{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:35:11Z","timestamp":1790696111480,"version":"4.1.0"},"reference-count":116,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T00:00:00Z","timestamp":1578960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,6]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Eating problems are highly prevalent among young adults. Universities could be an optimal setting to prevent the onset of eating disorders through psychological intervention. As part of the World Mental Health\u2010International College Student initiative, this systematic review and meta\u2010analysis synthesizes data on the efficacy of eating disorder prevention programs targeting university students.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n A systematic literature search of bibliographical databases (CENTRAL, MEDLINE, PsycINFO) for randomized trials comparing psychological preventive interventions for eating disorders targeting university students with psychoeducation or inactive controls was performed on October 22, 2019.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Twenty\u2010seven studies were included. Thirteen (48.1%) were rated to have a low risk of bias. The relative risk of developing a subthreshold or full\u2010blown eating disorder was incidence rate ratio = 0.62 (95% CI [0.44, 0.87],\n n<\/jats:italic>\n \n c<\/jats:italic>\n <\/jats:sub>\n = 8, numbers\u2010needed\u2010to\u2010treat [NNT] = 26.08; standardized clinical interviews only), indicating a 38% decrease in incidence in the intervention groups compared to controls. Small to moderate between\u2010group effects at posttest were found on eating disorder symptoms (\n g<\/jats:italic>\n = 0.35, 95% CI [0.24, 0.46], NNT = 5.10,\n n<\/jats:italic>\n \n c<\/jats:italic>\n <\/jats:sub>\n = 26), dieting (\n g<\/jats:italic>\n = 0.43, 95% CI [0.29, 0.57], NNT = 4.17,\n n<\/jats:italic>\n \n c<\/jats:italic>\n <\/jats:sub>\n = 21), body dissatisfaction (\n g<\/jats:italic>\n = 0.40, 95% CI [0.27, 0.53], NNT = 4.48,\n n<\/jats:italic>\n \n c<\/jats:italic>\n <\/jats:sub>\n = 25), drive for thinness (\n g<\/jats:italic>\n = 0.43, 95% CI [0.27, 0.59], NNT = 4.23,\n n<\/jats:italic>\n \n c<\/jats:italic>\n <\/jats:sub>\n = 12), weight concerns (\n g<\/jats:italic>\n = 0.33, 95% CI [0.10, 0.57], NNT = 5.35,\n n<\/jats:italic>\n \n c<\/jats:italic>\n <\/jats:sub>\n = 13), and affective symptoms (\n g<\/jats:italic>\n = 0.27, 95% CI [0.15, 0.38], NNT = 6.70,\n n<\/jats:italic>\n \n c<\/jats:italic>\n <\/jats:sub>\n = 18). The effects on bulimia nervosa symptoms were not significant. Heterogeneity was moderate across comparisons.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Eating disorder prevention on campus can have significant, small\u2010to\u2010moderate effects on eating disorder symptoms and risk factors. Results also suggest that the prevention of subthreshold and full\u2010syndrome eating disorders is feasible using such interventions. More research is needed to identify ways to motivate students to use preventive eating disorder interventions.<\/jats:p>\n <\/jats:sec>\n \n Antecedentes<\/jats:title>\n Los trastornos de la conducta alimentaria son altamente prevalentes entre los adultos j\u00f3venes. Las universidades podr\u00edan ser un entorno \u00f3ptimo para prevenir la aparici\u00f3n de trastornos alimentarios a trav\u00e9s de la intervenci\u00f3n psicol\u00f3gica. Como parte de la iniciativa World Mental Health\u2010International College Student, esta revisi\u00f3n sistem\u00e1tica y meta\u2010an\u00e1lisis sintetiza datos sobre la eficacia de los programas de prevenci\u00f3n de trastornos alimentarios dirigidos a estudiantes universitarios.<\/jats:p>\n <\/jats:sec>\n \n M\u00e9todo<\/jats:title>\n Una b\u00fasqueda bibliogr\u00e1fica sistem\u00e1tica de datos bibliogr\u00e1ficas (CENTRAL, MEDLINE, PsycINFO) para ensayos aleatorios que comparaban intervenciones preventivas psicol\u00f3gicas para trastornos alimentarios dirigidos a estudiantes universitarios con psicoeducaci\u00f3n o controles inactivos fue realizada hasta el 22 de octubre de 2019.<\/jats:p>\n <\/jats:sec>\n \n Resultados<\/jats:title>\n \n Se incluyeron 27 estudios. Trece (48,1%) fueron calificados como de bajo riesgo de sesgo. El riesgo relativo de desarrollar un trastorno de la conducta alimentaria subcl\u00ednico (parcial) o completo fue IRR = 0.62 (95% CI [0.44, 0.87],\n n<\/jats:italic>\n c<\/jats:sub>\n = 8, NNT = 26.08; s\u00f3lo entrevistas cl\u00ednicas estandarizadas), lo que indica una disminuci\u00f3n del 38% en la incidencia en los grupos de intervenci\u00f3n en comparaci\u00f3n con los controles. Se encontraron efectos peque\u00f1os a moderados entre los grupos en la post\u2010prueba en los s\u00edntomas del trastorno alimentario (\n g<\/jats:italic>\n = 0.35, 95% CI [0.24, 0.46], NNT = 5.10,\n n<\/jats:italic>\n c<\/jats:sub>\n = 26), dieta (\n g<\/jats:italic>\n = 0.43, 95% CI [0.29, 0.57], NNT = 4.17,\n n<\/jats:italic>\n c<\/jats:sub>\n = 21), insatisfacci\u00f3n corporal (\n g<\/jats:italic>\n = 0.40, 95% CI [0.27, 0.53], NNT = 4.48,\n n<\/jats:italic>\n c<\/jats:sub>\n = 25), impulso por delgadez (\n g<\/jats:italic>\n = 0.43, 95% CI [0.27, 0.59], NNT = 4.23,\n n<\/jats:italic>\n c<\/jats:sub>\n = 12), problemas de peso (\n g<\/jats:italic>\n = 0.33, 95% CI [0.10, 0.57], NNT = 5.35,\n n<\/jats:italic>\n c<\/jats:sub>\n = 13) y s\u00edntomas afectivos (\n g<\/jats:italic>\n = 0.27, 95% CI [0.15, 0.38], NNT = 6.70,\n n<\/jats:italic>\n c<\/jats:sub>\n = 18). Los efectos sobre los s\u00edntomas de la bulimia nervosa no fueron significativos. La heterogeneidad fue moderada en las comparaciones.\n <\/jats:p>\n <\/jats:sec>\n \n Discusi\u00f3n<\/jats:title>\n La prevenci\u00f3n de los trastornos de la conducta alimentaria en el campus universitario puede tener efectos significativos, de peque\u00f1os a moderados, sobre los s\u00edntomas del trastorno alimentario y los factores de riesgo. Los resultados tambi\u00e9n sugieren que la prevenci\u00f3n de los trastornos alimentarios subcl\u00ednicos o parciales y s\u00edndromes completos es factible utilizando tales intervenciones. Se necesita m\u00e1s investigaci\u00f3n para identificar formas de motivar a los estudiantes a usar intervenciones preventivas para los trastornos de la conducta alimentaria.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/eat.23224","type":"journal-article","created":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T00:13:38Z","timestamp":1579047218000},"page":"813-833","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":109,"title":["Prevention of eating disorders at universities: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7016-2687","authenticated-orcid":false,"given":"Mathias","family":"Harrer","sequence":"first","affiliation":[{"name":"Clinical Psychology and Psychotherapy Friedrich\u2010Alexander\u2010University Erlangen\u2010Nuremberg Erlangen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia H.","family":"Adam","sequence":"additional","affiliation":[{"name":"Psychotherapeutische Praxengemeinschaft Handschuhsheim Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva\u2010Maria","family":"Messner","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy University of Ulm Ulm Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Baumeister","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy University of Ulm Ulm Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pim","family":"Cuijpers","sequence":"additional","affiliation":[{"name":"Department of Clinical, Neuro, and Developmental Psychology Vrije Universiteit Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronny","family":"Bruffaerts","sequence":"additional","affiliation":[{"name":"Universitair Psychiatrisch Centrum, Katholieke Universiteit Leuven Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randy P.","family":"Auerbach","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Columbia University New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald C.","family":"Kessler","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinna","family":"Jacobi","sequence":"additional","affiliation":[{"name":"Institute of Clinical Psychology and Psychotherapy Technische Universit\u00e4t Dresden Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4564-6548","authenticated-orcid":false,"given":"Craig Barr","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Stanford University Medical Center Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David D.","family":"Ebert","sequence":"additional","affiliation":[{"name":"Department of Clinical, Neuro, and Developmental Psychology Vrije Universiteit Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22778"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1750"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_7_5_1","volume-title":"Emerging adulthood: The winding road from the late teens through the twenties","author":"Arnett J. 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