School-based eating disorder prevention programmes and their impact on adolescent mental health: systematic review.

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2024-11-06 DOI:10.1192/bjo.2024.795
Rosa S Wong, Bianca N K Chan, Sok Ian Lai, Keith T S Tung
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Abstract

Background: Growing evidence indicates an association between disordered eating and a range of mental health problems, including anxiety, depression and emotional dysregulation.

Aims: This study aimed to explore whether reducing risk factors for eating disorders, such as body dissatisfaction and low self-esteem, through school-based programmes can enhance adolescent mental health.

Method: We searched PubMed, PsycINFO, EMBASE and Web of Science from the date of inception to 15 October 2023. Data were synthesised by using a systematic narrative synthesis framework, and formal assessments were conducted to assess the quality of the included studies.

Results: After title/abstract screening and full-text assessment, 13 articles met the pre-specified inclusion criteria, comprising a total of 14 studies (n = 5853). Notably, three studies encompassed multiple programmes, leading to the identification of 17 eating disorder prevention programmes. Among these programmes, seven (41%) employed dissonance-based approaches. Topics covered in the programmes included psychoeducation, body acceptance, sociocultural issues, nutrition and physical activities, self-esteem and stress coping. Ten (59%) of the programmes were effective in improving adolescent mental health. Six of the 14 studies (43%) did not specify follow-up time, and quality assessments found the majority to be of either high (five studies, 36%) or fair (eight studies, 57%) quality.

Conclusions: The findings from the ten effective programmes consistently support the use of body acceptance strategies in improving the mental health of adolescent students. Brief interventions delivered by trained, non-licensed facilitators appear good for the sustainable implementation of in-school psychological services to support well-being among adolescents.

校本饮食失调预防计划及其对青少年心理健康的影响:系统性综述。
背景:越来越多的证据表明,饮食失调与一系列心理健康问题(包括焦虑、抑郁和情绪失调)之间存在关联。研究目的:本研究旨在探讨通过校本项目减少饮食失调的风险因素(如身体不满意和自卑)是否能增进青少年的心理健康:方法:我们检索了从开始至 2023 年 10 月 15 日的 PubMed、PsycINFO、EMBASE 和 Web of Science。采用系统性叙事综合框架对数据进行了综合,并对纳入研究的质量进行了正式评估:经过标题/摘要筛选和全文评估,13 篇文章符合预先规定的纳入标准,共包括 14 项研究(n = 5853)。值得注意的是,有三项研究涵盖了多项计划,从而确定了 17 项饮食失调预防计划。在这些计划中,有七项(41%)采用了基于失调的方法。这些计划涵盖的主题包括心理教育、身体接纳、社会文化问题、营养和体育活动、自尊和压力应对。其中 10 项计划(59%)在改善青少年心理健康方面卓有成效。在 14 项研究中,有 6 项(43%)没有明确说明随访时间,质量评估发现,大多数研究的质量较高(5 项研究,36%)或一般(8 项研究,57%):十项有效计划的研究结果一致支持使用身体接受策略来改善青少年学生的心理健康。由训练有素、无执照的辅导员提供的简短干预似乎有利于可持续地实施校内心理服务,以支持青少年的身心健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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