Mond J M, Hay P J, Rodgers B, Owen C, Beumont P J V
Department of Psychological Medicine Level 2, Building 15, The Canberra Hospital, 11, Woden, ACT 2606, Australia.
Soc Psychiatry Psychiatr Epidemiol. 2004 Apr;39(4):299-304. doi: 10.1007/s00127-004-0726-8.
Few studies have examined attitudes towards eating-disordered behaviour among women in the general population.
A vignette describing a fictional person meeting diagnostic criteria for bulimia nervosa (BN) was presented to a community sample of women aged 18-45. Respondents (n = 208) were asked a series of questions concerning the severity and prevalence of the problem described.
Most respondents viewed BN as a distressing condition whose sufferers are deserving of sympathy. However, more than one-third of respondents had at some stage believed that it 'might not be too bad' to be like the person described in the vignette. Most respondents believed that the prevalence of the problem described among women in the community was likely to be between 10 % and 30 % (48.6%) or between 30% and 50 % (23.1 %). Individuals with a clinically significant eating disorder (n = 13, 6.3%) were more likely to perceive the symptoms of BN as being acceptable, and its prevalence higher, than individuals with no eating disorder diagnosis.
Information concerning the medical and psychological sequelae of BN and other eating disorders might usefully be incorporated in prevention programmes. Prospective community-based research is required to elucidate the nature of the relationship between perceived acceptability of eating disorder symptoms and actual eating disorder psychopathology. Extension of the present research to examine the views of women in other cultures would also be of interest.
很少有研究调查普通人群中女性对饮食失调行为的态度。
向18 - 45岁的社区女性样本展示了一个描述虚构人物符合神经性贪食症（BN）诊断标准的小插曲。受访者（n = 208）被问及一系列关于所描述问题的严重程度和患病率的问题。
大多数受访者认为神经性贪食症是一种令人痛苦的疾病，其患者值得同情。然而，超过三分之一的受访者在某个阶段曾认为，像小插曲中描述的人那样“可能也不算太糟”。大多数受访者认为，社区中女性出现所描述问题的患病率可能在10%至30%（48.6%）之间或30%至50%（23.1%）之间。患有具有临床意义的饮食失调症的个体（n = 13，6.3%）比未被诊断出患有饮食失调症的个体更有可能认为神经性贪食症的症状是可以接受的，且其患病率更高。
关于神经性贪食症和其他饮食失调症的医学和心理后遗症的信息可能有助于纳入预防计划。需要进行基于社区的前瞻性研究，以阐明饮食失调症症状的可接受性与实际饮食失调症心理病理学之间关系的本质。将本研究扩展到调查其他文化背景下女性的观点也会很有意义。
