Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany.
Department of Psychology, Bursa Uludag University, Bursa, Turkey.
J Ment Health. 2022 Feb;31(1):99-108. doi: 10.1080/09638237.2021.1979484. Epub 2021 Sep 26.
The purpose of this study was to investigate the attitudes toward eating disorders in native German adolescents (Germans), adolescents with Turkish migration background in Germany (Immigrants), and native Turkish adolescents (Turks).
A total of 507 adolescents ( = 139 Germans; = 126 Immigrants; = 242 Turks) read a vignette describing a 16-year-old female with bulimic symptoms. Participants completed questionnaires on mental health literacy, stigmatization, desirability of eating disorder-related behaviors and acquaintance with bulimic symptoms.
Adolescents living in Germany were more likely to recognize the vignette as an eating disorder than Turks. Immigrants were more similar to Germans in mental health literacy of eating disorders than Turks. However, in terms of stigmatizing attitudes, immigrants blamed more than Germans, Turks being intermediate on this variable. In Turks, higher desirability of eating disorder-related behaviors was associated with an increased acquaintance with bulimic symptoms and decreased evaluations of impairment. Higher mental health literacy was associated with less blame in Germans.
Migration background was associated with increased mental health literacy of eating disorders but did not result in reduced stigma. Differences in attitudes toward eating disorders indicate the need for differential interventions across the groups.
本研究旨在调查德国本土青少年（德国人）、有土耳其移民背景的青少年（移民）和土耳其本土青少年（土耳其人）对饮食失调的态度。
共有 507 名青少年（ = 139 名德国人； = 126 名移民； = 242 名土耳其人）阅读了一个描述一名 16 岁女性暴食症状的案例。参与者完成了心理健康素养、污名化、饮食失调相关行为的可取性以及对暴食症状的了解程度的问卷。
居住在德国的青少年比土耳其人更有可能将案例识别为饮食失调。移民在饮食失调的心理健康素养方面与德国人更相似，而不是土耳其人。然而，在污名化态度方面，移民比德国人更责备，土耳其人处于中间位置。在土耳其人中，与饮食失调相关行为的更高可取性与对暴食症状的更多了解以及对损害的评价降低有关。更高的心理健康素养与德国人更少的责备有关。
移民背景与饮食失调的心理健康素养增加有关，但并未导致污名化减少。对饮食失调的态度的差异表明需要针对不同群体进行差异化干预。
