School of Social Work and Department of Psychiatry, University of North Carolina at Chapel Hill, 325 Pittsboro Street, CB #3550, Chapel Hill, NC, 27599, USA.
UNC Nutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, NC, USA.
Curr Psychiatry Rep. 2022 Dec;24(12):757-766. doi: 10.1007/s11920-022-01383-8. Epub 2022 Nov 12.
We review relevant factors and barriers to care for binge-eating disorder (BED) in Black women. We examine evidence for the treatment of BED and provide recommendations to improve cultural relevance for assessing and treating BED in Black women.
BED is the most common eating disorder among Black women. Moreover, evidence supports alternative factors that contribute to the onset of BED in Black women, including stress, trauma, and food insecurity. Furthermore, though there are evidence-based treatments for BED, disparities persist in access to care and treatment retention. Recommendations for increasing the cultural relevance of assessments and treatments are provided. Gaps in the literature remain on the use of evidence-based treatments for BED among Black women. As such, healthcare providers should include Black women as co-collaborators in their care and seek out training and consultation to aid in providing culturally affirming treatment.
我们综述了与黑人女性暴食障碍（BED）相关的护理因素和障碍。我们研究了 BED 的治疗证据，并提供了建议，以提高对黑人女性 BED 评估和治疗的文化相关性。
BED 是黑人女性中最常见的饮食障碍。此外，有证据表明，导致黑人女性 BED 的其他因素包括压力、创伤和食物不安全。此外，尽管有针对 BED 的循证治疗方法，但在获得护理和治疗保留方面仍存在差异。提供了增加评估和治疗文化相关性的建议。在黑人女性中使用循证治疗 BED 的文献仍存在空白。因此，医疗保健提供者应将黑人女性视为其护理的共同合作者，并寻求培训和咨询，以帮助提供文化认可的治疗。
