2023, Number 3
<< Back Next >>
Salud Mental 2023; 46 (3)
Sex and Body Mass Index differences after one-year follow-up of an eating disorders risk factors universal prevention intervention in university students in Mexico City
Unikel SC, Barajas MMW, Díaz LVC, Parra CA, Rivera MJA, Bilbao MG, Díaz GM
Language: English
References: 49
Page: 147-154
PDF size: 214.20 Kb.
ABSTRACT
Introduction. Interventions based on cognitive dissonance theory are the most effective for preventing eating
disorders.
Objective. To identify the changes at one year follow-up of a universal prevention intervention in
disordered eating behaviors (DEB), thin-ideal internalization (TII), and drive for muscularity (DM).
Method. A
pre-experimental, pretest-posttest study was conducted on 602 university student subjects (76.1% women
and 23.9% men) with an average age of 20.74 years at a public (30.6%) and a private university (69.4%) in
Mexico City. A Split Plot ANOVA was performed with the intrasubject variable equal to each measurement
(pretest, posttest, and follow-up), as well as the sex and body mass index (BMI) intersubject variables to
analyze whether there was a significant interaction between these variables and the changes in dependent
variables, as well as the changes through each measurement by group.
Results. In the intrasubject analyses,
statistically significant differences were found for DEB through the various measurements, without taking the
interactions into account. Statistically significant interactions were observed between each measurement and
BMI, and between each measurement and sex and BMI for the DM variable.
Discussion and conclusion.
Since a reduction of TII in women and DM in men was achieved, together with a decrease in DEB in women,
the workshop can be said to have fully achieved its objectives for women and partly so for men.
REFERENCES
Argyrides, M., Anastasiades, E., & Alexiou, E. (2020). Risk and Protective Factorsof Disordered Eating in Adolescents Based on Gender and Body Mass Index.International Journal of Environmental Research and Public Health, 17(24),9238. doi: 10.3390/ijerph17249238
Castillo, I., Solano, S., & Sepúlveda, A. R. (2016). Programa de prevención dealteraciones alimentarias y obesidad en estudiantes universitarios mexicanos.Behavioral Psychology/Psicologia Conductual, 24(1), 5-28.
Cohn, L., Murray, S. B., Walen, A., & Wooldridge, T. (2016). Including the excluded:Males and gender minorities in eating disorder prevention. Eating Disorders,24(1), 114-120. doi: 10.1080/10640266.2015.1118958
Dakanalis, A., Timko, C., Favagrossa, L., Riva, G., Zanetti, M., & Clerici, M.(2014). Why do only a minority of men report severe levels of eating disordersymptomatology, when so many report substantial body dissatisfaction?examination of exacerbating factors. Eating Disorders, 22(4), 292-305. doi:10.1080/10640266.2014.898980
Díaz de León-Vázquez, C. (2013). Conductas alimentarias de riesgo, interiorizacióndel ideal estético de delgadez e insatisfacción corporal en estudiantesuniversitarios de la Ciudad de México (Tesis de maestría). México: UniversidadNacional Autónoma de México.
Escoto, C., Alvarez-Rayón, G., Mancilla-Díaz, J. M., Camacho Ruiz, E. J., FrancoParedes, K., & Juárez Lugo, C. S. (2013). Psychometric properties of the Drivefor Muscularity Scale in Mexican males. Eating and Weight Disorders, 18(1),23-28. doi: 10.1007/s40519-013-0010-6
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interviewor self-report questionnaire? International Journal of Eating Disorders, 16(4),363-370.
Festinger, L. (1962). A theory of cognitive dissonance, (Vol. 2). Stanford UniversityPress.
Fragkos, K. C., & Frangos, C. C. (2013). Assessing eating disorder risk: the pivotalrole of achievement anxiety, depression, and female gender in non-clinicalsamples. Nutrients, 5(3), 811-828. doi: 10.3390/nu5030811
Gómez Péresmitré, G., León Hernández, R., Platas Acevedo, S., LechugaHernández, M., Cruz, D., & Hernández Alcántara, A. (2013). Realidad Virtual yPsicoeducación: Formatos de Prevención Selectiva en Trastornos de la ConductaAlimentaria. Revista Mexicana de Trastornos Alimentarios, 4(1), 23-30.
Grilo, C. M., Reas, D. L., Hopwood, C. J., & Crosby, R. D. (2015). Factor structureand construct validity of the Eating Disorder Examination-Questionnaire incollege students: Further support for a modified brief version. InternationalJournal of Eating Disorders, 48(3), 284-289. doi: 10.1002/eat.22358
Hudson, J. I., Hiripi, E., Pope, H. G. Jr., & Kessler, R. C. (2007). The prevalence andcorrelates of eating disorders in the National Comorbidity Survey Replication.Biological Psychiatry, 61(3), 348-358. doi:10.1016/j.biopsych.2006.03.040
Jacobi, C., Hayward, C., de Zwaan, M., Kraemer, H. C., & Agras, W. S. (2004).Coming to terms with risk factors for eating disorders: Application of riskterminology and suggestions for a general taxonomy. Psychological Bulletin,130(1), 19-65. doi: 10.1037/0033-2909.130.1.19
Keel, P. K., & Brown, T. A. (2010). Update on course and outcome in eatingdisorders. International Journal of Eating Disorders, 43(3), 195-204. doi:10.1002/eat.20810
Ko, N., Tam, D. M., Viet, N. K., Scheib, P., Wirsching, M., & Zeeck, A. (2015).Disordered eating behaviors in university students in Hanoi, Vietnam. Journalof Eating Disorders, 3, 18. doi: 10.1186/s40337-015-0054-2
Lampard, A. M., Maclehose, R. F., Eisenberg, M. E., Larson, N. I., Davison, K.K., & Neumark-Sztainer, D. (2016). Adolescents who engage exclusively inhealthy weight control behaviors: Who are they? International Journal ofBehavioral Nutrition and Physical Activity, 13(1), 5. doi: 10.1186/s12966-016-0328-3
Le, L. K.-D., Barendregt, J. J., Hay, P., & Mihalopoulos, C. (2017). Prevention ofeating disorders: A systematic review and meta-analysis. Clinical PsychologyReview, 53, 46-58. doi: 10.1016/j. cpr.2017.02.001
León, R. (2010). Modelos de prevención de trastornos de la conducta alimentaria:técnicas asertivas/habilidades sociales y psicoeducativas. [Doctoraldissertation]. México: Universidad Nacional Autónoma de México. Retrievedfrom http://132.248.9.195/ptd2009/diciembre/0652306/Index.Html
Martínez-Torres, J., Bucheli Sánchez, L. M., Manrique Gutiérrez, L. M., Cruz, R. E.,Rojas Hoyos, Z. L., & Pérez Buelvas, J. L. (2013). Concordancia del autorreportede peso y talla para valoración nutricional en estudiantes universitarios de 18 a25 años. Perspectivas en Nutrición Humana, 15(1), 57-65.
Mitchell, J., & Crow, S. (2006). Medical complications of anorexia nervosaand bulimia nervosa. Current Opinion in Psychiatry, 19(4), 438-443. doi:10.1097/01.yco.0000228768.79097.3e
Molin, M., von Hausswolff-Juhlin, Y., Norring, C., Hagberg, L., & Gustafsson, S. A.(2016). Case management at an outpatient unit for severe and enduring eatingdisorder patients at Stockholm Centre for Eating Disorders–a study protocol.Journal of Eating Disorders, 4, 24. doi: 10.1186/s40337-016-0121-3
Morán-Álvarez, I. C., Cruz-Licea, V., & Iñárritu-Pérez, M. C. (2009). Prevalenciade factores y conductas de riesgo asociados a trastornos de la alimentación enuniversitarios. Revista Médica del Hospital General de México, 72(2), 68-72.
Nagata, J. M., Garber, A. K., Tabler, J. L., Murray, S. B., & Bibbins-Domingo, K.(2018). Prevalence and Correlates of Disordered Eating Behaviors AmongYoung Adults with Overweight or Obesity. Journal of General InternalMedicine, 33, 1337-1343. doi: 10.1007/s11606-018-4465-z
National Institute for Health and Care Excellence. (2017). Eating Disorders:recognition and treatment. Full guideline. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK436876/pdf/Bookshelf_NBK436876.pdf
Olaíz-Fernández, G., Rivera Dommarco, J., Shamah-Levy, T., Rojas, R., Villalpando-Hernández, S., Hernández-Avila, M., & Sepúlveda Amor, J. (2006). EncuestaNacional de Salud y Nutrición 2006. Instituto Nacional de Salud Pública.
Osuna-Ramírez, I., Hernández-Prado, B., Campuzano, J. C., & Salmerón, J. (2006).Índice de masa corporal y percepción de la imagen corporal en una poblaciónadulta mexicana: la precisión del autorreporte. Salud Pública de México, 48(2),94-103.
Palma, O., Hernández, M. I., Villalobos, A., Unikel, C., Olaiz, G., & Bojorquez, I.(2011). Association of socioeconomic status, problem behaviors, and disorderedeating in Mexican adolescents: Results of the Mexican National Health andNutrition Survey 2006. Journal of Adolescent Health, 49(4), 400-406. doi:10.1016/j.jadohealth.2011.01.019
Pineda, G. G., Gómez, P. G., & Méndez, H. S. (2010). Disonancia cognoscitiva enla prevención de trastornos alimentarios. Significancia clínica y estadística.Psicología y Salud, 20(1), 103-109.
Rodríguez, R., & Gómez Péresmitré, G. (2007). Prevención de trastornos alimentariosmediante la formación de audiencias críticas y psicoeducación: un estudiopiloto. Psicología y Salud, 17, 269-276.
Rowe, E. (2017). Early detection of eating disorders in general practice. AustralianFamily Physician, 46(11), 833-838.
Sáenz-Duran, S., González-Martínez, F., & Díaz-Cárdenas, S. (2011). Hábitosy trastornos alimenticios asociados a factores sociodemográficos, físicos yconductuales en universitarios de Cartagena, Colombia. Revista Clínica deMedicina de Familia, 4(3), 193-204. doi: 10.4321/S1699-695X2011000300003
Sangha, S., Oliffe, J. L., Kelly, M. T., & McCuaig, F. (2019). Eating Disorders inMales: How Primary Care Providers Can Improve Recognition, Diagnosis,and Treatment. American Journal of Men’s Health, 13(3), 1-12. doi:10.1177/1557988319857424
Saucedo, T. J., Villarreal, M., Oliva, L. A., Unikel, C., & Guzmán, R. (2018).Disordered eating behaviors and sedentary lifestyle prevention amongMexicans: pilot study. Health Education Journal, 77(8), 872-883. doi:10.1177/0017896918782279
Shamah-Levy, T., Vielma-Orozco, E., Heredia-Hernández, O., Romero-Martínez, M.,Mojica-Cuevas, J., Cuevas-Nasu, L., … Rivera-Dommarco, J. (2020). EncuestaNacional de Salud y Nutrición 2018-19: Resultados Nacionales. InstitutoNacional de Salud Pública.
Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of EatingDisorders: Incidence, Prevalence and Mortality Rates. Current PsychiatryReports, 14(4), 406-414. doi: 10.1007/s11920-012-0282-y
Stice, E. (2001). A prospective test of the dual-pathway model of bulimic pathology:Mediating effects of dieting and negative affect. Journal of AbnormalPsychology, 110(1), 124-135. doi: 10.1037/0021-843X.110.1.124
Stice, E., Marti, C. N., Spoor, S., Presnell, K., & Shaw, H. (2008). Dissonance andhealthy weight eating disorder prevention programs: Long-term effects froma randomized efficacy trial. Journal of Consulting and Clinical Psychology,76(2), 329-340. doi: 10.1037/0022-006X.76.2.329
Stice, E., Rohde, P., Butryn, M. L., Shaw, H., & Marti, C. N. (2015). EffectivenessTrial of a Selective Dissonance-based Eating Disorder Prevention Programwith Female College Students: Effects at 2- and 3-Year Follow-up. BehaviorResearch and Therapy, 71, 20-26. doi: 10.1016/j.brat.2015.05.012
Unikel, C., Bojorquez, I., & Carreño, S. (2004) Validación de un cuestionario breve paramedir conductas alimentarias de riesgo. Salud Pública de México, 46(6), 509-515.
Unikel, C., Bojorquez, I., Díaz de León, C., Vázquez-Velázquez, V., Rivera-Márquez, J. A., Galván, G., & Rocha, I. (2018). Validation of Eating DisordersExamination Questionnaire in Mexican women. International Journal of EatingDisorders, 51(2), 146-154. doi: 10.1002/eat.22819
Unikel, C., Díaz de León, C., & Rivera, J. A. (2017). Conductas alimentarias deriesgo y factores de riesgo asociados: desarrollo y validación de instrumentosde medición. Universidad Autónoma Metropolitana Xochimilco. ISBN: 978-607-28-1087-7
Unikel, C., Díaz de León, C., Rivera, J. A., Bojorquez, I., & Méndez, E. (2019).Dissonance-based Program for Eating Disorder Prevention in MexicanUniversity Students. Psychosocial Intervention, 28(1), 29-35. doi: 10.5093/pi2018a17
Unikel, C., Juárez, F., & Gómez Peresmitré, G. (2006). Psychometric Properties ofthe Attitudes Towards Body Figure Questionnaire in Mexican Female Studentsand Patients with Eating Disorders. European Eating Disorders Review, 14(6),430-435.
Unikel, C., Saucedo, T., Villatoro, J. A., Medina-Mora, M. E., & Fleiz, C. (2002)Conductas alimentarias de riesgo y distribución del Indice de Masa Corporal enestudiantes de 13 a 18 años. Salud Mental, 25(2), 49-57.
Villalobos, A., Unikel, C., Hernández-Serrato, M. I., & Bojorquez, I. (2020).Evolución de las conductas alimentarias de riesgo en adolescentes mexicanos,2006-2018. Salud Pública de México, 62(6), 734-744. doi: 10.21149/11545
Watson, H. J., Joyce, T., French, E., Willan, V., Kane, R. T., Tanner-Smith, E. E.,… Egan, S. (2016). Prevention of eating disorders: A systematic review ofrandomized, controlled trials. International Journal of Eating Disorders, 49(9),833-862. doi: 10.1002/eat.22577
World Health Organization (WHO). (2013). Global data base on body mass index.BMI classification. WHO. http://apps.who.int/bmi/index.jsp?introPage=intro_3.htm
Yoon, C., Mason, S. M., Hooper, L., Eisenberg, M. E., & Neumark-Sztainer,D. (2020). Disordered Eating Behaviors and 15-year Trajectories in BodyMass Index: Findings From Project Eating and Activity in Teens and YoungAdults (EAT). Journal of Adolescent Health, 66(2), 181-188. doi: 10.1016/j.jadohealth.2019.08.012
Zerwas, S., Larsen, J. T., Petersen, L., Thornton, L. M., Mortensen, P. B., & Bulik,C. M. (2015). The incidence of eating disorders in a Danish register study:Associations with suicide risk and mortality. Journal of Psychiatric Research,65, 16-22. doi: 10.1016/j.jpsychires.2015.03.003