Eating Disorders and Behavioral Aspects of School-Based Prevention Programs

  • Riccardo Dalle Grave
  • Lucia Camporese
  • Elettra Pasqualoni


School-based eating disorder programs have been described and evaluated by controlled studies in several Western countries. The new generation programs, adopting an interactive educational approach and other innovative strategies (e.g., dissonance-based approach, healthy weight-control behaviors, cognitive restructuring techniques, strategies to improve body image by building general self-esteem, and strategies using Internet and other modern technology), obtained significant reductions of some established risk factor for eating disorder, and a significant reduction of eating disorder psychopathology. These outcomes are encouraging, considering that first-generation didactic prevention interventions were ineffective in changing dysfunctional attitudes and unhealthy behaviors. Good results have been obtained, in particular, by selective prevention programs, using an interactive format, dissonance approach, and by focusing on participants in middle to late adolescence. The combination of school-based prevention programs with public health strategies aimed at creating an environment with lower risk has the potential to produce a real reduction in the incidence of eating disorders.


Eating Disorder Bulimia Nervosa Unhealthy Behavior Dysfunctional Attitude Universal Program 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Body mass index


  1. Agras WS. Psychiatr Clin North Am. 2001;24:371–9.PubMedCrossRefGoogle Scholar
  2. Austin SB, Kim J, Wiecha J, Troped PJ, Feldman HA, Peterson KE. Arch Pediatr Adolesc Med. 2007;161:865–9.PubMedCrossRefGoogle Scholar
  3. Becker CB, Bull S, Schaumberg K, Cauble A, Franco A. J Consult Clin Psychol. 2008;76:347–54.PubMedCrossRefGoogle Scholar
  4. Brownell KD, Horgen KB. New York: Contemporary Books; 2004.Google Scholar
  5. Celio AA, Winzelberg AJ, Wilfley DE, Eppstein-herald D, Springer EA, Dev P, Taylor CB. J Consult Clin Psychol. 2000;68:650–7.PubMedCrossRefGoogle Scholar
  6. Dalle Grave R. Eat Weight Disord. 1997;2:169–72.PubMedGoogle Scholar
  7. Dalle Grave R. Verona: Positive Press; 1998.Google Scholar
  8. Dalle Grave R. Dis Manag Health Outcomes. 2003;11:579–93.CrossRefGoogle Scholar
  9. Dalle Grave R, De Luca L. Verona: Positive; 1999.Google Scholar
  10. Dalle Grave R, De Luca L, Campello G. Eat Dis. 2001;9:327–37.CrossRefGoogle Scholar
  11. Dalle Grave R, Bohn K, Hawker D, Fairburn CG. New York: Guilford; 2008.Google Scholar
  12. de Zwaan M. Int J Obes Relat Metab Disord. 2001;25(Suppl. 1):S51–5.PubMedCrossRefGoogle Scholar
  13. Fairburn CG. New York: Guilford; 1995.Google Scholar
  14. Fairburn CG, Harrison PJ. Lancet. 2003;361:407–16.PubMedCrossRefGoogle Scholar
  15. Fairburn CG, Welch SL, Doll HA, Davies BA, O’Connor ME. Arch Gen Psychiatry. 1997;54:509–17.PubMedCrossRefGoogle Scholar
  16. Fairburn CG, Doll HA, Welch SL, Hay PJ, Davies BA, O’Connor ME. Archives of General Psychiatry. 1998;55:425–32.PubMedCrossRefGoogle Scholar
  17. Fairburn CG, Cooper Z, Doll HA, O’Connor ME, Bohn K, Hawker DM, Wales JA, Palmer RL. Am J Psychiatry. 2009;166:311–9.PubMedCrossRefGoogle Scholar
  18. Haines J, Neumark-Sztainer D. Health Educ Res. 2006;21:770–82.PubMedCrossRefGoogle Scholar
  19. Herzog WGR, Vandereycken W. In: Herzog W, Deter H, Vandereycken W, editors. The course of eating disorders. Berlin: Springer; 1992.CrossRefGoogle Scholar
  20. Kazdin AE, Kraemer HC, Kessler RC, Kupfer DJ, Offord DR. Clin Psychol Rev. 1997;17:375–406.PubMedCrossRefGoogle Scholar
  21. Lewinsohn PM, Hops H, Roberts RE, Seeley JR, Andrews JA. J Abnorm Psychol. 1993;102:133–44.PubMedCrossRefGoogle Scholar
  22. Loeb KL, Wilson GT, Gilbert JS, Labouvie E. Behav Res Ther. 2000;38:259–72.PubMedCrossRefGoogle Scholar
  23. Low KG, Charanasomboon S, Lesser J, Reinhalter K, Martin R, Jones H, Winzelberg A, Abascal L, Taylor CB. Eat Disord. 2006;14:17–30.PubMedGoogle Scholar
  24. McVey GL, Lieberman M, Voorberg N, Wardrope D, Blackmore E. Eat Disord. 2003a;11:169–85.PubMedCrossRefGoogle Scholar
  25. McVey GL, Lieberman M, Voorberg N, Wardrope D, Blackmore E, Tweed S. Eat Disord. 2003b;11:187–95.Google Scholar
  26. McVey GL, Davis R, Tweed S, Shaw BF. Int J Eat Disord. 2004;36:1–11.PubMedCrossRefGoogle Scholar
  27. Neumark-Sztainer D. Adolesc Med. 2003;14:159–73.PubMedGoogle Scholar
  28. Neumark-Sztainer D. Butler R, Palti H. J Nutr Educ. 1995;27:24–30.Google Scholar
  29. Newman DL, Moffitt TE, Caspi A, Magdol L, Silva PA, Stanton WR. J Consult Clin Psychol. 1996;64:552–62.PubMedCrossRefGoogle Scholar
  30. O’Dea JA, Abraham S. Int J Eat Disord. 2000;28:43–57.PubMedCrossRefGoogle Scholar
  31. Paxton SJ, Wertheim EH, Pilawski A, Durkin S, Holt T. Prev Med. 2002;35:474–91.PubMedCrossRefGoogle Scholar
  32. Pokrajac-Bulian A, Zivcic-Becirevic I, Calugi S, Dalle Grave R. Eat Weight Disord. 2006;11:171–8.PubMedGoogle Scholar
  33. Pratt BM, Woolfenden SR. Cochrane Database Syst Rev. 2002:CD002891.Google Scholar
  34. Shaw H, Stice E. In: Legcroy C, editor. Handbook of prevention and intervention programs for adolescent girls. Hoboken: Wiley; 2008.Google Scholar
  35. Shaw H, Stice E, Becker CB. Child Adolesc Psychiatr Clin N Am. 2009;18:199–207.PubMedCrossRefGoogle Scholar
  36. Steiner-Adair C, Sjostrom L, Franko DL, Pai S, Tucker R, Becker AE, Herzog DB. Int J Eat Disord. 2002;32:401–11.PubMedCrossRefGoogle Scholar
  37. Stewart DA, Carter JC, Drinkwater J, Hainsworth J, Fairburn CG. Int J Eat Disord. 2001;29:107–18.PubMedCrossRefGoogle Scholar
  38. Stice E, Shaw H. Psychol Bull. 2004;130:206–27.PubMedCrossRefGoogle Scholar
  39. Stice E, Shaw H, Burton E, Wade E. J Consult Clin Psychol. 2006;74:263–75.PubMedCrossRefGoogle Scholar
  40. Stice E, Shaw H, Marti CN. Annu Rev Clin Psychol. 2007;3:207–31.PubMedCrossRefGoogle Scholar
  41. Stice E, Marti CN, Spoor S, Presnell K, Shaw H. J Consult Clin Psychol. 2008;76:329–40.PubMedCrossRefGoogle Scholar
  42. Striegel-Moore RH, Bulik CM. Am Psychol. 2007;62:181–98.PubMedCrossRefGoogle Scholar
  43. Striegel-Moore RH, Dohm FA, Kraemer HC, Schreiber GB, Taylor CB, Daniels SR. Int J Eat Disord. 2007;40:481–7.PubMedCrossRefGoogle Scholar
  44. Taylor CB, Bryson S, Luce KH, Cunning D, Doyle AC, Abascal LB, Rockwell R, Dev P, Winzelberg AJ, Wilfley DE. Arch Gen Psychiatry. 2006;63:881–8.PubMedCrossRefGoogle Scholar
  45. Wilson GT, Shafran R. Lancet. 2005;365:79–81.PubMedCrossRefGoogle Scholar
  46. Winzelberg AJ, Taylor CB, Sharpe T, Eldredge KL, Dev P, Constantinou PS. Int J Eat Disord. 1998;24:339–49.PubMedCrossRefGoogle Scholar
  47. Winzelberg AJ, Eppstein D, Eldredge KL, Wilfley D, Dasmahapatra R, Dev P, Taylor CB. J Consult Clin Psychol. 2000;68:346–50.PubMedCrossRefGoogle Scholar
  48. Withers GF, Twigg K, Wertheim EH, Paxton SJ. J Psychosom Res. 2002;53:1021–7.PubMedCrossRefGoogle Scholar
  49. Yager Z, O’Dea JA. Health Promot Int. 2008;23:173–89.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Riccardo Dalle Grave
    • 1
  • Lucia Camporese
  • Elettra Pasqualoni
  1. 1.Department of Eating and Weight DisorderVilla Garda HospitalGarda (VR)Italy

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