Feasibility and acceptability of a prevention program for eating disorders (Me, You and Us) adapted for young adolescents in Korea
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The aim of this study was to assess the adaptability and acceptability of a prevention program.
A total of 169 Korean students (83 boys and 86 girls) with a mean age of 12.3 years from a 6th grade class at an elementary school participated in the study. Mental health social workers delivered Me, You and Us, a school-based body image intervention program originally developed in the UK, through a set of six sessions. The participants were assessed in terms of their body satisfaction and self-esteem before the program, after the program, and at 1-month follow-up. They were also surveyed about their satisfaction and acceptability levels after the program.
At baseline, girls had lower body satisfaction and self-esteem than boys, and their body satisfaction and self-esteem improved after the program. The improved body satisfaction was maintained at the 1-month follow-up. The efficacy of the program on body satisfaction was positively correlated with the frequency of their baseline level of “fat talk.” The program was more effective in girls with possible symptoms of an eating disorder at baseline. 93.7% of boys and 77.4% of girls responded that they enjoyed the program.
The program Me, You and Us was well-accepted by early adolescents in Korea and it can play a role in increasing body satisfaction and self-esteem by reducing “fat talk” in 6th grade students.
Level of evidence
Level III, cohort study with intervention.
KeywordsEating disorders Prevention Adolescents Me, You and Us Fat talk Korea
We thank Dr. Helen Sharpe for offering the materials of Me, You and Us.
Compliance with ethical standards
Financial support for this study was provided by the National Research Foundation of Korea (NRF) with a Grant funded by the Korean government (MSIP) (Grant #. NRF-2014S1A5B8063466). The funding sources had no involvement in the study design, collection, analysis, or interpretation of the data, writing the manuscript or the decision to submit the paper for publication.
Conflict of interest
The authors declare no conflicts of interest.
All procedures performed in this study were in accordance with the ethical standards of the national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical measure.
Informed consents were received from a parent or a guardian for each of the participants.
- 4.Micali N, De Stavola B, Ploubidis G, Simonoff E, Treasure J, Field AE (2015) Adolescent eating disorder behaviours and cognitions: gender-specific effects of child, maternal and family risk factors. Br J Psychiatry 207:320–327. doi: 10.1192/bjp.bp.114.152371 CrossRefPubMedPubMedCentralGoogle Scholar
- 6.Taylor CB, Bryson SW, Altman TM, Abascal L, Celio A, Cunning D, Killen JD, Shisslak CM, Crago M, Ranger-Moore J, Cook P, Ruble A, Olmsted ME, Kraemer HC, Smolak L, McKnight I (2003) Risk factors for the onset of eating disorders in adolescent girls: results of the McKnight longitudinal risk factor study. Am J Psychiatry 160:248–254. doi: 10.1176/ajp.160.2.248 CrossRefGoogle Scholar
- 14.Wilksch SM, Paxton SJ, Byrne SM, Austin SB, McLean SA, Thompson KM, Dorairaj K, Wade TD (2015) Prevention across the spectrum: a randomized controlled trial of three programs to reduce risk factors for both eating disorders and obesity. Psychol Med 45:1811–1823. doi: 10.1017/s003329171400289x CrossRefPubMedGoogle Scholar
- 23.Nichter M (2001) Fat talk: what girls and their parents say about dieting. Harvard University, CambridgeGoogle Scholar
- 28.Levine MP, Smolak L (2006) The prevention of eating problems and eating disorders: theory, research, and practice. Lawrence Erlbaum, MahwahGoogle Scholar
- 29.Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M (2006) Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Health 39:244–251. doi: 10.1016/j.jadohealth.2005.12.001 CrossRefPubMedGoogle Scholar
- 34.Korea Center for Disease Control and Prevention. Korea National Health and Nutrition Examination Survey. http://www.knhanes.cdc.go.kr. Accessed May 2017
- 35.Kim KA (2003) A relationship among appearance satisfaction, body cathexis and psychological characteristics during childhood and adolescence. Thesis of Master’s Degree in Graduate School of Sungshin Women’s University, Seoul, pp 31–41Google Scholar
- 36.Park JH, Choi TS (2008) The effect of body image on self-esteem in adolescents. Korean J Play Ther 11:117–129Google Scholar
- 45.Lee JS (2001) Correlation among adolescents gender, obesity, others appraisal of their bodies and the adolescents body-esteem. Korea National University of Education, CheongjuGoogle Scholar
- 46.Lee HY (2004) Correlation between their body image and self-esteem dependent on the degree of obesity of obese children. Univ. of Kong Ju, GongjuGoogle Scholar
- 51.Holling H, Schlack R (2007) Eating disorders in children and adolescents. First results of the German health interview and examination survey for children and adolescents (KiGGS). Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 50:794–799. doi: 10.1007/s00103-007-0242-6 CrossRefPubMedGoogle Scholar