Higgins M K, Bulik Cynthia M, Bardone-Cone Anna M
Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Departments of Psychiatry and Nutrition, University of North Carolina at Chapel Hill, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Int J Eat Disord. 2016 Nov;49(11):1032-1035. doi: 10.1002/eat.22583. Epub 2016 Jul 20.
This paper compared Latinas who self-identified as having had an eating disorder (ED) with those who did not (despite both groups meeting criteria for an ED history) on ED pathology and mental health stigma.
Seventy-seven Latinas completed an online survey.
All 77 participants met criteria for lifetime EDs, and 92% met current criteria for an ED; however, 47% did not report having an ED history vs. 53% did report an ED history. There was no difference on binge eating frequency. Those who endorsed an ED history engaged in more compensatory behaviors, had higher EAT-26 scores, and were less fearful of stigmatization due to seeking mental health treatment. Those reporting an ED history were more likely to have met criteria for anorexia nervosa or bulimia nervosa, generally more recognizable EDs than binge eating disorder and other specified feeding or eating disorders, than those who did not report an ED history.
Latinas with certain patterns of eating pathology and those with less fear of being stigmatized due to seeking mental health treatment were more likely to endorse an ED history, which has implications for treatment seeking. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:1032-1035).
本文比较了自我认定患有饮食失调症(ED)的拉丁裔女性与未自我认定患有饮食失调症的拉丁裔女性(尽管两组均符合饮食失调病史标准)在饮食失调病理学和心理健康污名化方面的情况。
77名拉丁裔女性完成了一项在线调查。
所有77名参与者均符合终生饮食失调症标准,92%符合当前饮食失调症标准;然而,47%的人未报告有饮食失调病史,而53%的人报告有饮食失调病史。在暴饮暴食频率方面没有差异。认可有饮食失调病史的人会采取更多的代偿行为,EAT - 26得分更高,并且因寻求心理健康治疗而对污名化的恐惧较小。与未报告有饮食失调病史的人相比,报告有饮食失调病史的人更有可能符合神经性厌食症或神经性贪食症的标准,一般来说,这两种饮食失调症比暴饮暴食症以及其他特定的进食或饮食失调症更容易识别。
具有特定饮食病理学模式且因寻求心理健康治疗而对污名化恐惧较小的拉丁裔女性更有可能认可有饮食失调病史,这对寻求治疗有一定影响。© 2016威利期刊公司(《国际饮食失调杂志》2016年;49:1032 - 1035)