Cachelin F M, Rebeck R, Veisel C, Striegel-Moore R H
California State University, Los Angeles, California 90032-8227, USA.
Int J Eat Disord. 2001 Nov;30(3):269-78. doi: 10.1002/eat.1084.
This study examined barriers to treatment in an ethnically diverse community sample of women with eating disorders.
Participants were 61 women (22 Hispanics, 8 Asians, 12 Blacks, 19 Whites) with eating disorders. Diagnosis was determined using the Eating Disorder Examination. Treatment-seeking history, barriers to treatment seeking, ethnic identity, and acculturation were assessed.
Although 85% of the sample reported wanting help for an eating problem, only 57% had ever sought treatment for an eating or weight problem. Individuals who had sought treatment reported being significantly more distressed about their binge eating than those who had not sought treatment and having begun overeating at a younger age. Of those who had sought help, 86% had not received any treatment for their eating problems. The main barriers to treatment seeking were financial reasons.
Women from minority groups who have eating disorders are underdiagnosed and typically not treated.
本研究调查了不同种族社区中患有饮食失调症的女性在治疗方面所面临的障碍。
参与者为61名患有饮食失调症的女性(22名西班牙裔、8名亚裔、12名黑人、19名白人)。使用饮食失调检查来确定诊断。评估了寻求治疗的历史、寻求治疗的障碍、种族认同和文化适应情况。
尽管85%的样本表示希望针对饮食问题寻求帮助,但只有57%的人曾因饮食或体重问题寻求过治疗。寻求过治疗的个体报告称,与未寻求治疗的个体相比,他们对暴饮暴食的困扰明显更大,且开始暴饮暴食的年龄更小。在那些寻求过帮助的人中,86%的人饮食问题未得到任何治疗。寻求治疗的主要障碍是经济原因。
患有饮食失调症的少数群体女性未得到充分诊断,通常也未接受治疗。