Bisaga Katarzyna, Whitaker Agnes, Davies Mark, Chuang Shirley, Feldman Judith, Walsh B Timothy
Child Psychiatry Division, Department of Psychiatry, New York State Psychiatric Institute at Columbia University College of Physicians and Surgeons, New York 10032, USA.
J Dev Behav Pediatr. 2005 Aug;26(4):257-66. doi: 10.1097/00004703-200508000-00001.
This study examined ethnic group differences in the rates of eating disorder symptoms (EDS) and depressive disorder symptoms (DDS) with respect to ethnic identity, relative body weight, and abnormal eating behaviors among adolescent girls. A district-wide sample of high school girls (N = 1445) from different ethnic backgrounds was surveyed. EDS were assessed with the Eating Attitudes Test-26, abnormal eating behaviors with the Eating Behaviors Survey, and DDS with the Short Mood and Feelings Questionnaire. Two dimensions of ethnic identity, ethnic identity achievement and other group orientation, were assessed with Multi-Group Ethnic Identity Measure. Hispanic and non-Hispanic white girls had the highest and African-American (AA) and Caribbean girls the lowest rates of EDS. Asian girls reported the highest and AA girls the lowest rates of DDS. Early dieting was associated with EDS and DDS in Caribbean, non-Hispanic white, and mixed background girls. Relative body weight was related to EDS in all ethnic groups except in non-Hispanic white and mixed background girls. The authors did not find an effect of ethnic identity achievement on psychopathology, but there was an effect of other group orientation on both EDS and DDS. Clinicians should inquire about EDS and DDS in girls of all ethnic groups. Prevention efforts to delay unsupervised dieting may protect adolescent girls from the development of EDS and DDS.
本研究调查了青少年女孩在饮食失调症状（EDS）和抑郁障碍症状（DDS）发生率方面的种族差异，涉及种族认同、相对体重和异常饮食行为。对来自不同种族背景的全区高中女生样本（N = 1445）进行了调查。使用饮食态度测试-26评估EDS，使用饮食行为调查问卷评估异常饮食行为，使用简短情绪和情感问卷评估DDS。使用多群体种族认同量表评估种族认同的两个维度，即种族认同成就和其他群体取向。西班牙裔和非西班牙裔白人女孩的EDS发生率最高，非裔美国（AA）女孩和加勒比女孩的发生率最低。亚洲女孩的DDS发生率最高，AA女孩的发生率最低。在加勒比、非西班牙裔白人和混合背景女孩中，早期节食与EDS和DDS相关。除了非西班牙裔白人和混合背景女孩外，相对体重与所有种族群体的EDS均相关。作者未发现种族认同成就对精神病理学有影响，但其他群体取向对EDS和DDS均有影响。临床医生应询问所有种族女孩的EDS和DDS情况。推迟无监督节食的预防措施可能会保护青少年女孩免受EDS和DDS的影响。
