Mancini Giacomo, Biolcati Roberta, Pupi Virginia, Andrei Federica, La Grutta Sabina, Lo Baido Rosa, Trombini Elena
Dipartimento di Scienze dell'Educazione, Università di Bologna.
Dipartimento di Psicologia, Università di Bologna.
Riv Psichiatr. 2018 Jul-Aug;53(4):177-191. doi: 10.1708/2954.29694.
Despite the extensive literature, the gender differences in eating disorders (ED) have been poorly investigated. Most of the studies, in fact, have been conducted so far on female samples, emphasizing the misleading belief that such disorders are of exclusive relevance of women.
The review aim at highlighting as this preconception is still widespread among the male patients and the clinicians and as it represents an impediment to a correct diagnosis and a proper treatment planning.
Included studies were selected in the scientific literature published between January 2007 and December 2017 through the main databases, combining the words: “males”, “eating disorder”, “anorexia nervosa”, “bulimia nervosa”, “binge eating disorder”.
Fifty-four studies have been selected in accordance with the followed methodological criteria.
Only recently, the attention of researchers have been also focused on male population: many differences between genders have emerged in prevalence, onset, phenomenology, diagnosis, comorbidity and outcomes of ED. The studies on risk factors have also pointed out significant differences between males and females, especially in relation to the different weight exerted by psychological variables involved in the aetiology of eating disorders.
Compared with a little knowledge of ED in the male population, it is important to widespread the comprehension taking into account the gender perspective. The attention must be paid particularly to critical developmental periods, such as puberty and adolescence, where early detection and prevention of these disorders is of greatest importance, inside a conceptual framework which considers the mutual influence between biological and psychological vulnerability, and sociocultural factors.
尽管有大量文献,但饮食失调(ED)方面的性别差异却鲜有研究。事实上,迄今为止大多数研究都是针对女性样本进行的,这强化了一种误导性观念,即此类失调仅与女性相关。
本综述旨在强调这种先入之见在男性患者和临床医生中仍然普遍存在,并且它是正确诊断和合理治疗规划的障碍。
通过主要数据库,在2007年1月至2017年12月发表的科学文献中筛选纳入研究,关键词组合为:“男性”、“饮食失调”、“神经性厌食症”、“神经性贪食症”、“暴饮暴食症”。
根据所遵循的方法标准,共筛选出54项研究。
直到最近,研究人员的注意力才也集中在男性群体上:在饮食失调的患病率、发病、症状学、诊断、共病和结局方面出现了许多性别差异。关于风险因素的研究也指出了男性和女性之间的显著差异,特别是在饮食失调病因中涉及的心理变量所起的不同作用方面。
与对男性群体饮食失调的了解较少相比,考虑性别视角来普及相关认识很重要。在一个考虑生物和心理易感性以及社会文化因素相互影响的概念框架内,必须特别关注关键的发育阶段,如青春期和青少年期,在这些阶段早期发现和预防这些失调至关重要。