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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Bailey, Alan P Parker, Alexandra G Colautti, Lauren A Hart, Laura M Liu, Ping Hetrick, Sarah E |
| Abstract | Eating disorders often develop during adolescence and young adulthood, and are associated with significant psychological and physical burden. Identifying evidence-based interventions is critical and there is need to take stock of the extant literature, to inform clinical practice regarding well-researched interventions and to direct future research agendas by identifying gaps in the evidence base. Aim To investigate and quantify the nature and distribution of existing high-quality research on the prevention and treatment of eating disorders in young people using evidence mapping methodology. Method A systematic search for prevention and treatment intervention studies in adolescents and young adults (12–25 years) was conducted using EMBASE, PSYCINFO and MEDLINE. Studies were screened and mapped according to disorder, intervention modality, stage of eating disorder and study design. Included studies were restricted to controlled trials and systematic reviews published since 1980. Results The eating disorders evidence map included 197 trials and 22 systematic reviews. Prevention research was dominated by trials of psychoeducation (PE). Bulimia nervosa (BN) received the most attention in the treatment literature, with cognitive behavioural therapy (CBT) and antidepressants the most common interventions. For anorexia nervosa (AN), family based therapy (FBT) was the most studied. Lacking were trials exploring treatments for binge eating disorder (BED) and eating disorder not otherwise specified (EDNOS). Relapse prevention strategies were notably absent across the eating disorders. Conclusions Despite substantial literature devoted to the prevention and treatment of eating disorders in young people, the evidence base is not well established and significant gaps remain. For those identified as being at-risk, there is need for prevention research exploring strategies other than passive PE. Treatment interventions targeting BED and EDNOS are required, as are systematic reviews synthesising BN treatment trials (e.g., CBT, antidepressants). FBTs for AN require investigation against other validated psychological interventions, and the development of relapse prevention strategies is urgently required. By systematically identifying existing interventions for young people with eating disorders and exposing gaps in the current literature, the evidence map can inform researchers, funding bodies and policy makers as to the opportunities for future research. |
| Related Links | https://jeatdisord.biomedcentral.com/counter/pdf/10.1186/2050-2974-2-5.pdf |
| Ending Page | 12 |
| Page Count | 12 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 20502974 |
| DOI | 10.1186/2050-2974-2-5 |
| Journal | Journal of Eating Disorders |
| Issue Number | 1 |
| Volume Number | 2 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2014-02-03 |
| Access Restriction | Open |
| Subject Keyword | Psychology Health Promotion and Disease Prevention Psychiatry Clinical Psychology Eating disorders Treatment Prevention Evidence mapping Adolescent Young adult |
| Content Type | Text |
| Resource Type | Review |
| Subject | Nutrition and Dietetics Behavioral Neuroscience Psychiatry and Mental Health |
| Journal Impact Factor | 3.5/2023 |
| 5-Year Journal Impact Factor | 4/2023 |
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