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Research Article

Yoga and eating disorder prevention and treatment: A comprehensive review and meta-analysis

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC. https://doi.org/10.1176/appi.books.9780890425596
  • *Ariel-Donges, A. H., Gordon, E. L., Bauman, V., & Perri, M. G. (2019). Does yoga help college-aged women with body-image dissatisfaction feel better about their bodies? Sex Roles, 80(1–2), 41–51. https://doi.org/10.1007/s11199-018-0917-5
  • Bak-Sosnowska, M., & Urban, A. (2017). Body image in women practicing yoga or other forms of fitness. Archives of Psychiatry and Psychotherapy, 19(3), 58–68. https://doi.org/10.12740/APP/76338
  • Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Introduction to meta-analysis. John Wiley & Sons.
  • *Brennan, M. A., Whelton, W. J., & Sharpe, D. (2020). Benefits of yoga in the treatment of eating disorders: Results of a randomized controlled trial. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 438–457. https://doi.org/10.1080/10640266.2020.1731921
  • Cardi, V., Leppanen, J., Mataix‐Cols, D., Campbell, I. C., & Treasure, J. (2019). A case series to investigate food‐related fear learning and extinction using in vivo food exposure in anorexia nervosa: A clinical application of the inhibitory learning framework. European Eating Disorders Review, 27(2), 173–181. https://doi.org/10.1002/erv.2639
  • *Carei, T. R., Fyfe-Johnson, A. L., Breuner, C. C., & Brown, M. A. (2010). Randomized controlled clinical trial of yoga in the treatment of eating disorders. Journal of Adolescent Health, 46(4), 346–351. https://doi.org/10.1016/j.jadohealth.2009.08.007
  • Cook-Cottone, C. (2013). Dosage as a critical variable in yoga therapy research. International Journal of Yoga Therapy, 23(2), 11–12. https://doi.org/10.17761/ijyt.23.2.g3787hvr118l823p
  • Cook-Cottone, C., Beck, M., & Kane, L. (2008). Manualized-group treatment of eating disorders: Attunement in mind, body, and relationship (AMBR). The Journal for Specialists in Group Work, 33(1), 61–83. https://doi.org/10.1080/01933920701798570
  • Cook-Cottone, C., & Douglass, L. L. (2017). Yoga communities and eating disorders: Creating safe space for positive embodiment. International Journal of Yoga Therapy, 27(1), 87–93.
  • Cook-Cottone, C., Jones, L. A., & Haugli, S. (2010). Prevention of eating disorders among minority youth: A matched-sample repeated measures study. Eating Disorders: The Journal of Treatment and Prevention, 18(5), 361–376. https://doi.org/10.1080/10640266.2010.511894
  • Cook-Cottone, C., Talebkhah, K., Guyker, W., & Keddie, E. (2017). A controlled trial of a yoga-based prevention program targeting eating disorder risk factors among middle school females. Eating Disorders: The Journal of Treatment and Prevention, 25(5), 392–405. https://doi.org/10.1080/10640266.2017.1365562
  • Cook-Cottone, C. P. (2015). Mindfulness and yoga for self-regulation: A primer for mental health professionals. Springer.
  • Cook-Cottone, C. P. (2020). Embodiment and the treatment of eating disorders: The body as a resource in recovery. W. W. Norton.
  • Cook-Cottone, C. P., Kane, L., Keddie, E., & Haugli, S. (2013). Girls growing in wellness and balance: Yoga and life skills to empower. Schoolhouse Educational Services.
  • Cox, A. E., Cook-Cottone, C. P., Tylka, T. T., & Neumark-Sztainer, D. (2020). Future directions for research on yoga and positive embodiment. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 542–547.
  • Cox, A. E., & Tylka, T. L. (2020). A conceptual model describing mechanisms for how yoga practice may support positive embodiment. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 376–399. https://doi.org/10.1080/10640266.2020.1740911
  • Cox, A. E., Ullrich-French, S., Cole, A., & D’Hondt-Taylor, M. (2016). The role of state mindfulness during yoga in predicting self-objectification and reasons for exercise. Psychology of Sport and Exercise, 22, 321–327. https://doi.org/10.1016/j.psychsport.2015.10.001
  • Cox, A. E., Ullrich-French, S., Cook-Cottone, C., Tylka, T. L., & Neumark-Sztainer, D. (2020). Examining the effects of mindfulness-based yoga instruction on positive embodiment and affective responses.Eating Disorders: The Journal of Treatment and Prevention, 28(4), 458–475. https://doi.org/10.1080/10640266.2020.1738909
  • Cox, A. E., Ullrich-French, S., Howe, H. S., & Cole, A. N. (2017). A pilot yoga physical educational curriculum to promote positive body image. Body Image, 23, 1–8. https://doi.org/10.1016/j.bodyim.2017.07.007
  • Cox, A. E., Ullrich-French, S., Tylka, T., & McMahon, A. K. (2019). The roles of self-compassion, body surveillance, and body appreciation in predicting intrinsic motivation for physical activity: Cross-sectional associations, and prospective changes within a yoga context. Body Image, 29, 110–117. https://doi.org/10.1016/j.bodyim.2019.03.002
  • Dale, L. P., Mattison, A. M., Greening, K., Galen, G., Neace, W. P., & Matacin, M. I. (2009). Yoga workshop impacts psychological functioning and mood of women with self-reported history of eating disorders. Eating Disorders: The Journal of Treatment and Prevention, 17(5), 422–434. https://doi.org/10.1080/10640260903210222
  • Daubenmier, J. J. (2005). The relationship of yoga, body awareness, and body responsiveness to self-objectification and disordered eating. Psychology of Women Quarterly, 29(2), 207–219.
  • Delaney, K., & Anthis, K. (2010). Is women's participation in different types of yoga classes associated with different levels of body awareness satisfaction? International Journal of Yoga Therapy, 20(1), 62–71.
  • Diers, L., Rydell, S. A., Watts, A., & Neumark-Sztainer, D. (2020). A yoga-based therapy program designed to improve body image among an outpatient eating disorder population: Program description and results from a mixed methods pilot study. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 476–493. https://doi.org/10.1080/10640266.2020.1740912
  • Dittmann, K. A., & Freedman, M. R. (2009). Body awareness, eating attitudes, and spiritual beliefs of women practicing yoga. Eating Disorders: The Journal of Treatment and Prevention, 17(4), 273–292. https://doi.org/10.1080/10640260902991111
  • Domingues, R. B., & Carmo, C. (2019). Disordered eating behaviours and correlates in yoga practitioners: A systematic review. Eating and Weight Disorders 24, 1015–1024. https://doi.org/10.1007/s40519-019-00692-x
  • Douglass, L. (2009). Yoga as an intervention in the treatment of eating disorders: Does it help? Eating Disorders: The Journal of Treatment and Prevention, 17(2), 126–139. https://doi.org/10.1080/10640260802714555
  • Elfil, M., Negida, A., Sheikh, H., Vahedi, M., & Momeni, M. (2017). Sampling methods in clinical research; an educational review. Emergency, 5(1), e52. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325924/
  • Flaherty, M. (2014). Influence of yoga on body image satisfaction in men. Perceptual and Motor Skills, 119(1), 201–214. https://doi.org/10.2466/27.50.PMS.119c17z1
  • Frayeh, A., & Lewis, B. (2018). The effect of mirrors on women’s state body image response to yoga. Psychology of Sport Exercise, 35, 47–54. https://doi.org/10.1016/j.psychsport.2017.11.002
  • Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x
  • Gammage, L., Drouin, B., & Lamarche, L. (2016). Comparing a yoga class with a resistance exercise class: Effects on body satisfaction and social physique anxiety among university women. Journal of Physical Activity & Health, 13(11), 1202–1209. https://doi.org/10.1123/jpah.2015-0642
  • Grenon, R., Carlucci, S., Brugnera, A., Schwartze, D., Hammond, N., Ivanova, I., Mcquaid, N., Proulx, G., & Tasca, G. A. (2019). Psychotherapy for eating disorders: A meta-analysis of direct comparisons. Psychotherapy Research, 29(7), 833–845. https://doi.org/10.1080/10503307.2018.1489162
  • Hall, A., Ofei-Tenkorang, N. A., Machan, J. T., & Gordon, C. M. (2016). Use of yoga in outpatient eating disorder treatment: A pilot study. Journal of Eating Disorders, 4(Article), 38. https://doi.org/10.1186/s40337-016-0130-2
  • *Halliwell, E., Jarman, H., Tylka, T. L., & Slater, A. (2018). Evaluating the impact of a brief yoga intervention on preadolescents’ body image and mood. Body Image, 27, 196–201. https://doi.org/10.1016/j.bodyim.2018.10.003
  • *Halliwell, E., Dawson, K., & Burkey, S. (2019). A randomized experimental evaluation of a yoga-based body image intervention. Body Image, 28, 119–127. https://doi.org/10.1016/j.bodyim.2018.12.005
  • Herranz Valera, J., Acuña Ruiz, P., Romero Valdespino, B., & Visioli, F. (2014). Prevalence of orthorexia nervosa among ashtanga yoga practitioners: A pilot study. Eating and Weight Disorders, 19(4), 469–472. https://doi.org/10.1007/s40519-014-0131-6
  • Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
  • *Hopkins, L. B., Medina, J. L., Baird, S. O., Rosenfield, D., Powers, M. B., & Smits, J. A. J. (2016). Heated hatha yoga to target cortisol reactivity to stress and affective eating in women at risk for obesity-related illnesses: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 84(6), 558–564. https://doi.org/10.1037/ccp0000091
  • Impett, E. A., Daubenmier, J. J., & Hirschman, A. L. (2006). Minding the body: Yoga, embodiment, and well-being. Sexuality Research & Social Policy, 3(4), 39–48.
  • *Karlsen, K. E., Vrabel, K., Bratland-Sanda, S., Ulleberg, P., & Benum, K. (2018). Effect of yoga in the treatment of eating disorders: A single-blinded randomized controlled trial with 6-months follow-up. International Journal of Yoga, 11(2), 166–169. https://doi.org/10.4103/ijoy.IJOY_3_17
  • Klein, J., & Cook-Cottone, C. (2013). The effects of yoga on eating disorder symptoms and correlates: A review. International Journal of Yoga Therapy, 23(2), 41–50. https://doi.org/10.17761/ijyt.23.2.2718421234k31854
  • Kramer, R., & Cuccolo, K. (2019). Yoga practice in a college sample: Associated changes in eating disorder, body image, and related factors over time. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 494–512. https://doi.org/10.1080/10640266.2019.1688007
  • Mahlo, L., & Tiggemann, M. (2016). Yoga and positive body image: A test of the embodiment model. Body Image, 18, 135–142. https://doi.org/10.1016/j.bodyim.2016.06.008
  • Martin, R., Prichard, I., Hutchinson, A. D., & Wilson, C. (2013). The role of body awareness and mindfulness in the relationship between exercise and eating behavior. The Journal of Sport and Exercise Psychology, 35(6), 655–660. https://doi.org/10.1123/jsep.35.6.655
  • *McIver, S., O’Halloran, P., & McGartland, M. (2009). Yoga as a treatment for binge eating disorder: A preliminary study. Complementary Therapies in Medicine, 17(4), 196–202. https://doi.org/10.1016/j.ctim.2009.05.002
  • McIver, S., McGartland, M., & O’Halloran, P. (2009). “Overeating is not about the food:” Women describe their experience of a yoga treatment program for binge eating. Qualitative Health Research, 19(9), 1234–1245.
  • Menzel, J. E., & Levine, M. P. (2011). Embodying experiences and the promotion of positive body image: The example of competitive athletics. In R. M. Calogero, S. Tantleff-Dunn, & J. K. Thompson (Eds.), Self-objectification in women: Causes, consequences, and counteractions (pp. 163–186). American Psychological Association. https://doi.org/10.1037/12304-008
  • *Mitchell, K. S., Mazzeo, S. E., Rausch, S. M., & Cooke, K. L. (2007). Innovative interventions for disordered eating: Evaluating dissonance-based and yoga interventions. International Journal of Eating Disorders, 40(2), 120–128. https://doi.org/10.1002/eat.20282
  • Neumark-Sztainer, D., Cook-Cottone, C. P., Tylka, T. L., & Cox, A. E. (2020). Introduction to the special edition on yoga and positive embodiment: A note from the editors on how we got here. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 309–314.
  • Neumark-Sztainer, D., Eisenberg, M. E., Wall, M., & Loth, K. A. (2011). Yoga and pilates: Associated with body image and disordered-eating behaviors in a population-based sample of young adults. International Journal of Eating Disorders, 44(3), 276–280. https://doi.org/10.1002/eat.20858
  • Neumark-Sztainer, D., MacLehose, R. F., Watts, A. W., Pacanowski, C. R., & Eisenberg, M. E. (2018). Yoga and body image: Findings from a large population-based study of young adults. Body Image, 24, 69–75. https://doi.org/10.1016/j.bodyim.2017.12.003
  • Neumark-Sztainer, D., Watts, A. W., & Rydell, S. (2018). Yoga and body image: How do young adults practicing yoga describe its impact on their body image? Body Image, 27, 156–168. https://doi.org/10.1016/j.bodyim.2018.09.001
  • Norman, K., Sodano, S. M., & Cook-Cottone, C. (2014). An exploratory analysis of the role of interpersonal styles in eating disorder prevention outcomes. The Journal for Specialists in Group Work, 39(4), 301–315.
  • Ostermann, T., Vogel, H., Boehm, K., & Cramer, H. (2019). Effects of yoga on eating disorders–A systematic review. Complementary Therapies in Medicine, 46, 73–80.
  • Ostermann, T., Vogel, H., Starke, C., & Cramer, H. (2019). Effectiveness of yoga in eating disorders- A case report. Complementary Therapies in Medicine, 42, 145–148. https://doi.org/10.1016/j.ctim.2018.11.014
  • *Pacanowski, C. R., Diers, L., Crosby, R. D., Mackenzie, M., & Neumark-Sztainer, D. (2020). Yoga’s impact on risk and protective factors for disordered eating: A primary prevention pilot trial. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 513–541.https://doi.org/10.1080/10640266.2020.1763110
  • *Pacanowski, C. R., Diers, L., Crosby, R. D., & Neumark-Sztainer, D. (2017). Yoga in the treatment of eating disorders within a residential program: A randomized controlled trial. Eating Disorders: The Journal of Treatment and Prevention, 25(1), 37–51. https://doi.org/10.1080/10640266.2016.1237810
  • Perey, I., & Cook-Cottone, C. P. (2020). Eating disorders, embodiment, and yoga: A conceptual overview. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 315–329.
  • Piran, N. (2016). Embodied possibilities and disruptions: The emergence of the experience of embodiment construct from qualitative studies with girls and women. Body Image, 18, 43–60. https://doi.org/10.1016/j.bodyim.2016.04.007
  • Piran, N., & Neumark-Sztainer, D. (2020). Yoga and the experience of embodiment: A discussion of possible links. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 330–348. https://doi.org/10.1080/10640266.2019.1701350
  • Pizzanello, H. D. (2016). Evolving from an illusionary self destructive quest for power to a state of empowerment: The curative potential yoga may hold as a vehicle to reclaiming the bodily empowerment for women with anorexia. Journal of Sociology and Social Welfare, 43(4), 37–60. http://scholarworks.wmich.edu/jssw/vol43/iss4/4
  • Prichard, I., & Tiggemann, M. (2008). Relations among exercise type, self-objectification, and body image in the fitness centre environment: The role of reason for exercise. Psychology of Sport and Exercise, 9(6), 855–866. https://doi.org/10.1016/j.psychsport.2007.10.005
  • Rani, N. J., & Rao, P. V. K. (2005). Impact of yoga training on body image and depression. Psychological Studies, 50(1), 98–100. https://psycnet.apa.org/record/2006-00679-014
  • Scime, M., & Cook‐Cottone, C. (2008). Primary prevention of eating disorders: A constructivist integration of mind and body strategies. International Journal of Eating Disorders, 41(2), 134–142. https://doi.org/10.1002/eat.20480
  • Scime, M., Cook-Cottone, C., Kane, L., & Watson, T. (2006). Group prevention of eating disorders with fifth-grade females: Impact on body dissatisfaction, drive for thinness, and media influence. Eating Disorders: The Journal of Treatment and Prevention, 14(2), 143–155. https://doi.org/10.1080/10640260500403881
  • Sherman, K. J. (2012). Guidelines for developing yoga interventions for randomized trials. Evidence-Based Complementary and Alternative Medicine, 143271. Article. https://doi.org/10.1155/2012/143271
  • Tylka, T. L., & Wood-Barcalow, N. L. (2015). What is and what is not positive body image? Conceptual foundations and construct definition. Body Image, 14, 118–129. https://doi.org/10.1016/j.bodyim.2015.04.001
  • van den Berg, E., Houtzager, L., de Vos, J., Daemen, I., Katsaragaki, G., Karyotaki, E., Cuijpers, P., & Dekker, J. (2019). Meta-analysis on the efficacy of psychological treatments for anorexia nervosa. European Eating Disorders Review, 27(4), 331–351. https://doi.org/10.1002/erv.2683
  • Webb, J. B., Rogers, C. B., & Thomas, E. V. (2020). Realizing yoga’s all-access pass: A social justice critique of westernized yoga and inclusive embodiment. Eating Disorders: The Journal of Treatment and Prevention, 28(4), 349–375. https://doi.org/10.1080/10640266.2020.1712636
  • Zajac, A. U., & Schier, K. (2011). Body image dysphoria and motivation to exercise: A study of Canadian and Polish women participating in yoga or aerobics. Archives of Psychiatry and Psychotherapy, 4, 67–72. http://www.archivespp.pl/uploads/images/2011_13_4/Zajac67_APP_4_2011.pdf

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