Lee S, Chiu H F, Chen C N
Department of Psychiatry, Chinese University of Hong Kong, Shatin, NT.
Br J Psychiatry. 1989 May;154:683-8. doi: 10.1192/bjp.154.5.683.
Anorexia nervosa is a geographically distinct psychiatric disorder; it is rapidly increasing in incidence in Western countries, while being virtually unreported in China, or in the Chinese community of Hong Kong. This is surprising when the Chinese preoccupation with food and their reported readiness to somatise dysphoria are considered. Three Chinese anorectics born and living in Hong Kong and exhibiting mostly typical clinical features are reported. The rarity of the disorder in the East could be related to protective biological and socio-cultural factors specific to the Chinese, and while it may become more common, anorexia nervosa is unlikely to reach Western proportions.
神经性厌食症是一种在地域上具有明显差异的精神疾病；在西方国家，其发病率正在迅速上升，而在中国或中国香港的华人社区中，几乎没有相关报道。考虑到中国人对食物的关注以及他们倾向于将烦躁情绪躯体化的情况，这一现象令人惊讶。本文报告了三名出生并生活在香港、表现出大多典型临床特征的华裔神经性厌食症患者。这种疾病在东方罕见可能与中国人特有的保护性生物和社会文化因素有关，虽然它可能会变得更加常见，但神经性厌食症不太可能达到西方国家那样的比例。
