CPG for Eating Disorders

(advocacy); and d) interventions related with self-esteem. 2 of the programmes basedon media literacy and mobilisation and social and political activism (advocacy)indicate a reduction in the internalisation or acceptance of societal ideals relating toappearance at 3- to 6-month follow-up (SMD:-0.28; 95% CI: -0.51 to -0.05). There issufficient evidence to support the effect of the 5 programmes that includeinterventions on eating attitudes and behaviours and other adolescent issues. There isalso sufficient evidence to support the effect of two of the programmes designed toimprove self-esteem.There is not enough evidence to indicate that harm resulted from any of theprogrammes included in this SRSE.Evidence SummaryMA 1371++This MA identifies the characteristics of eating disorder preventionprogrammes that produce the greatest effects.Programmes that are selected, interactive, multisession, offered solely towomen, offered to people over 15 years of age, delivered by trainedprofessionals, that incorporate contents related with body acceptance andinduction-dissonance techniques, that assess effects using validated measures,that do no include psychoeducational contents and have shorter follow-upperiods produce greater effects.MA 1371++MA 1371++MA 1351++MA 1361++MA 1361++MA 1361++There are several eating disorder prevention programmes that have also beenproven to be effective when delivered by teachers under valid ecologicalconditions.Some of the eating disorder prevention programs have had an effect on boththese disorders and obesity, which is promising from the point of view of publichealth.There is no consistent evidence regarding the impact of Internet-basedprevention strategies on eating disorder symptomatology and on the factors thatcontribute to the development of these disorders.Prevention programmes had a greater effect on improving knowledge and alesser effect on reducing incorrect behaviours and beliefs regarding eating.Studies aimed at high-risk populations produced greater benefits than thoseperformed on the general population (universal strategies).The results did not confirm the iatrogenic effects of includingpsychoeducational content on eating disorders in prevention programmes.60CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS