Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders
Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders
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DOI：
10.1002/eat.20213
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发表时间：
2006-03-01
影响因子：
5.5
通讯作者：
Striegel-Moore, RH
中科院分区：
文献类型：
--
作者：
Cachelin, FM;Striegel-Moore, RH
目的：调查墨西哥裔美国女性和欧洲裔美国女性进食障碍寻求治疗的情况。方法：对145名女性进食障碍患者(墨西哥裔美国人76人，欧洲裔美国人69人)进行结构化临床访谈和进食障碍检查。结果：只有28%的样本报告曾因进食问题寻求治疗，只有17%的人接受过治疗。这两组人都认为自己有严重的饮食问题，并希望得到帮助。然而，墨西哥裔美国人寻求治疗的可能性较小，在寻求帮助后，得到诊断或治疗的可能性也较小。欧洲裔美国人更有可能使用心理治疗师、精神病学家和精神药物，而墨西哥裔美国人主要寻求全科医生的帮助来解决体重问题。两组对寻求治疗的障碍相似。结论：结果支持临床印象，即进食障碍在很大程度上没有被发现和治疗。非专科医生可能无法发现进食障碍。(C)2005年，由威利期刊公司出版。
Objective: The study examined treatment seeking for eating disorders in Mexican American and European American women.Method: One hundred forty-five women with eating disorders (76 Mexican American, 69 European American) were diagnosed using the Structured Clinical interview for DSM-IV-TR (SCID-IV) and Eating Disorder Examination (EDE).Results: Only 28% of the sample reported having sought treatment for their eating problems and only 17% had received treatment. Both groups were equally likely to believe they have significant eating problems and to want help. However, Mexican Americans were less likely to have sought treatment and, having sought help, were less likely to have been diagnosed or treated. European Americans were more likely to have utilized psychotherapists, psychiatrists, and psychotropic medications, whereas Mexican Americans largely had sought help from general practitioners for weight concern. The two groups endorsed similar barriers to treatment seeking.Conclusion: Results support clinical impressions that eating disorders largely go undetected and untreated. Nonspecialists may be likely to fail to detect eating disorders. (c) 2005 by Wiley Periodicals, Inc.