The urgent need for greater parent support and better health system experiences to enhance outcomes for pediatric anorexia nervosa: A Commentary on Marchetti & Sawrikar (2023).

Marchetti and Sawrikar's (2024) systematic review of parent illness representations of their child's anorexia nervosa provides a valuable synthesis of 32 qualitative studies. The key themes that emerge paint a concerning picture of parents' perceptions of AN as: difficult to identify and understand; of chronic duration; uncontrollable; severe; and associated with serious consequences. A sense of hopelessness and low-parental self-efficacy was identified.

Toward a more comprehensive understanding and support of parents with a child experiencing an eating disorder.

Objective: The majority of eating disorder (ED) carer research has been conducted with parents of adult patients, using qualitative methodologies, focusing on carer burden and distress during treatment. This article aimed to use results from a large, national, quantitative survey of parents of child or adolescent patients as a springboard for encouraging a more comprehensive investigation of parent experiences.

Methods: The online survey assessed treatment experiences and parent distress (DASS-21) but also less commonly investigated topics including symptom detection, experiences with primary care providers, and impacts on parent physical and psychological health, romantic relationship, finances, and employment.

The relationship between social media use and disordered eating in young adolescents.

Background: The relationship between social media (SM) use and disordered eating (DE) has not been adequately explored in young adolescents.

Methods: Data from 996 Grade 7 and 8 adolescents (n = 534 girls; M age = 13.08) was investigated.

Internet eating disorder prevention.

Purpose Of Review: Internet prevention of eating disorders is a relatively new field that is expanding rapidly. We review randomized controlled trial designs examining the efficacy of Internet prevention in eating disorders that have emerged from 2016.

Recent Findings: Our literature search identified five studies that used randomized controlled trial designs to examine the efficacy of Internet prevention in eating disorders.

Media Smart-Targeted: Diagnostic outcomes from a two-country pragmatic online eating disorder risk reduction trial for young adults.

Background: Diagnostic outcomes in eating disorder (ED) risk reduction trials are important but rarely reported.

Methods: An online pragmatic randomized-controlled trial was conducted with young-adult women in Australia and New Zealand seeking to improve their body image. Media Smart-Targeted (MS-T) was a 9-module program released weekly while control participants received tips for positive body image.

Online prevention of disordered eating in at-risk young-adult women: a two-country pragmatic randomized controlled trial.

Background: Disordered eating (DE) is a widespread, serious problem. Efficacious prevention programs that can be delivered at-scale are needed.

Methods: A pragmatic randomized controlled trial of two online programs was conducted.

Do universal media literacy programs have an effect on weight and shape concern by influencing media internalization?

The current study examined whether media internalization, found to mediate the relationship between selected prevention programs and outcomes, mediated the impact of two universal prevention programs that targeted risk factors for eating disorders and obesity, namely weight concern, and shape concern. Students randomized to a media literacy (Media Smart) program (N = 269, 65% females, mean age 12.97 years) and a healthy lifestyle (Life Smart) program (N = 347, 69% females, mean age 13.

Outcomes of three universal eating disorder risk reduction programs by participants with higher and lower baseline shape and weight concern.

Objective: To investigate if baseline shape and weight concern (SWC) moderated outcomes in Prevention Across the Spectrum, a randomized-controlled trial (RCT) of 3 school-based programs aimed at reducing eating disorder and obesity risk factors.

Method: N = 1,316 Grade 7 and 8 girls and boys (M age = 13.21 years) across three Australian states were randomly allocated to: Media Smart; Life Smart; Helping, Encouraging, Listening and Protecting Peers Initiative (HELPP) or control (usual school class).

How perfectionism and ineffectiveness influence growth of eating disorder risk in young adolescent girls.

While perfectionism is widely considered to influence risk for eating disorders, results of longitudinal studies are mixed. The goal of the current study was to investigate a more complex model of how baseline perfectionism (both high personal standards and self-critical evaluative concerns) might influence change in risk status for eating disorders in young adolescent girls, through its influence on ineffectiveness. The study was conducted with 926 girls (mean age of 13 years), and involved three waves of data (baseline, 6- and 12-month follow-up).

Depression as a moderator of benefit from Media Smart: a school-based eating disorder prevention program.

Objective: To investigate if baseline depression moderated response to Media Smart, an 8-lesson school-based program previously found to achieve a long-term risk reduction effect in young adolescents.

Method: 540 Grade 8 students (M age = 13.62 years, SD = .

School-based eating disorder prevention: a pilot effectiveness trial of teacher-delivered Media Smart.

Aim: This pilot study tested teacher-delivered Media Smart, a school-based eating disorder prevention program that has achieved significant benefits when delivered by health professionals.

Method: Two Grade 7 classes (N = 51; M age = 12.43 years) participated, with one randomly allocated to Media Smart (n = 27; 67% girls) and the other to a control condition of usual lessons (n = 24; 37% girls).

Life Smart: a pilot study of a school-based program to reduce the risk of both eating disorders and obesity in young adolescent girls and boys.

Objective: To develop and pilot Life Smart, an eight-lesson program aimed at reducing risk factors for both eating disorders and obesity.

Methods: Grade 7 girls and boys (N = 115) from one independent school were randomly allocated to the Life Smart (two classes; N = 51) or control (three usual classes; N = 64) conditions. Risk factors were measured at baseline and post-program (5 weeks later).

Interactive programme to enhance protective factors for eating disorders in girls with type 1 diabetes.

Aims: This study evaluated the effectiveness of a pilot programme in enhancing protective factors for eating disorders in young girls with type 1 diabetes (T1D).

Methods: Twenty girls with T1D (M age = 11.06 years) attended two 4-h group sessions.

A longitudinal investigation of the impact of disordered eating on young women's quality of life.

Objective: The extent to which subclinical levels of disordered eating affect quality of life (QOL) was assessed.

Method: Four waves of self-report data from Survey 2 (S2) to 5 (S5) of a national longitudinal survey of young Australian women (N = 9,688) were used to assess the impact of any level of disordered eating at S2 on QOL over the following 9 years, and to evaluate any moderating effects of social support and of depression.

Results: At baseline, 23% of the women exhibited some level of disordered eating, and they scored significantly lower on both the physical and the mental component scores of the SF-36 at every survey; differences in mental health were still clinically meaningful at S5.

Examination of the Sociocultural Attitudes Towards Appearance Questionnaire-3 in a mixed-gender young-adolescent sample.

Thin-ideal (or media) internalization is an important eating disorder risk factor that has become a central target of many prevention programs. However, evidence for its valid assessment in young, mixed-gender, adolescent samples is limited, and the current study is the first to explore the psychometric properties of the 30-item Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3; J. Thompson, P.

Risk factors for clinically significant importance of shape and weight in adolescent girls.

The objective of the current study was to conduct a longitudinal study of adolescent girls to determine how temperament, attitudes toward shape and weight, life events, and family factors might contribute to the growth of clinically significant importance of shape and weight, assessed using the Eating Disorder Examination (EDE). Time 1 data were available from 699 female twins (M age = 13.96 years) and 595 parents, and approximately 1.

Reduction of shape and weight concern in young adolescents: a 30-month controlled evaluation of a media literacy program.

Objective: Recent eating disorder prevention efforts have targeted high-risk females in late adolescence (>15 years). Methodologically rigorous evaluations of prevention programs directed to younger, mixed-sex, universal audiences are largely absent. The primary objective was to evaluate a theoretically informed media literacy program delivered to a mixed-sex, universal, young adolescent audience.

A preliminary controlled comparison of programs designed to reduce risk of eating disorders targeting perfectionism and media literacy.

Objective: The primary objective was to compare the efficacy of two eight-lesson programs, targeting perfectionism and media literacy compared to control classes in reducing eating disorder risk.

Method: Students from six classes (N = 127, mean age 15.0 years, SD 0.

Impact of interactive school-based media literacy lessons for reducing internalization of media ideals in young adolescent girls and boys.

Objective: The primary objective of the current study was to examine the efficacy of single media literacy lessons in reducing media internalization in young adolescents.

Method: Eleven classes of 237 students (100 girls and 137 boys; mean age = 13.79 years, SD = .