Sig Roundtable A

Adaptations to Prevention and ED Intervention Programs - SIG Roundtable Discussions

Body Image and Eating Disorder Prevention Across the Lifespan

Savannah Roberts, B.S.

University of Delaware, Delaware, USA

Co-Authors: Danyale McCurdy-McKinnon Ph.D.; Sophia Choukas-Bradley, University of Delaware; Anna Bardone-Cone, University of North Carolina Chapel Hill; Katie Thompson, University of North Carolina Chapel Hill

The purpose of the current study is to examine the role of appearance-related social media consciousness (ASMC) in adolescents’ and young adults’ disordered eating across three studies. Social media is nearly ubiquitous, particularly highly-visual platforms that emphasize attractiveness. ASMC, or concern about one’s appearance on social media, may be related to eating pathology. Girls may be particularly vulnerable. Most research has focused on time spent using social media, rather than unique social media experiences. Across three studies, we examine whether gender moderates the association between ASMC and disordered eating, controlling for time on social media. Adolescents (Study 1: n = 222; Mage = 16.26), freshmen college students (Study 2: n = 290; Mage = 18.53), and young adults (Study 3: n = 229; Mage = 22.00) in the U.S. participated. Disordered eating was measured using the Eating Disorder Examination Questionnaire – Short (Study 1 and 2) and the Eating Pathology Symptoms Inventory (Study 3). Participants also completed the Appearance-Related Social Media Consciousness-Scale and reported how many hours per day they use social media. In Studies 1 and 2, ASMC was significantly associated with disordered eating (Study 1: B = .43, Study 2: B = .44, ps < .001) when controlling for age, gender, and time spent on social media, with the association particularly strong for girls/women (Study 1: B = -.32, Study 2: B = -.56, ps < .05). In Study 3, which examined distinct behaviors, ASMC was significantly associated with disordered eating equally for women and men (restriction: B = .50; binge eating: B = .27; purging: B = .36; excessive exercise: B = .35; all ps < .001). Findings suggest that the association between ASMC and disordered eating seems particularly strong for girls and women, except when examining distinct behaviors. Overall, the importance that youth and young adults place on their appearance on social media—rather than frequency of use—may be a distinct risk factor for disordered eating. Note: findings from Study 1 were published previously, though their inclusion and review with other studies represents a unique contribution never previously published.

Learning Objectives

  1. Outline the unique biopsychosocial factors at play in body image concerns across the lifespan.
  2. Understand similarities and differences in body image concerns in disordered eating from youth to middle-age.
  3. Apply knowledge gained to one’s own research or clinical practice regarding body dissatisfaction at various life stages.


Early Intervention in Under-Represented Groups

Karina Allen, Ph.D., MPsych (Clinical)

King's College London and South London and Maudsley NHS Foundation Trust

Co-Authors: Victoria Mountford, Lighthouse Arabia, Dubai; Erin Harrop, University of Denver; Shira Rosenbluth; Nicole Obeid, CHEO Research Institute


Due to scarce resources and high demand, priority setting in eating disorder (ED) services is necessary and inevitable. This study evaluated the level of consensus and perceived relative importance of factors used to determine how patients are prioritised in ED services, amongst clinicians and individuals with a lived experience (LE) of an ED. A Delphi method and a ranking task were used to determine consensus and importance. Participants were 50 ED clinicians and 60 individuals with a LE. Over three iterative rounds, a total of 87 statements about patient prioritisation were rated on a 5-point scale of agreement. Consensus was defined as >80% agreement or disagreement. Items that reached consensus for agreement were ranked in order of importance from most to least important. Twenty-three items reached consensus in the clinician panel and 20 items reached consensus in the LE panel. The pattern of responding was broadly similar across the panels. The three most important items in both panels were medical risk, overall severity, and physical health deteriorating quickly. Clinicians placed greater emphasis on physical risk and early intervention whereas the LE panel focused more on mental health and quality of life. The findings align in some respects with what is done in services, i.e., physical risk and severity taking precedence, but diverge in others, i.e., mental health and cognitive symptoms identified as important for priority setting decisions.

Learning Objectives

  1. Identify barriers to early intervention for eating disorders in under-represented and marginalized groups.
  2. Describe ways to improve early intervention for under-represented and marginalized groups.
  3. Generate ideas for adapting early intervention approaches to the needs of different groups.


The Legacy of Hope Initiative – A Clarion Call For A Consensus-Based Approach To Identifying And Addressing Issues Fundamental To The Eating Spectrum Disorder Battle

Donald Blackwell

Legacy of Hope Summit Organizer

Co-Authors: Carolyn Becker, Trinity University; Christine Peat, National Center of Excellence for Eating Disorders; Cheri Levinson, Behavioral Wellness Clinic/Louisville Center for Eating Disorders; Stuart Murry, University of Southern California; Elissa Myers, Former Executive Director Academy for Eating Disorders; JD Ouellette, University of California San Diego Center for Eating Disorders Treatment and Research

Learning Objectives

  1. To introduce those in attendance to a ground-breaking, consensus-based initiative (i.e., the Legacy of Hope Summit) aimed at identifying and arriving at recommendations for addressing issues fundamental to the Eating Spectrum Disorder battle in the United States (e.g., the need for early detection, intervention, prevention; the need to make specialized care more accessible and affordable to all those in need; the importance of developing uniform, evidenced-based standards of care; the need for funding and conducting eating spectrum disorder research; and the indispensability of advocacy, education, and legislation where these illnesses are concerned.
  2. To discuss the consensus reached and the recommendations made by the 25 prominent clinicians, academicians, researchers, persons with lived experience, and thought leaders in the U.S. eating disorders community in attendance at the Summit, together with: (a) strategies for implementing those recommendations; (2) likely obstacles to their implementation; and (3) suggested means for successfully navigating and overcoming those challenges.
  3. To share, through the eyes of several Summit participants: (a) what they deem to be the key takeaways from the Legacy of Hope initiative, both in terms of the substantive recommendations and the collaborative processes used to arrive at those conclusions and recommendations; and (b) their belief that the widespread uptake and implementation of the Summit recommendations has the potential to unify and advance the eating disorders field and ultimately improve the lives of those affected.


The Male Eating Disorder Treatment Experience: Adapting the Current Model to be More Inclusive

Emilio J. Compte, Ph.D.

Comenzar de Nuevo A.C.

Co-Authors: Kyle Ganson; Katarina Prnjak, Western Sydney University; Douglas Bunnell; Tiffany Brown, Auburn University; Andrew Walen; Francis Iacobucci; Jason Nagata

Learning Objectives

  1. Identify 2-3 specific means to adapt eating disorders programming and training.
  2. Explain past and current intervention research that has been inclusive of males.
  3. Identify 3-4 specific skills to use in medical and/or therapeutic settings directly with males.


Family Based Treatment: Culturally Humble Tailoring in Community Settings 

Chrissy Cammarata, Ph.D.

Nemours Children's Hospital

Co-Authors: Lindsey Bruett, UCSF; Rachel ​​Kramer, Cincinnati Children's Hospital; Joanna Smith, Nemours Children's Hospital; Kathleen Seipel, Amanecer Counseling Resource Center

Learning Objectives

  1. Describe and use complementary strategies for promoting inclusivity and creating safe spaces that involve cultural factors and lived experience discussions in treatment 
  2. Discuss lessons learned regarding adaptations that may enhance treatment for culturally diverse families.
  3. Identify and problem solve strategies to reduce barriers to treatment.

Efficiently Delivering Evidence-Informed Interventions for Eating Disorders: Group and Brief Adaptions of Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Family Based Treatment

Kathryn Huryk, Ph.D.

University of California, San Francisco

Co-Authors: Suzanne Straebler; Patricia O’Malley, University of Michigan; Glenn Waller; Rebecca Murphy

Learning Objectives:

  1. Understand the need for efficient evidenced-informed treatments for individuals with eating disorders.
  2. Identify four efficient evidence-informed treatments and the research underpinning these treatments.
  3. Provided with practical tips to implement evidence-informed treatments into their clinical services.