School of Biomedical and Health Sciences, University of Western Sydney, Campbelltown, New South Wales, Australia.
Early Interv Psychiatry. 2011 Feb;5(1):41-9. doi: 10.1111/j.1751-7893.2010.00257.x.
Gender differences in perceptions of the severity and prevalence of anorexia nervosa (AN) and bulimia nervosa (BN) were examined in young men (n=113) and women (n=289) recruited from a regional university campus in north-east Australia.
Participants viewed vignettes of fictional (female) sufferers of AN and BN and responded to the same series of questions in relation to each vignette.
For both vignettes, a substantial minority of male, but not female, participants indicated that they would be a little or not at all sympathetic to someone with the problem described, that the problem described would be a little or not at all difficult to treat, and that having the problem described would be moderately or a little distressing. Men were also more likely than women to consider BN to be primarily a problem of 'lack of will-power/self-control'. Perceptions of the prevalence of AN (modal response = 'very few women/10% or less') and BN ('10% to 30%') did not differ by gender and both male and female participants considered AN to be more severe and less common than BN.
The findings suggest that there may be a need to target the attitudes and beliefs of young men in particular in the prevention and early intervention initiatives for eating disorders.
本研究旨在考察澳大利亚东北部某地区大学校园的年轻男性（n=113）和女性（n=289）对神经性厌食症（AN）和神经性贪食症（BN）严重程度和流行率的认知是否存在性别差异。
参与者观看了虚构的（女性）AN 和 BN 患者的病例，并对每个病例的相同问题进行了回答。
对于两个病例，都有相当一部分男性（但不是女性）参与者表示，他们对描述的问题只会有一点或完全不同情，描述的问题将很难或不难治疗，而且描述的问题将是中度或轻度痛苦。男性也比女性更倾向于认为 BN 主要是“缺乏意志力/自我控制”的问题。对 AN（模态反应=“极少数女性/10%或更少”）和 BN（“10%至 30%”）的流行率的看法没有性别差异，男性和女性参与者都认为 AN 比 BN 更严重和少见。
这些发现表明，在饮食失调的预防和早期干预措施中，可能需要特别针对年轻男性的态度和信念进行干预。
