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SYSTEMATIC REVIEW article

Front. Nutr.
Sec. Nutrition, Psychology and Brain Health
Volume 11 - 2024 | doi: 10.3389/fnut.2024.1476956
This article is part of the Research Topic Eating Disorders and Eating Disorder Awareness View all 7 articles

Effectiveness of written emotional disclosure interventions for eating disorders: a systematic review and meta-analysis

Provisionally accepted
Yufei Wang Yufei Wang Yuexian Tao Yuexian Tao *Tao Xu Tao Xu Xintong Cai Xintong Cai
  • Hangzhou Normal University, Hangzhou, China

The final, formatted version of the article will be published soon.

    Background: Eating disorders are disorders that can seriously impair the health and well-being of 9 patients. Written emotional disclosure has been recognized as a therapeutic technique that may be 10 helpful in aiding patients' emotional and psychological adjustment. However, it is unclear what 11 favorable effects eating disorder patients can derive from written emotional disclosure therapy. This 12 study aimed to review the effectiveness of written emotional disclosure in treating eating disorders 13 using a systematic review and meta-analysis. 14Objective: This study was to examine the validity of written emotional disclosure intervention for 15 eating disorders as well as to provide guidelines for the management of eating disorders in patients. 16: Researchers independently developed inclusion and exclusion criteria according to the 17 PICOS principle and systematically searched English literature databases such as PubMed, Medline, 18 Web of Science, Cochrane Library, CINAHL, EBSCO, Embase, and so on, from the time of library 19 construction to December 2023. Cochrane Risk of Bias version 2 (RoB 2) was used to evaluate 20 literature included in this review. All the literature included in this study were randomized controlled 21 trials. Accurate information was extracted and then subjected to meta-analysis with Review Manager 22 5.4 software. The credibility of the evidence of the studies was assessed using GRADEprofiler 3.6 23 software. 24 Results: The final analysis included 13 randomized controlled trials involving 1444 participants. The 25 written emotional disclosure intervention can decrease eating disorder symptom scores (SMD = -0.20, 26 95% CI [-0.34, -0.05], Z = 2.59, P = 0.01), body dissatisfaction scores (SMD = 0.37, 95% CI [0.21, 27 0.52], Z =4.59, P <0.001), and thin ideal internalization score (SMD = 0.42, 95% CI [0.22, 0.62], Z = 28 4.12, P <0.001). Anxiety scores (MD = 0.43, 95% CI [-0.77, 1.63], Z = 0.70, P = 0.48), depression 29

    Keywords: Written emotional disclosure, Expressive Writing, Eating Disorders, Writing, Meta - analysis

    Received: 06 Aug 2024; Accepted: 14 Nov 2024.

    Copyright: © 2024 Wang, Tao, Xu and Cai. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Yuexian Tao, Hangzhou Normal University, Hangzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.