Jawed Aisha, Harrison Amy, Dimitriou Dagmara
Sleep Education and Research Laboratory, UCL Institute of Education, London, United Kingdom.
Psychology and Human Development, UCL Institute of Education, London, United Kingdom.
Front Psychol. 2020 Dec 21;11:586706. doi: 10.3389/fpsyg.2020.586706. eCollection 2020.
: There is lack of information on the presentation of eating disorders (EDs) in Saudi Arabia using gold standard clinical tools. The present study aimed to provide data on the presentation of EDs in Saudi Arabia using clinically validated measures. : Hundred and thirty-three individuals (33 male) with a mean age of 22 years (2.63) completed three measures: the Eating Disorder Examination (EDE), a semi-structured interview, the Eating Disorder Examination Questionnaire (EDE-Q), a self-report measure, and the Depression Anxiety and Stress Scale (DASS-21) to measure comorbid symptoms. : Individuals in Saudi Arabia reported higher levels of restraint, eating concern and shape concern and a higher global score, but lower levels of weight concern on the EDE-Q compared to the EDE. Female participants reported a higher global score, alongside significantly higher scores on the restraint, shape concern and weight concern subscales than males. The most common ED subtype was other specific feeding or ED. Compared with Western community samples, symptom severity in this purposive sample obtained from community settings was significantly higher in this sample. : Individuals with eating, weight and shape concerns in Saudi Arabia may feel more comfortable expressing their symptoms on a self-report tool compared with a face to face interview. However, it is possible that a self-report measure may over-estimate the severity of symptoms. The data suggest that clinicians in Saudi Arabia should regularly screen for EDs in all genders. It is also important to note that ED symptoms are a cause for concern in young people in Saudi Arabia.
在沙特阿拉伯,缺乏使用金标准临床工具来呈现饮食失调(EDs)情况的相关信息。本研究旨在使用经过临床验证的测量方法,提供沙特阿拉伯饮食失调情况的数据。133名个体(33名男性),平均年龄22岁(标准差2.63),完成了三项测量:饮食失调检查(EDE),一种半结构化访谈;饮食失调检查问卷(EDE-Q),一种自我报告测量工具;以及抑郁焦虑压力量表(DASS-21),用于测量共病症状。与EDE相比,沙特阿拉伯的个体在EDE-Q上报告的克制、饮食关注和体型关注水平更高,全球得分更高,但体重关注水平更低。女性参与者报告的全球得分更高,同时在克制、体型关注和体重关注子量表上的得分显著高于男性。最常见的饮食失调亚型是其他特定的喂养或饮食失调。与西方社区样本相比,从社区环境中选取的这个有目的样本中的症状严重程度明显更高。在沙特阿拉伯,有饮食、体重和体型问题的个体可能觉得在自我报告工具上表达症状比面对面访谈更自在。然而,自我报告测量可能高估症状的严重程度。数据表明,沙特阿拉伯的临床医生应定期对所有性别进行饮食失调筛查。同样重要的是要注意,饮食失调症状在沙特阿拉伯的年轻人中是一个值得关注的问题。