{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:29:49Z","timestamp":1789532989009,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T00:00:00Z","timestamp":1744588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1196948"],"award-info":[{"award-number":["APP1196948"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Self\u2010guided interventions may broaden the dissemination of evidence\u2010based prevention and treatment protocols for eating disorders. We conducted a meta\u2010analysis comparing self\u2010guided prevention and treatment approaches for eating disorders to (1) control groups and (2) professionally guided self\u2010help programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010six trials were included. Interventions ranged from web, to app, to CD\u2010ROM to book\u2010based programs. Random effects meta\u2010analyses were conducted on numerous symptom and risk outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only four trials recruited an unselected sample, with self\u2010guided programs reducing shape\/weight concerns over control groups (<jats:italic>g<\/jats:italic>\u00a0=\u00a00.18). Among high risk\/symptomatic samples (<jats:italic>k<\/jats:italic>\u00a0=\u00a025), self\u2010guided interventions reduced several behavioural and cognitive symptoms (<jats:italic>gs<\/jats:italic>\u00a0=\u00a00.31\u20130.50) over control groups, with effects being robust when adjusting for higher risk of bias and small sample trials. Among clinical samples (<jats:italic>k<\/jats:italic>\u00a0=\u00a017), evidence for the effectiveness of self\u2010guided interventions over control groups on symptom measures was only found for binge\u2010eating disorder, as too few studies sampled other diagnostic subtypes. Among 10 trials that compared guided to unguided self\u2010help, we observed a significant effect in symptom reduction in favour of guided self\u2010help (<jats:italic>g<\/jats:italic>\u00a0=\u00a0\u22120.26). Dropout did not differ between guided and unguided self\u2010help (OR\u00a0=\u00a00.97).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Self\u2010guided interventions may be an effective, low intensity intervention format for high risk individuals or for binge\u2010eating disorder presentations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.3201","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T10:14:22Z","timestamp":1744625662000},"page":"984-994","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Self\u2010Guided Psychological Interventions for the Treatment and Prevention of Eating Disorders: A Meta\u2010Analysis of Randomized Controlled Trials"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-7139","authenticated-orcid":false,"given":"Jake","family":"Linardon","sequence":"first","affiliation":[{"name":"SEED Lifespan Strategic Research Centre Faculty of Health School of Psychology Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Liu","sequence":"additional","affiliation":[{"name":"SEED Lifespan Strategic Research Centre Faculty of Health School of Psychology Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3926-8058","authenticated-orcid":false,"given":"Zoe","family":"McClure","sequence":"additional","affiliation":[{"name":"SEED Lifespan Strategic Research Centre Faculty of Health School of Psychology Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah K.","family":"Jarman","sequence":"additional","affiliation":[{"name":"SEED Lifespan Strategic Research Centre Faculty of Health School of Psychology Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariel","family":"Messer","sequence":"additional","affiliation":[{"name":"SEED Lifespan Strategic Research Centre Faculty of Health School of Psychology Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cleo","family":"Anderson","sequence":"additional","affiliation":[{"name":"SEED Lifespan Strategic Research Centre Faculty of Health School of Psychology Deakin University  Geelong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Fuller\u2010Tyszkiewicz","sequence":"additional","affiliation":[{"name":"Faculty of Health Office of the Executive Dean Deakin University  Burwood Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22598"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000204"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2014.01.003"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470743386"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23208"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.112.1.155"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.310.6977.452"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466504772812931"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20346"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0021274"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291710000772"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22945"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006\u2010341X.2000.00455.x"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2023.104292"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12275"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1201\/9781003107347"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010023\u201000738\u20107"},{"key":"e_1_2_12_19_1","volume-title":"Statistical Methods for Meta\u2010Analysis","author":"Hedges L. 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