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1.
Soins Psychiatr ; 37(307): 22-24, 2016.
Artigo em Francês | MEDLINE | ID: mdl-27890271

RESUMO

Anorexia must not be considered as a syndrome specific to a culture but as being linked to fast-moving sociocultural changes. Its occurrence can be favoured by certain transcultural phenomena, such as globalisation and the process of acculturation. The analysis of a clinical case of a young migrant with anorexia illustrates the complexity and need for complementary transcultural psychotherapy, to improve understanding and the future.


Assuntos
Aculturação , Anorexia Nervosa/etnologia , Anorexia Nervosa/enfermagem , Emigrantes e Imigrantes/psicologia , Enfermagem Transcultural/métodos , Adolescente , Anorexia Nervosa/psicologia , Anorexia Nervosa/terapia , Criança , China/etnologia , Feminino , França , Humanos , Relações entre Irmãos/etnologia , Mudança Social , Valores Sociais
2.
Int J Eat Disord ; 49(11): 1032-1035, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27436725

RESUMO

OBJECTIVE: This paper compared Latinas who self-identified as having had an eating disorder (ED) with those who did not (despite both groups meeting criteria for an ED history) on ED pathology and mental health stigma. METHOD: Seventy-seven Latinas completed an online survey. RESULTS: All 77 participants met criteria for lifetime EDs, and 92% met current criteria for an ED; however, 47% did not report having an ED history vs. 53% did report an ED history. There was no difference on binge eating frequency. Those who endorsed an ED history engaged in more compensatory behaviors, had higher EAT-26 scores, and were less fearful of stigmatization due to seeking mental health treatment. Those reporting an ED history were more likely to have met criteria for anorexia nervosa or bulimia nervosa, generally more recognizable EDs than binge eating disorder and other specified feeding or eating disorders, than those who did not report an ED history. DISCUSSION: Latinas with certain patterns of eating pathology and those with less fear of being stigmatized due to seeking mental health treatment were more likely to endorse an ED history, which has implications for treatment seeking. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:1032-1035).


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/etnologia , Hispano-Americanos , Adolescente , Adulto , Anorexia Nervosa/etnologia , Transtorno da Compulsão Alimentar/etnologia , Bulimia Nervosa/etnologia , Feminino , Humanos , Masculino , Saúde Mental , Inquéritos e Questionários , Adulto Jovem
3.
Ecol Food Nutr ; 55(3): 266-78, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26979290

RESUMO

Investigating eating disorders and orthorexia nervosa, especially in the young population, is an important step in taking protective precautions and identifying disease. This study was carried out to determine the relationship of eating disorders and orthorexia nervosa to gender, BMI, and field of study in a population of university students in Turkey. In all, 900 university students aged 17-23 years participated in this study. EAT-40 and ORTO-15, which are validated instruments for the screening of participants with anormal eating behaviors and orthorexia nervosa, respectively, were used. There was not a significant difference in EAT-40 scores according to gender and BMI classification. However, EAT-40 scores were high among the students in social science. The number of orthorectic participants among women is higher than that among men, and ORTO-15 scores were not associated with BMI classification and field of study. A significant negative correlation was found between EAT-40 and ORTO-15 scores.


Assuntos
Anorexia Nervosa/etiologia , Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Qualidade dos Alimentos , Conhecimentos, Atitudes e Prática em Saúde , Transição Epidemiológica , Sobrepeso/psicologia , Magreza/psicologia , Adolescente , Adulto , Anorexia Nervosa/complicações , Anorexia Nervosa/epidemiologia , Anorexia Nervosa/etnologia , Índice de Massa Corporal , Escolha da Profissão , Estudos Transversais , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/etnologia , Feminino , Humanos , Masculino , Sobrepeso/complicações , Sobrepeso/etnologia , Prevalência , Fatores de Risco , Autorrelato , Fatores Sexuais , Estudantes , Magreza/complicações , Magreza/etnologia , Turquia/epidemiologia , Universidades , Adulto Jovem
4.
Neurosci Lett ; 616: 147-51, 2016 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-26808641

RESUMO

Dopamine receptor D2 (DRD2) and catechol-O-methyltransferase (COMT) are important in dopamine system which is proved to be associated with food-anticipatory behavior, food restriction, reward and motivation. This has made them good candidates for anorexia nervosa (AN). The aim of this work is to explore the roles of DRD2 (rs1800497) and COMT (rs4680, rs4633, rs4818) gene polymorphisms in the susceptibility of AN within the Chinese Han population. We recruited 260AN patients with DSM-IV diagnosis criteria, and 247 unrelated, normal weight controls. DRD2 (rs1800497) and COMT (rs4680, rs4633, rs4818) were genotyped in all subjects. We found rs1800497 and rs4633 were associated with the susceptibility of AN within the Chinese Han sample, and allele C of rs1800497 was a protective factor. There was a gene-gene interaction between rs1800497 of DRD2 gene and rs4633 of COMT gene. We concluded that rs1800497 and rs4633 play important roles in the AN susceptibility with respect to the Chinese Han population. The gene-gene interaction between DRD2 and COMT contributes to the risk of AN.


Assuntos
Anorexia Nervosa/genética , Catecol O-Metiltransferase/genética , Receptores de Dopamina D2/genética , Adolescente , Anorexia Nervosa/etnologia , Grupo com Ancestrais do Continente Asiático , Estudos de Casos e Controles , Epistasia Genética , Feminino , Estudos de Associação Genética , Predisposição Genética para Doença , Haplótipos , Humanos , Masculino , Polimorfismo Genético , Adulto Jovem
5.
Singapore Med J ; 56(6): 324-8, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26106239

RESUMO

INTRODUCTION: The prevalence rate of anorexia nervosa is lower in Asia than in the West, although studies have found that it is on the rise in Asia. This study aims to present the clinical profile of patients presenting with anorexia nervosa in Singapore. METHODS: The present study used archival data from the Eating Disorder Programme registry of the Department of Psychiatry, Singapore General Hospital, Singapore. Patient records from 2003 to 2010 were collected and analysed. Presenting characteristics of the patients were also compared with those of another local study conducted eight years earlier. RESULTS: From 2003 to 2010, a total of 271 patients were diagnosed with anorexia nervosa by a psychiatrist in our hospital. Of these, 251 (92.6%) were female and 238 (87.8%) were Chinese. Our patients had a lower mean weight (36.83 kg, p < 0.001) and a lower mean body mass index (BMI) (14.43 kg/m(2), p < 0.001) than patients from the previous local study. Almost half of all our patients (n = 135, 49.8%) were diagnosed with at least one psychiatric comorbidity and 50 (18.5%) had a history of self-harm. CONCLUSION: The presenting characteristics of our study cohort were similar to those of the Western population. However, the lower presenting weight and BMI in our cohort indicates that cases seen today are more severe than those seen eight years ago. Therefore, it is important to put in place prevention programmes to help adolescents cultivate a healthy body image as well as early intervention programmes to improve detection rates and treatment outcomes.


Assuntos
Anorexia Nervosa/diagnóstico , Anorexia Nervosa/epidemiologia , Adolescente , Adulto , Anorexia Nervosa/etnologia , Anorexia Nervosa/terapia , Grupo com Ancestrais do Continente Asiático , Imagem Corporal , Índice de Massa Corporal , Peso Corporal , Criança , Comorbidade , Feminino , Seguimentos , Humanos , Masculino , Prevalência , Estudos Retrospectivos , Comportamento Autodestrutivo/complicações , Singapura , Resultado do Tratamento , Adulto Jovem
6.
PLoS One ; 10(3): e0119378, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25785698

RESUMO

Accumulating evidence has implied that serotonin system dysfunction may be involved in the etiology of anorexia nervosa (AN). Serotonin-transporter-linked promoter region (5-HTTLPR) polymorphism is the genetic variant coding for the serotonin transporter and has a modulatory effect on its expression. This study aimed to investigate the possible association between the 5-HTTLPR and the susceptibility and severity of AN in Han Chinese using a case-control (255 patients and 351 controls) and family based study (198 trios). Eating disorder examination was used to measure the severity of AN behavioral symptoms. For the case-control study, the 5-HTTLPR showed significant association with AN in our sample (genotypic P = 0.03). The frequency of S allele was significantly higher in patients than that in controls (OR = 1.38, 95%CI: 1.06-1.79, P = 0.017). For the family-based study, the S allele of 5-HTTLPR was preferentially transmitted rather than non-transmitted from the parents to affected offspring (P = 0.013). The results of ANCOVA test revealed no significant association between the 5-HTTLPR polymorphism and severity of AN. Our findings suggested that 5-HTTLPR is able to confer susceptibility to AN in Han Chinese.


Assuntos
Anorexia Nervosa/genética , Predisposição Genética para Doença , Polimorfismo Genético , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética , Adolescente , Alelos , Anorexia Nervosa/etnologia , Anorexia Nervosa/patologia , Grupo com Ancestrais do Continente Asiático , Estudos de Casos e Controles , Ingestão de Alimentos , Feminino , Expressão Gênica , Frequência do Gene , Humanos , Masculino , Desempenho Psicomotor , Índice de Gravidade de Doença , Adulto Jovem
7.
Clin Child Psychol Psychiatry ; 20(2): 276-88, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24363225

RESUMO

The increased prevalence of anorexia nervosa reported in non-Western societies inevitably raises the issue of the influence of cultural factors in the genesis and the patterns of this disorder. Anorexia nervosa is not a straightforward Western culture-bound syndrome, although an influence of Western ideals of thinness does exist. The illness seems more related to rapid cultural shifts, either societal or individual, such as those occurring in the migratory process. Migrants and their children have to face the acculturation process and may experience a culture-clash. The pathology can also fulfil a positive acculturative function. This is a case study concerning a second-generation Chinese girl born in France presenting with anorexia nervosa. This case leads us to raise the issue of the choice of diagnostic criteria in relation to cultural background. We will also discuss the impact of the family's migratory history on the construction of identity in adolescence. Finally we will explore the specific features of care provision for anorexia nervosa in a transcultural setting.


Assuntos
Aculturação , Anorexia Nervosa/diagnóstico , Imagem Corporal , Cultura , Adolescente , Anorexia Nervosa/etnologia , Anorexia Nervosa/psicologia , Grupo com Ancestrais do Continente Asiático , Feminino , Humanos
8.
Psychiatry Res ; 219(1): 151-6, 2014 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-24889844

RESUMO

To study transcultural differences in eating disorders, we examined eating disorder symptoms and point prevalence of eating disorders among Japanese female students in 1982, 1992 and 2002. In 1982, 1992 and 2002, a total of 10,499 Japanese female students, aged 16-23 years, were asked to complete a self-administered questionnaire. Diagnosis of an eating disorder was made on the basis of DSM-IV criteria. On almost all measures, there were significant increases of a disordered attitude about fear of gaining weight, body perception disturbance and problematic eating behaviors over time. The point prevalence of anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified significantly increased over time. These results suggest that the prevalence of eating disorder symptoms and the point prevalence of eating disorders were increasing among Japanese female students in 2002. Changing socio-cultural factors in Japan may explain the dramatic increase of eating disorders over time.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/etnologia , Estudantes/estatística & dados numéricos , Adolescente , Anorexia Nervosa/diagnóstico , Anorexia Nervosa/etnologia , Bulimia Nervosa/diagnóstico , Bulimia Nervosa/etnologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Inquéritos Epidemiológicos , Humanos , Japão/epidemiologia , Prevalência , Estudantes/psicologia , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
9.
Psychopathology ; 47(4): 244-51, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24457444

RESUMO

Anorexia nervosa can be comprehended as an illness in the broader context of Western culture. The myth of the Fall, narrating a forbidden act of eating, provides a symbolic background of a philosophical-anthropological comprehension of the identity of man, which frames a clinically relevant point of view of anorexia nervosa. The formation of identity in its broader anthropological sense and particularly with people suffering from anorexia nervosa is subjected to a philosophical and psychological analysis consulting the relevant philosophical, sociological and psychodynamic literature. The order of eating in terms of interdiction and disobedience anthropologically constitutes the identity of men: by ignoring the divine taboo, men can reach consciousness and culture. Philosophy and psychoanalytical theory have focused on this process regarding an emerging capacity to symbolize and on its relation to emancipation and the pursuit of autonomy. Under postmodern conditions with a decline of stable cultural value systems and traditional structures the process of an emancipatory identity construction becomes critical. Surrogates replace missing values; thus, injunctions such as to enjoy substitute interdictions. This paper sheds light on the impact of these cultural conditions and their postmodern changes on the identity construction of anorexia nervosa. Moreover, implications for psychotherapeutic treatment are outlined. Besides the medico-scientific models, a multifaceted understanding of anorexia nervosa has to consider cultural contexts and symbolic processes that matter in the disorder in order to provide a broader background for the treatment approach of the anorectic patient.


Assuntos
Anorexia Nervosa/etnologia , Anorexia Nervosa/psicologia , Identificação Social , Anorexia Nervosa/terapia , Humanos , Mitologia , Filosofia Médica , Psicoterapia
11.
Eat Weight Disord ; 17(3): e207-9, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23086258

RESUMO

In Thailand, anorexia nervosa (AN) has rarely been reported. We report a 13- year-old female adolescent with AN restrictive type, the first from Thailand to meet all Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition - Text Revision (DSM IVTR) criteria for AN. The emergence of a patient with AN in Khon Kaen, a province from the region with the lowest gross domestic product, accentuates the existence of eating disorders in adolescents beyond Thailand capital. Future studies considering sociocultural issues on normal eating attitudes, eating behaviors and body image in Thailand should be conducted.


Assuntos
Anorexia Nervosa/etnologia , Adolescente , Feminino , Humanos , Tailândia
13.
Pediatr. mod ; 48(7)jul. 2012.
Artigo em Português | LILACS | ID: lil-663138

RESUMO

Atualização dos principais aspectos relativos à nutrição na infância e adolescência, com particular enfoque nos principais distúrbios alimentares encontrados nessa faixa etária, anorexia nervosa e bulimia nervosa e abordando os recursos diagnósticos e a conduta terapêutica.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Anorexia Nervosa/diagnóstico , Anorexia Nervosa/etnologia , Anorexia Nervosa/patologia , Anorexia Nervosa/terapia , Bulimia Nervosa/diagnóstico , Bulimia Nervosa/etnologia , Bulimia Nervosa/patologia , Bulimia Nervosa/terapia , Nutrição do Adolescente
14.
Eat Behav ; 12(4): 317-20, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22051367

RESUMO

To determine whether the EAT-26 functions similarly in Caucasian and Hispanic samples, the current study investigated the factor structure of the Eating Attitudes Test (EAT-26) in 235 undergraduate Caucasian (53.6%) and Hispanic (46.4%) women, and tested for measurement invariance across the two samples. A Confirmatory Factor Analysis (CFA) of the original 3-factor structure of the EAT resulted in a poor fit in both the Caucasian and Hispanic samples. We then performed a CFA using a previously discovered 4-factor, 16-item structure. This abbreviated measure was a good fit in both the Caucasian and Hispanic samples, and the model was invariant across all dimensions tested. The 16-item EAT is a better-fitting measure in Caucasian and Hispanic women than the commonly used EAT-26. This replicates an earlier finding and generalizes those conclusions to a Hispanic sample.


Assuntos
Anorexia Nervosa/etnologia , Grupo com Ancestrais do Continente Europeu/psicologia , Comportamento Alimentar/etnologia , Hispano-Americanos/psicologia , Inquéritos e Questionários/normas , Adulto , Anorexia Nervosa/psicologia , Atitude , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Análise Fatorial , Comportamento Alimentar/psicologia , Feminino , Hispano-Americanos/estatística & dados numéricos , Humanos , New Mexico , Testes Psicológicos , Psicometria , Reprodutibilidade dos Testes , Estudantes/psicologia , Universidades , Adulto Jovem
15.
J Adolesc Health ; 48(1): 109-12, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21185534

RESUMO

OBJECTIVES: Ethnic disparities in childhood overweight are well-documented. In addition, disordered weight control behaviors (DWCB) have been linked to overweight and weight gain in multiple ways, but little is known about DWCB in youth of color, especially boys. We examined the distribution and determinants of ethnic and gender disparities in DWCB in early adolescents. METHODS: In fall 2005, 47 Massachusetts middle schools participating in the Healthy Choices overweight prevention study administered a self-report baseline survey assessing student sociodemographics, height, weight, and DWCB (vomiting or use of laxatives or diet pills in the past month to control weight). Data from 16,978 girls and boys were used in multivariate logistic regression models to estimate the odds of DWCB in youth of color compared with their white peers, controlling for individual- and school-level factors. RESULTS: Among white youth, 2.7% of girls and 2.3% of boys reported DWCB. The odds of DWCB were elevated 2-10 times in most ethnic groups relative to whites. Disparities were attenuated but persisted after controlling for multiple individual- and school-level factors. CONCLUSIONS: Ethnic disparities in DWCB must be considered in efforts to address the epidemic of childhood overweight.


Assuntos
Comportamento do Adolescente/etnologia , Afro-Americanos/estatística & dados numéricos , Atitude Frente a Saúde/etnologia , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Transtornos da Alimentação e da Ingestão de Alimentos/etnologia , Adolescente , Anorexia Nervosa/etnologia , Depressores do Apetite/administração & dosagem , Transtorno da Compulsão Alimentar/etnologia , Bulimia Nervosa/etnologia , Diuréticos/administração & dosagem , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Feminino , Humanos , Laxantes/administração & dosagem , Masculino , Massachusetts/epidemiologia , Obesidade/etnologia , Análise de Regressão , Fatores de Risco , Vômito/etnologia
16.
Int J Eat Disord ; 44(1): 76-80, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20069567

RESUMO

PURPOSE: To investigate the crosscultural validity and reliability of the Chinese Language version of the Eating Disorder Examination (CEDE) in Wuhan, China, and to examine the psychopathological profile of eating disorder patients in central Mainland China. PARTICIPANTS AND METHOD: We administered the CEDE to 41 eating disorder patients (anorexia nervosa and bulimia nervosa) with 43 non-eating disorder controls. Specialists in eating disorders made the clinical diagnosis according to DSM-IV criteria. CEDE data between the two groups were compared. RESULTS: The CEDE demonstrates good internal consistency, test-retest reliability, and inter-examiner reliability. All CL-EDE subscales discriminated between patients with anorexia nervosa or bulimia nervosa from non-eating disordered controls. The CEDE has satisfactory sensitivity, specificity, and positive and negative predictive values. DISCUSSION: The CEDE is a useful instrument for the study of the growing clinical problem of the eating disorders in Mainland China. The finding that the characteristic fat phobia is prominent in this population of eating disordered patients and its implication on the identity and classification of the eating disorders are discussed.


Assuntos
Anorexia Nervosa/diagnóstico , Bulimia Nervosa/diagnóstico , Psicometria/instrumentação , Adolescente , Adulto , Anorexia Nervosa/etnologia , Bulimia Nervosa/etnologia , Estudos de Casos e Controles , China , Comparação Transcultural , Feminino , Humanos , Masculino , Transtornos Fóbicos/diagnóstico , Inquéritos e Questionários , Adulto Jovem
17.
Eur Eat Disord Rev ; 18(5): 399-403, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20821741

RESUMO

OBJECTIVE: Previously we found that the incidence of anorexia nervosa (AN) in the general population was much lower in the Netherlands Antilles than in the Netherlands. As a follow-up we compared the incidence of AN in the Netherlands in persons from the Netherlands Antilles to native Dutch. METHOD: A national register of psychiatric hospital admissions was screened for cases of AN. Incidence rates (IR) and incidence rate ratios (IRR) were computed. RESULTS: The IR of AN was 1.32 per 100 000 person years (95% confidence interval (CI): 0.53-2.71) for Netherlands Antilleans and 1.09 (95% CI: 1.04-1.15) for native Dutch. The age- and sex-adjusted IRR was 1.21 (95% CI: 0.58-2.54). CONCLUSION: Contrary to the Netherlands Antilles, in the Netherlands AN is as common among Netherlands Antilleans as among native Dutch. Exposure to the Western idealization of thinness is a risk factor for the development of AN, possibly in interaction with migration-related stress.


Assuntos
Anorexia Nervosa/etnologia , Anorexia Nervosa/epidemiologia , Emigrantes e Imigrantes/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Adulto , Anorexia Nervosa/psicologia , Comparação Transcultural , Emigrantes e Imigrantes/psicologia , Feminino , Humanos , Incidência , Masculino , Países Baixos/epidemiologia , Antilhas Holandesas/etnologia , Fatores de Risco , Mudança Social
18.
Cultur Divers Ethnic Minor Psychol ; 16(2): 135-43, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20438151

RESUMO

Previous studies have reported inconsistent relationships between body image, eating disorder symptoms, and acculturation-relevant variables. The current study examined these variables in a sample of White, Latina, and Black college women (N = 276). White and Latina participants selected slimmer personal body shape ideals than Black women. Among Black women, the discrepancy between perceived body shape and perceived ideal body shape for the United States was predictive of Eating Disorder Inventory Body Dissatisfaction (EDI-BD) and Drive for Thinness (EDI-DFT) scores. The discrepancy between perceived body shape and perceived ideal for their ethnic group also predicted EDI-BD scores. Among Latinas, the discrepancy between perceived body shape and perceived body shape ideal for their ethnic group was predictive of EDI-BD and EDI-DFT scores, whereas a discrepancy between perceived body shape and perceived ideal for the United States was not predictive of eating disorder symptoms. Finally, higher levels of acculturative stress, but not acculturation, were associated with EDI-BD scores among Black women and EDI-DFT scores among Latinas. Findings underscore the importance of considering cultural variables such as acculturative stress when conducting clinical work with ethnic minority women.


Assuntos
Grupo com Ancestrais do Continente Africano/psicologia , Anorexia Nervosa/etnologia , Anorexia Nervosa/psicologia , Imagem Corporal , Cultura , Grupo com Ancestrais do Continente Europeu/psicologia , Hispano-Americanos/psicologia , Desejabilidade Social , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Anorexia Nervosa/diagnóstico , Feminino , Humanos , Inquéritos e Questionários , Adulto Jovem
19.
Int J Eat Disord ; 43(7): 589-95, 2010 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-19806610

RESUMO

OBJECTIVE: The aim of this study was to investigate the characteristics of the risk factors for anorexia nervosa (AN) in Korean women. METHOD: Two sets of case-control comparisons were conducted, in which 52 women with lifetime AN from Seoul, S. Korea, were compared with 108 Korean healthy controls and also with 42 women with lifetime AN from the UK in terms of their childhood risk factors. A questionnaire designed to conduct a retrospective assessment of the childhood risk factors was administered to all participants. RESULTS: The Korean AN women were more likely to report premorbid anxiety, perfectionism, and emotional undereating and were less likely to report having supportive figures in their childhood than the Korean healthy controls. There were no overall differences in the childhood risk factors between the Korean and British women with AN. DISCUSSION: Premorbid anxiety, perfectionism, less social support, and emotional undereating merit attention as risk factors in Korean AN. The current results are informative, but an epidemiologically robust prospective case-control study would be needed to validate these findings.


Assuntos
Anorexia Nervosa/psicologia , Grupo com Ancestrais do Continente Asiático/psicologia , Comparação Transcultural , Afeto , Idade de Início , Anorexia Nervosa/diagnóstico , Anorexia Nervosa/etnologia , Anorexia Nervosa/etiologia , Ansiedade/psicologia , Índice de Massa Corporal , Estudos de Casos e Controles , Criança , Feminino , Humanos , Relações Pais-Filho , Psicometria , República da Coreia , Estudos Retrospectivos , Fatores de Risco , Apoio Social , Inquéritos e Questionários , Reino Unido
20.
Int J Eat Disord ; 43(3): 282-5, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19343798

RESUMO

OBJECTIVE: This study sought to investigate differences in eating psychopathology between black and white treatment seekers at a specialty eating disorders (EDs) center. METHOD: Participants were drawn from 1680 individuals (n = 32 blacks; n = 1648 whites) who received treatment for an ED at a specialized center between 1979 and 1995, and had completed the EDs Questionnaire. The 32 black participants were matched to 153 white participants for ED diagnosis, year of presentation, and gender. RESULTS: The majority of the participants were diagnosed with eating disorder not otherwise specified (EDNOS). No black participants met criteria for anorexia nervosa (AN). Black participants reported more body dissatisfaction and a higher percentage fulfilled the obesity criterion compared to white participants. There were few differences in reported history of previous treatment. DISCUSSION: Black and white participants with EDs appeared similar in most respects, but AN was notably absent among black participants. In contrast to previous research, body dissatisfaction was surprisingly higher in black than in white participants.


Assuntos
Grupo com Ancestrais do Continente Africano/psicologia , Grupo com Ancestrais do Continente Europeu/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/etnologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Adulto , Anorexia Nervosa/etnologia , Anorexia Nervosa/psicologia , Anorexia Nervosa/terapia , Transtorno da Compulsão Alimentar/etnologia , Transtorno da Compulsão Alimentar/psicologia , Transtorno da Compulsão Alimentar/terapia , Imagem Corporal , Índice de Massa Corporal , Bulimia Nervosa/etnologia , Bulimia Nervosa/psicologia , Bulimia Nervosa/terapia , Estudos Transversais , Medo , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Feminino , Humanos , Masculino , Minnesota , Motivação , Obesidade/etnologia , Obesidade/psicologia , Obesidade/terapia , Psicopatologia , Ganho de Peso
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