Melisse Bernou, Blankers Matthijs, de Beurs Edwin, van Furth Eric F
Novarum Center for Eating Disorders & Obesity, Laan van de Helende Meesters 2, 1186 AM, Amstelveen, The Netherlands.
Section Clinical Psychology, Leiden University, Wassenaarseweg 52, 2333 AK, Leiden, The Netherlands.
J Eat Disord. 2022 Aug 24;10(1):126. doi: 10.1186/s40337-022-00652-4.
Saudi Arabia is undergoing rapid sociocultural changes, which may have led to an increase of body mass index and eating disorder pathology. The aim of this study is to investigate whether body dissatisfaction, self-esteem, having lived abroad, cultural orientation, perceived stress, media use, and socioeconomic status are correlates of eating disorder pathology with body mass index as a covariate. Additional aims are to investigate if cultural orientation is associated with symptomatology and if stress is a covariate in the association between eating disorder pathology and Western orientation.
Self-report measures were administered in a convenience Saudi community sample (N = 1225) between April 2017 and May 2018. Hierarchical multiple linear regression analyses with eating disorder pathology as dependent variable were performed to establish the associations among the variables.
After adjusting for the effect of BMI, only body dissatisfaction and eating disorder pathology were moderately associated. Eating disorder pathology and body dissatisfaction were more severe among Saudi citizens with a higher BMI.
Several explanations for the lack of associations of westernization, self-esteem, and stress with eating disorder pathology are reviewed and discussed. The majority of this convenience sample existed of young unmarried Saudi females of high socioeconomic status. Of the total sample, 35% displayed eating disorder pathology which may be a reflection of the high rates of excess weight.
沙特阿拉伯正在经历快速的社会文化变革，这可能导致体重指数上升和饮食失调问题。本研究的目的是调查身体不满、自尊、在国外生活过、文化取向、感知压力、媒体使用和社会经济地位是否与饮食失调问题相关，并将体重指数作为协变量。其他目的是调查文化取向是否与症状相关，以及压力是否是饮食失调问题与西方取向之间关联的协变量。
在2017年4月至2018年5月期间，对沙特一个便利社区样本（N = 1225）进行了自我报告测量。以饮食失调问题为因变量进行分层多元线性回归分析，以确定变量之间的关联。
在调整了体重指数的影响后，只有身体不满与饮食失调问题存在中度关联。体重指数较高的沙特公民中，饮食失调问题和身体不满更为严重。
对西方化、自尊和压力与饮食失调问题缺乏关联的几种解释进行了回顾和讨论。这个便利样本中的大多数是社会经济地位较高的年轻未婚沙特女性。在总样本中，35%表现出饮食失调问题，这可能反映了超重的高发生率。
