gms | German Medical Science

3. Wissenschaftlicher Kongress der Deutschen Gesellschaft für Essstörungen e. V. (DGESS)

Deutsche Gesellschaft für Essstörungen e. V.

23.02. - 25.02.2012, Hannover

Preventing symptom progression in women at risk for AN: results of a pilot study

Meeting Abstract

Suche in Medline nach

  • corresponding author presenting/speaker Ricarda Ohlmer - Institut für Klinische Psychologie und Psychotherapie, TU Dresden, Dresden, Germany
  • author Corinna Jacobi - Institut für Klinische Psychologie und Psychotherapie, TU Dresden, Dresden, Germany
  • author C. Barr Taylor - Stanford School of Medicine, Stanford, United States

Deutsche Gesellschaft für Essstörungen e.V. (DGESS). 3. Wissenschaftlicher Kongress der Deutschen Gesellschaft für Essstörungen. Hannover, 23.-25.02.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12dgess034

DOI: 10.3205/12dgess034, URN: urn:nbn:de:0183-12dgess0343

Veröffentlicht: 8. Februar 2012

© 2012 Ohlmer et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: Anorexia nervosa (AN) is a condition with serious medical complications, severe comorbid psychological conditions, high mortality rates and poor treatment outcome. Contrary to women with subthreshold bulimic symptoms, restrictive eaters do not benefit from existing (indicated) prevention programs for subthreshold eating disorders. Moreover, underweight women have not been included in previous prevention trials. Targeted interventions, specifically tailored for women at risk for AN are therefore still lacking.

Material/Methods: 36 women with high weight concerns, low BMI and/or high restrained eating participated in a 10 week Internet-based cognitive-behavioral prevention program for women at risk for AN. Feasibility, acceptance and compliance of the program as well as attitudes and subthreshold symptoms of disordered eating and associated psychopathology were assessed in a pilot study.

Results: Recruitment and inclusion of women at-risk for AN is possible. Acceptance of and compliance with the program were good. Core attitudes and subthreshold symptoms of disordered eating were significantly reduced between pre- and post-intervention as well as between pre-intervention and 6-months follow-up with mainly medium to large effects. In addition associated psychopathology improved considerably.

Discussion: The results indicate that targeted prevention for women at risk for AN can reduce risk factors and subthreshold symptoms of the disorder. The efficacy of the intervention will be examined in a subsequent randomized controlled trial.


References

1.
Beintner I, Jacobi C, Taylor CB. Effects of an Internet-based Prevention Programme for Eating Disorders in the USA and Germany – A Meta-analytic Review. Eur Eat Disord Rev. 2012;20(1):1-8. DOI: 10.1002/erv.1130. Externer Link
2.
Jacobi C, Völker U, Taylor CB. Long-term effects of an internet-based intervention for subthreshold eating disorders. Eating and Weight Disorders. in press.
3.
Fittig E, Völker U, Jacobi C. Warum und bei Wem? Mediatoren und Moderatoren Internetgestützter Prävention bei Subklinischen Essstörungen. Zeitschrift für Klinische Psychologie und Psychotherapie. 2009;38(Suppl. 1):21.