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黎巴嫩的饮食失调症:公共卫生行动指南

Eating Disorders in Lebanon: Directions for Public Health Action.

作者信息

Zeeni Nadine, Safieddine Hiba, Doumit Rita

机构信息

Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, PO Box 36, Byblos, Lebanon.

Middle East Eating Disorders Association (MEEDA), Beirut, Lebanon.

出版信息

Community Ment Health J. 2017 Jan;53(1):117-125. doi: 10.1007/s10597-015-9917-x. Epub 2015 Aug 19.

Abstract

Research in the field of eating disorders (ED) is limited in the Middle East. The aim of the present study was to profile Lebanese ED outpatients. A mixed-method design was used. Clinicians across Lebanon filled individual questionnaires about their 2013 ED outpatients (n = 104) and participated in focus groups. Results showed that bulimia nervosa was the most prevalent ED (46.1 %) followed by anorexia nervosa (39.4 %) and binge eating (14.4 %). The emerging socio-demographic profile of the Lebanese ED patient was that of a single female young adult of middle to high socio-economic status with severe ED symptoms (amenorrhea, multiple purging behaviors) and depression. Also, there was a general delay in seeking help which made patient recovery more difficult. The present study emphasizes the critical need for a public health approach to ED awareness and could help in developing preventive and remedial educational programs targeting youth in Lebanon and the Middle East.

摘要

中东地区饮食失调(ED)领域的研究较为有限。本研究旨在剖析黎巴嫩饮食失调门诊患者的情况。采用了混合方法设计。黎巴嫩各地的临床医生填写了关于他们2013年饮食失调门诊患者(n = 104)的个人问卷,并参与了焦点小组。结果显示,神经性贪食症是最常见的饮食失调症(46.1%),其次是神经性厌食症(39.4%)和暴饮暴食症(14.4%)。黎巴嫩饮食失调患者新出现的社会人口学特征是,为社会经济地位中高的单身年轻女性,患有严重的饮食失调症状(闭经、多种清除行为)和抑郁症。此外,普遍存在寻求帮助的延迟,这使得患者康复更加困难。本研究强调了采用公共卫生方法提高对饮食失调认识的迫切需要,并有助于制定针对黎巴嫩和中东地区青少年的预防和补救教育计划。

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