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This study evaluated a targeted intervention designed to alleviate body image and eating problems in adolescent girls that was delivered over the internet so as to increase access to the program. The program consisted of six, 90-minute weekly small group, synchronous on-line sessions and was facilitated by a therapist and manual. Participants were 73 girls (mean age=14.4 years, SD=1.48) who self-identified as having body image or eating problems and were randomly assigned to an intervention group (n=36) (assessed at baseline, post-intervention and at 2- and 6-months follow-up) or a delayed treatment control group (n=37) (assessed at baseline and 6–7 weeks later). Clinically significant improvements in body dissatisfaction, disordered eating, and depression were observed at post-intervention and maintained at follow-up. Internet delivery was enthusiastically endorsed. The program offers a promising approach to improve body image and eating problems that also addresses geographic access problems.
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Australian Psychological Society. (2005, October 1). Aussie teens turn to Internet for e-motional healing. Retrieved October 29, 2005, from http://www.psychology.org.au/news/media_releases/ 10.1_127.asp
Beck, A. T., & Beck, R. W. (1972). Screening depressed patients in family practice: A rapid technique. Postgraduate Medicine, 52, 81–85. PubMed
Beck, A. T., Rial, W. Y., & Rickels, K. (1974). Short form of Depression Inventory: Cross-validation. Psychological Reports, 34, 1184–1186. PubMed
Benedikt, R., Wertheim, E. H., & Love, A. (1998). Eating attitudes and weight-loss attempts in female adolescents and their mothers. Journal of Youth and Adolescence, 27, 43–57. CrossRef
Bunnell, D. W., Cooper, P. J., Hertz, S., & Shenker, I. R. (1992). Body shape concerns among adolescents. International Journal of Eating Disorders, 11, 79–83.
Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA) 2001, Australia
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Committee on Prevention of Mental Disorders. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.
Dallal, G. E. (n.d.). Randomization plan generator. Retrieved August 8, 2003, from http://www.randomization.com.
Farrell, C., Shafran, R., & Lee, M. (2006). Empirically evaluated treatments for body image disturbance: A review. European Eating Disorders Review, 14, 289–300. CrossRef
Faul, F., & Erdfelder, E. (1992). GPower: A priori, post-hoc, and compromise power analysis for MS-DOS [computer program]. Bonn, Germany: Bonn University, Department of Psychology.
Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34. CrossRef
Gollings, E. K., & Paxton, S. J. (2006). Comparison of internet and face-to-face delivery of a group body image and disordered eating intervention for women: A pilot study. Eating Disorders: The Journal of Treatment and Prevention, 14, 1–15.
Hollis, S., & Campbell, F. (1999). What is meant by intention to treat? Survey of published randomized controlled trials. British Medical Journal, 319, 670–674. PubMed
Kaiser Family Foundation Survey. (2001). Generation Rx.com: How young people use the Internet for health information. Retrieved October 10, 2005, from http://www.kff.org/entmedia/ upload/Toblines.pdf
Kaminski, P. L., & McNamara, K. (1996). A treatment for college women at risk for bulimia: A controlled evaluation. Journal of Counseling and Development, 74, 288–294.
Killen, J. D., Taylor, C. B., Hayward, C., Haydel, K. F., Wilson, D. M., Hammer, L., Kraemer, H., Blair-Greiner, A., & Strachowski, D. (1996). Weight concerns influence the development of eating disorders: A 4-year prospective study. Journal of Consulting and Clinical Psychology, 64, 936–940. PubMedCrossRef
Leibert, T., Archer, J., Munson, J., & York, G. (2006). An exploratory study of client perceptions of internet counseling and the therapuetic alliance. Journal of Mental Health Counseling, 28, 69–83.
Luce, K. H., Osborne, M. I., Winzelberg, A. J., Das, S., Abascal, L. B., Celio, A. A., Wilfley, D. E., Stevenson, D., Dev, P., & Taylor, C. B. (2005). Application of an algorithm-driven protocol to simultaneously provide universal and targeted prevention programs. International Journal of Eating Disorders, 37, 220–226. PubMedCrossRef
Murphy, D. B., & Mitchell, D. L. (1998). When writing helps to heal: E-mail as therapy. British Journal of Guidance and Counseling, 26, 21–32. CrossRef
Neumark-Sztainer, D., Levine, M., Paxton, S., Smolak, L., Piran, N., & Wertheim, E. (2006). Prevention of body dissatisfaction and disordered eating: What next? Eating Disorder: Journal of Treatment and Prevention, 14, 265–285.
Neumark-Sztainer, D., Story, M., Hannan, P. J., Perry, C., & Irving, L. M. (2002). Weight-related concerns and behaviors among overweight and non-overweight adolescents: Implications for preventing weight-related disorders. Archives of Pediatrics and Adolescent Medicine, 156, 171–178. PubMed
Nicholas, J., Oliver, K., Lee, K., & O’Brien, M. (2004). Help-seeking behavior and the Internet: An investigation among Australian adolescents. Australian e-Journal for the Advancement of Mental Health, 3. Retrieved October 7, 2005, from http://www.ausienet. com/journal.
Paxton, S. J. (2002). Evidence-Based Health Promotion: Resources for Planning. No 6 Body Image. Research Overview. Department of Human Services, Victoria, webpage. http://www.health.vic.gov. au/healthpromotion/quality/body_image.htm
Paxton, S. J., McLean, S., Gollings, E. K., Faulkner, C., & Wertheim, E. H. (2006). How effective are synchronous on-line interventions for body dissatisfaction in adult women and adolescent girls. Paper presentation at Eating Disorders Research Society Conference, Port Douglas, Australia.
Paxton, S. J., Wertheim, E. H., Gibbons, K., Szmukler, G. I., Hillier, L., & Petrovich, J. C. (1991). Body image satisfaction, dieting beliefs and weight loss behaviors in adolescent girls and boys. Journal of Youth and Adolescence, 20, 361–379. CrossRef
Ragusea, A. S., & VandeCreek, L. (2003). Suggestions for the ethical practice of online psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 40, 94–102. CrossRef
Rosen, J. C., Saltzberg, E., & Srebnik, D. (1989). Cognitive Behavior Therapy for negative body image. Behavior Therapy, 20, 393–404. CrossRef
Skarderud, F. (2003). Shame in cyberspace. Relationships without faces: The E-media and eating disorders. European Eating Disorders Review, 11, 155–169. CrossRef
Thompson, J. K., Heinberg, L. J., & Tantleff Dunn, S. (1991). The physical appearance comparison scale. Behavior Therapist, 14, 174.
van Strien, T., Frijters, J. E. R., Bergers, G. P. A., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5, 295– 315.
Varnado-Sullivan, P. J., Zucker, N., Williamson, D. A., Reas, D., Thaw, J., & Netemeyer, R. G. (2001). Development and implementation of the Body Logic Program for adolescents: A two-stage prevention program for eating disorders. Cognitive and Behavioral Practice, 8, 248–259. CrossRef
Wardle, J., & Beales, S. (1986). Restraint, body image and food attitudes in children from 12 to 18 years. Appetite, 7, 209–217. PubMed
WebCT. (2003). Web course tools: Campus edition (Version 4.1).
Wertheim, E. H., Paxton, S. J., & Blaney, S. (in press). Body image in girls. In L. Smolak & J. K. Thompson (Eds.), Body image, eating disorders and obesity in youth (2nd ed.). Washington, DC: American Psychological Association.
Winzelberg, A. J., Luce, K. H., & Abascal, L. B. (2004). Internet-based treatment strategies. In J.K. Thompson (Ed.), Handbook of Eating Disorders and Obesity (pp. 279–296). New Jersey: John Wiley & Sons, Inc.
Zabinski, M. F., Celio, A. A., Jacobs, M., Manwaring, J., & Wilfley, D. E. (2003a). Internet-based prevention of eating disorders. European Eating Disorders Review, 11, 183–197. CrossRef
Zabinski, M. F., Celio, A. A., Wilfley, D. E., & Taylor, C. (2003b). Prevention of eating disorders and obesity via the Internet. Cognitive Behavior Therapy, 32, 137–150. CrossRef
Zabinski, M. F., Pung, M. A., Wilfley, D. E., Eppstein, D. L., Winzelberg, A. J., Celio, A., & Taylor, C. B. (2001a). Reducing risk factors for eating disorders: Targeting at-risk women with a computerized psychoeducational program. International Journal of Eating Disorders, 29, 401–408. PubMedCrossRef
- Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial
Brooke E. Heinicke
Susan J. Paxton
Siân A. McLean
Eleanor H. Wertheim
- Kluwer Academic Publishers-Plenum Publishers