. M., & Sundgot-Borgen, J. (2014). Preventing eating disorders among young elite athletes: A randomized controlled trial. Official Journal of the American College of Sports Medicine, 32, 435–447. https://doi.org/10.1249/MSS.0b013e3182a702fc.CrossRefGoogle Scholar
- McCabe, M. P., Ricciardelli, L. A., & Karantzas, G. (2010). Impact of a healthy body image program among adolescent boys on body image, negative affect, and body change strategies. Body Image, 7(2), 117–123. https://doi.org/10.1016/j.bodyim.2009.10.007.CrossRefPubMedGoogle Scholar
- McCabe, M. P., & Ricciardellli, L. A. (2004). A Longitudinal study of pubertal timing and extreme body change behaviours among adolescent boys and girls. Adolescence, 39, 145–153.PubMedGoogle Scholar
- Mendelson, B., Mendelson, M., & White, D. (2001). Body-esteem scale for adolescents and adults. Journal of Personality Assessment, 76(1), 90. https://doi.org/10.1207/S15327752JPA7601_6.CrossRefPubMedGoogle Scholar
- Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L.,…Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication-adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.20https://doi.org/10.05.017.
- Mora, M., Penelo, E., Gutiérrez, T., Espinoza, P., González, M. L., & Raich, R. M. (2015). Assessment of two school-based programs to prevent universal eating disorders: Media literacy and theatre-based methodology in Spanish adolescent boys and girls. Scientific World Journal, 2015, 1–12. https://doi.org/10.1155/2015/328753.CrossRefGoogle Scholar
- Neumark-Sztainer, D., Butler, R., & Palti, H. (1995). Eating disturbances among adolescent girls: Evaluation of a school-based primary prevention program. Journal of Nutrition Education, 27(1), 24–31. https://doi.org/10.1016/S0022-3182(12)80262-7.CrossRefGoogle Scholar
- Neumark-Sztainer, D. R., Wall, M. M., Haines, J. I., Story, M. T., Sherwood, N. E., & van den Berg, P. A. (2007). Shared risk and protective factors for overweight and disordered eating in adolescents. American Journal of Preventive Medicine, 33(5), 359–369. https://doi.org/10.1016/j.amepre.2007.07.031.CrossRefPubMedGoogle Scholar
- Noll, S. M., & Fredrickson, B. L. (1998). A mediational model linking self-objectification, body shame, and disordered eating. Psychology of Women Quarterly, 22, 623–636.CrossRefGoogle Scholar
- O’dea, J. (2000). School-based interventions to prevent eating problems: First do no harm. Eating Disorders, 8(2), 123–130.CrossRefGoogle Scholar
- O’Dea, J. A. (2005). School-based health education strategies for the improvement of body image and prevention of eating problems. Health Education, 105(1), 11–33. https://doi.org/10.1108/09654280510572277.CrossRefGoogle Scholar
- O’Dea, J. A., & Abraham, S. (2000). Improving the body image, eating attitudes, and behaviors of young male and female adolescents: A new educational approach that focuses on self-esteem. International Journal of Eating Disorders, 28, 43–57.CrossRefPubMedGoogle Scholar
- O’Dea, J., Abraham, S., & Heard, R. (1996). Food habits, body image and weight control practices of young male and female adolescents. Australian Journal of Nutrition and Dietetics, 53(I), 28–32.Google Scholar
- Paxton, S. J. (1993). A prevention program for disturbed eating and body dissatisfaction in adolescent girls: A 1 year follow-up. Health Education Research Theory and Practice, 8(1), 43–51.CrossRefGoogle Scholar
- Piran, N. (1999). Eating disorders: A trial of prevention in a high risk school setting. Journal of Primary Prevention, 20(1), 75–90. https://doi.org/10.1023/A:1021358519832.CrossRefGoogle Scholar
- Piran, N. (2015). New possibilities in the prevention of eating disorders: The introduction of positive body image measures. Body Image, 14, 146–157. https://doi.org/10.1016/j.bodyim.2015.03.008.CrossRefPubMedGoogle Scholar
- Piran, N. (2016). Embodied possibilities and disruptions: The emergence of the Experience of Embodiment construct from qualitative studies with girls and women. Body Image, 18, 43–60. https://doi.org/10.1016/j.bodyim.2016.04.007.CrossRefPubMedGoogle Scholar
- Piran, N., & Teall, T. (2012). The developmental theory of embodiment. In G. L. McVey, M. P. Levine, N. Piran, & H. B. Ferguson (Eds.), Preventing eating-related and weight-related disorders: Collaborative research, advocacy, and policy change (pp. 169–198). Waterloo, ON: Wilfrid Laurier University Press.Google Scholar
- Ricciardelli, L. A., & McCabe, M. P. (2002). Psychometric evaluation of the Body Change Inventory: An assessment instrument for adolescent boys and girls. Eating Behaviors, 3(1), 45–59. https://doi.org/10.1016/S1471-0153(01)00044-7.CrossRefPubMedGoogle Scholar
- Richardson, S. M., & Paxton, S. J. (2010). An evaluation of a body image intervention based on risk factors for body dissatisfaction: A controlled study with adolescent girls. International Journal of Eating Disorders, 43(2), 112–122. https://doi.org/10.1002/eat.20682.CrossRefPubMedGoogle Scholar
- Richardson, S. M., Paxton, S. J., & Thomson, J. S. (2009). Is BodyThink an efficacious body image and self-esteem program? A controlled evaluation with adolescents. Body Image, 6(2), 75–82. https://doi.org/10.1016/j.bodyim.2008.11.001.CrossRefPubMedGoogle Scholar
- Rodin, J., Silberstein, L., & Striegel-Moore, R. (1984). Women and weight: A normative discontent. Nebraska Symposium on Motivation, 32(February 1984), 267–307. Retrieved from http://psycnet.apa.org/psycinfo/1989-29311-001.
- Rohde, P., Auslander, B. A., Shaw, H., Raineri, K. M., Gau, J. M., & Stice, E. (2014). Dissonance-based prevention of eating disorder risk factors in middle school girls: Results from two pilot trials. The International Journal of Eating Disorders, 47(5), 483–494. https://doi.org/10.1002/eat.22253.CrossRefPubMedPubMedCentralGoogle Scholar
- Santonastaso, P., Zanetti, T., Ferrara, S., Olivotto, M. C., Magnavita, N., & Favaro, A. (1999). A preventive intervention program in adolescent schoolgirls: a longitudinal study. Psychotherapy and Psychosomatics, 68(1), 46–50.CrossRefPubMedGoogle Scholar
- Secord, P. F., & Jourard, S. M. (1953). The appraisal of body-cathexis: body-cathexis and the self. Journal of Consulting Psychology, 17(5), 343–347. https://doi.org/10.1037/h0060689.CrossRefPubMedGoogle Scholar
- Sharpe, H., Schober, I., Treasure, J., & Schmidt, U. (2013). Feasibility, acceptability and efficacy of a school-based prevention programme for eating disorders: Cluster randomised controlled trial. British Journal of Psychiatry, 203(6), 428–435. https://doi.org/10.1192/bjp.bp.113.128199.CrossRefPubMedGoogle Scholar
- Shroff, H., & Thompson, J. K. (2006). The tripartite influence model of body image and eating disturbance: A replication with adolescent girls. Body Image, 3(1), 17–23. https://doi.org/10.1016/j.bodyim.2005.10.004.CrossRefPubMedGoogle Scholar
- Slater, A., & Tiggemann, M. (2010). Body image and disordered eating in adolescent girls and boys: A test of objectification theory. Sex Roles, 63(1), 42–49. https://doi.org/10.1007/s11199-010-9794-2.CrossRefGoogle Scholar
- Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406–414. https://doi.org/10.1007/s11920-012-0282-y.CrossRefPubMedPubMedCentralGoogle Scholar
- Stanford, J. N., & McCabe, M. P. (2005). Evaluation of a body image prevention programme for adolescent boys. European Eating Disorders Review, 13(5), 360–370. https://doi.org/10.1002/erv.654.CrossRefGoogle Scholar
- Steese, S., Dollette, M., Phillips, W., Hossfeld, E., Matthews, G., & Taormina, G. (2006). Understadning girls’ circle as an intervention on perceived social support, body image, self-efficacy, locus of control, and self-esteem. Adolescence, 41(161), 55–74.PubMedGoogle Scholar
- Steiner-Adair, C., Sjostrom, L., Franko, D. L., Pai, S., Tucker, R., Becker, A. E., et al. (2002). Primary prevention of risk factors for eating disorders in adolescent girls: Learning from practice. International Journal of Eating Disorders, 32(4), 401–411. https://doi.org/10.1002/eat.10089.CrossRefPubMedGoogle Scholar
- Stewart, D. A., Carter, J. C., Drinkwater, J., Hainsworth, J., & Fairburn, C. G. (2001). Modification of eating attitudes and behavior in adolescent girls: A controlled study. International Journal of Eating Disorders, 29, 107–118.CrossRefPubMedGoogle Scholar
- Stice, E., & Bearman, S. K. (2001). Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis. Developmental Psychology, 37(5), 597–607. https://doi.org/10.1037/0012-1649.37.5.597.CrossRefPubMedGoogle Scholar
- Stice, E., Becker, C. B., & Yokum, S. (2013). Eating disorder prevention: Current evidence-base and future directions. International Journal of Eating Disorders, 46(5), 478–485. https://doi.org/10.1002/eat.22105.CrossRefPubMedGoogle Scholar
- Stice, E., Marti, C. N., Shaw, H., & Jaconis, M. (2009a). An 8-year longitudinal study of the natural history of threshold, subthreshold and partial eating disorders from a community sample of adolescents. Journal of Abnormal Psychology, 118(3), 587–597. https://doi.org/10.1037/a0016481.An.CrossRefPubMedPubMedCentralGoogle Scholar
- Stice, E., Rohde, P., Gau, J., & Shaw, H. (2009b). An effectiveness trial of a dissonance-based eating disorder prevention program for high-risk adolescent girls, 77(5), 825–834. https://doi.org/10.1037/a0016132.CrossRefGoogle Scholar
- Stice, E., & Shaw, H. (2004). Eating disorder prevention programs: A meta-analytic review. Psychological Bulletin, 130(2), 206–227. https://doi.org/10.1037/0033-2909.130.2.206.CrossRefPubMedGoogle Scholar
- Stice, E., & Shaw, H. E. (1994). Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology, 13(3), 288–308.CrossRefGoogle Scholar
- Stice, E., & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of Psychosomatic Research, 53(5), 985–993.CrossRefPubMedGoogle Scholar
- Stice, E., Shaw, H., & Marti, C. N. (2007). A meta-analytic review of eating disorder prevention programs: Encouraging findings. Annual Review of Clinical Psychology, 3(1), 207–231. https://doi.org/10.1146/annurev.clinpsy.3.022806.091447.CrossRefPubMedGoogle Scholar
- Stice, E., & Whitenton, K. (2002). Risk factors for body dissatisfaction in adolescent girls: A longitudinal investigation. Developmental Psychology, 38(5), 669–678. https://doi.org/10.1037//0012-1649.38.5.669.CrossRefPubMedGoogle Scholar
- Striegel-Moore, R. H., & Bulik, C. M. (2007). Risk factors for eating disorders. American Psychologist, 62(3), 181–198. https://doi.org/10.1037/0003-066X.62.3.181.CrossRefPubMedGoogle Scholar
- Stunkard, A. J., Sorenson, T., & Schulsinger, F. (1983). Use of danish adoption register for the study of obesity and thinness. In S. S. Kety, L. P. Rowland, L. L. Sidman, & S. W. Matthysse (Eds.), Genetics of neurological and psychiatric disorders (pp. 115–120). New York: Raven Press.Google Scholar
- Tatangelo, G. L., & Ricciardelli, L. A. (2013). A qualitative study of preadolescent boys’ and girls’ body image: Gendered ideals and sociocultural influences. Body Image, 10(4), 591–598. https://doi.org/10.1016/j.bodyim.2013.07.006.CrossRefPubMedGoogle Scholar
- Thiel, A., & Paul, T. (2006). Test-retest reliability of the Eating Disorder Inventory 2. Journal of Psychosomatic Research, 61(4), 567–569. https://doi.org/10.1016/j.jpsychores.2006.02.015.CrossRefPubMedGoogle Scholar
- Thompson, M. A., & Gray, J. J. (1995). Development and validation of a new body-image assessment scale. Journal of Personality Assessment, 64(2), 258–269. https://doi.org/10.1207/s15327752jpa6402_6.CrossRefPubMedGoogle Scholar
- Thompson, J. K., & Stice, E. (2001). Thin-ideal internalization: Mounting evidence for a new risk factor for disturbance. Current Directions in Psychological Science, 10(5), 181–183.CrossRefGoogle Scholar
- Tirlea, L., Truby, H., & Haines, T. P. (2013). Investigation of the effectiveness of the “Girls on the Go!” program for building self-esteem in young women: trial protocol. SpringerPlus, 2, 683.CrossRefPubMedPubMedCentralGoogle Scholar
- Toro, J., Salamero, M., & Martinez, E. (1994). Assessment of sociocultural influences on the aesthetic body shape model in anorexia nervosa. Acta Psychiatrica Scandinavica, 89(3), 147–151.CrossRefPubMedGoogle Scholar
- Tylka, T. L. (2004). The relation between body dissatisfaction and eating disorder symptomatology: An analysis of moderating variables. Journal of Counseling Psychology, 51(2), 178–191. https://doi.org/10.1037/0022-0167.51.2.178.CrossRefGoogle Scholar
- Tylka, T. L., & Wood-Barcalow, N. L. (2015). The Body Appreciation Scale-2: Item refinement and psychometric evaluation. Body Image, 12(1), 53–67. https://doi.org/10.1016/j.bodyim.2014.09.006.CrossRefPubMedGoogle Scholar
- Wade, T. D., Davidson, S., & O’Dea, J. A. (2003). A preliminary controlled evaluation of a school-based media literacy program and self-esteem program for reducing eating disorder risk factors. International Journal of Eating Disorders, 33(4), 371–383. https://doi.org/10.1002/eat.10136.CrossRefPubMedGoogle Scholar
- Warschburger, P., & Zitzmann, J. (2018). The efficacy of a universal school-based prevention program for eating disorders among German adolescents: Results from a randomized-controlled trial. Journal of Youth and Adolescence, 47(6), 1317–1331. https://doi.org/10.1007/s10964-018-0852-3.CrossRefPubMedGoogle Scholar
- Watson, H. J., Joyce, T., French, E., Willan, V., Kane, R. T., Tanner-Smith, E. E.,… Egan, S. J. (2016). Prevention of eating disorders: A systematic review of randomized, controlled trials. International Journal of Eating Disorders, 49(9), 833–862. https://doi.org/10.1002/eat.22577.
- Webb, J. B., Wood-Barcalow, N. L., & Tylka, T. L. (2015). Assessing positive body image: Contemporary approaches and future directions. Body Image, 14, 130–145. https://doi.org/10.1016/j.bodyim.2015.03.010.CrossRefPubMedGoogle Scholar
- Weiss, K., & Wertheim, E. H. (2005). An evaluation of a prevention program for disordered eating in adolescent girls: Examining responses of high- and low-risk girls. Eating Disorders, 13(2), 143–156. https://doi.org/10.1080/10640260590918946.CrossRefPubMedGoogle Scholar
- Weisz, J. R., Sandler, I. N., Durlak, J. A., & Anton, B. S. (2005). Promoting and protecting youth mental health through evidence-based prevention and treatment. American Psychologist, 60(6), 628–648. https://doi.org/10.1037/0003-066X.60.6.628.CrossRefPubMedGoogle Scholar
- Wick, K., Brix, C., Bormann, B., Sowa, M., Strauss, B., & Berger, U. (2011). Real-world effectiveness of a German school-based intervention for primary prevention of anorexia nervosa in preadolescent girls. Preventive Medicine, 52(2), 152–158. https://doi.org/10.1016/j.ypmed.2010.11.022.CrossRefPubMedGoogle Scholar
- Wilksch, S. M. (2015). School-based eating disorder prevention: A pilot effectiveness Trial of Teacher-delivered Media Smart. Early Intervention in Psychiatry, 9(1), 21–28. https://doi.org/10.1111/eip.12070.CrossRefPubMedGoogle Scholar
- Wilksch, S. M., Durbridge, M. R., & Wade, T. D. (2008). A preliminary controlled comparison of programs designed to reduce risk of eating disorders targeting perfectionism and media literacy. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 939–947.CrossRefGoogle Scholar
- Wilksch, S. M., Paxton, S. J., Byrne, S. M., Austin, S. B., McLean, S. A., Thompson, K. M.,… Wade, T. D. (2015). Prevention across the spectrum: A randomized controlled trial of three programs to reduce risk factors for both eating disorders and obesity. Psychological Medicine, 45(9), 1811–1823. https://doi.org/10.1017/s003329171400289x.
- Wilksch, S. M., & Wade, T. D. (2009). Reduction of shape and weight concern in young adolescents: A 30-month controlled evaluation of a media literacy program. Journal of the American Academy of Child and Adolescent Psychiatry, 48(6), 652–661. https://doi.org/10.1097/CHI.0b013e3181a1f559.CrossRefPubMedGoogle Scholar
- Williams, T. J., Schimel, J., Hayes, J., & Usta, M. (2014). Following and resisting body image ideals in advertising: The moderating role of extrinsic contingency focus. Self and Identity, 13(4), 398–418. https://doi.org/10.1080/15298868.2013.836133.CrossRefGoogle Scholar
- Wiseman, C. V., Sunday, S. R., Bortolotti, F., & Halmi, K. A. (2004). Primary prevention of eating disorders through attitude change: A two country comparison. Eating Disorders, 12(3), 241–250. https://doi.org/10.1080/10640260490481447.CrossRefPubMedGoogle Scholar
- Withers, G. F., Twigg, K., Wertheim, E. H., & Paxton, S. J. (2002). A controlled evaluation of an eating disorders primary prevention videotape using the Elaboration Likelihood Model of Persuasion. Journal of Psychosomatic Research, 53(5), 1021–1027. Retrieved from http://onlinelibrary.wiley.com/o/cochrane/clcentral/articles/245/CN-00422245/frame.html.
- Yager, Z., Diedrichs, P. C., Ricciardelli, L. A., & Halliwell, E. (2013). What works in secondary schools? A systematic review of classroom-based body image programs. Body Image, 10(3), 271–281. https://doi.org/10.1016/j.bodyim.2013.04.001.CrossRefPubMedGoogle Scholar