Department of Obstetrics and Gynaecology, University of Sydney, Royal North Shore Hospital, Sydney, NSW 2065, Australia ; Department of Psychiatry, Northside Clinic, Greenwich, NSW 2065, Australia.
Department of Mental Health and Behavioural Sciences, Max Healthcare, Saket, New Delhi, India.
Indian J Psychiatry. 2015 Jan-Mar;57(1):37-42. doi: 10.4103/0019-5545.148516.
Eating disorders (EDs) are an emerging concern in India. There are few studies comparing clinical samples in western and nonwestern settings.
The aim was to compare females aged 16-26 years being treated for an ED in India (outpatients n = 30) and Australia (outpatients n = 30, inpatients n = 30).
Samples were matched by age and body mass index, and had similar diagnostic profiles. Demographic information and history of eating and exercise problems were assessed. All patients completed the quality-of-life for EDs (QOL EDs) questionnaire.
Indians felt they overate and binge ate more often than Australians; frequencies of food restriction, vomiting, and laxative use were similar. Indians were less aware of ED feelings, such as, "fear of losing control over food or eating" and "being preoccupied with food, eating or their body." Indians felt eating and exercise had less impact on their relationships and social life but more impact on their medical health. No differences were found in the global quality-of-life, body weight, eating behaviors, psychological feelings, and exercise subscores for the three groups.
Indian and Australian patients are similar but may differ in preoccupation and control of their ED-related feelings.
饮食失调(ED)在印度是一个新出现的问题。比较西方和非西方环境中的临床样本的研究较少。
目的是比较在印度(门诊患者 n = 30)和澳大利亚(门诊患者 n = 30,住院患者 n = 30)接受 ED 治疗的 16-26 岁女性。
通过年龄和体重指数对样本进行匹配,并且具有相似的诊断特征。评估人口统计学信息和饮食和运动问题史。所有患者均完成 ED 生活质量(QOL EDs)问卷。
印度人认为自己比澳大利亚人更容易暴饮暴食;饮食限制、呕吐和泻药使用的频率相似。印度人对 ED 感觉的认识程度较低,例如“担心对食物或进食失去控制”和“专注于食物、进食或身体”。印度人认为饮食和运动对他们的人际关系和社交生活的影响较小,但对他们的身体健康的影响较大。三个组在全球生活质量、体重、饮食行为、心理感受和运动子评分方面没有差异。
印度和澳大利亚的患者相似,但在 ED 相关感觉的关注和控制方面可能存在差异。