Characterizing eating disorder psychopathology and body image related constructs in treatment-seeking Black individuals with binge-eating spectrum disorders.
Characterizing eating disorder psychopathology and body image related constructs in treatment-seeking Black individuals with binge-eating spectrum disorders.
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描述患有暴食谱系障碍的寻求治疗的黑人个体中饮食失调的精神病理学和身体形象相关的结构。
DOI：
10.1007/s40519-021-01165-w
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Juarascio AS
中科院分区：
文献类型：
--
作者：
Lin M;Gillikin LM;Patarinski AGG;Srivastava P;Juarascio AS
黑人有患饮食失调（ED）的风险，同时作为边缘群体还面临着日益增加的心理健康负担。然而，很少有研究探讨寻求治疗的患有 ED 的黑人患者是否表现出与白人患者不同的症状。本研究旨在描述患有神经性贪食症谱系或暴食症谱系病理学的黑人参与者与寻求治疗样本中的白人参与者相比的基线 ED 症状特征。该样本由 33 名黑人参与者和 126 名白人参与者组成，他们于 2015 年至 2020 年参加了大西洋中部大学的一项临床试验。使用卡方和独立样本 t 检验对数据进行分析。黑人参与者进行自我催吐的可能性要小得多，尽管他们同样有可能符合神经性贪食症谱系诊断标准，并且暴食率和对身体形象问题的痛苦率相似。黑人参与者更有可能肥胖，但对身体形象的担忧程度与白人参与者相似。鉴于黑人参与者经常被诊断不足的证据，特别是神经性贪食症谱系障碍，这些结果可能表明体重偏差和/或神经性贪食症谱系障碍患者主要表现为自我诱发呕吐的预期可能会导致这些诊断错误。 I 级，随机对照试验
Black individuals are at risk for developing eating disorders (EDs), while also facing an increased mental health burden as a marginalized group. However, few studies have examined whether treatment-seeking Black individuals with EDs present with different symptom profiles than White individuals. This study sought to characterize baseline ED symptomatology in Black participants with bulimia nervosa spectrum or binge eating disorder spectrum pathology compared to White participants in a treatment-seeking sample. The sample consisted of 33 Black participants and 126 White participants who participated in a clinical trial at a mid-Atlantic University from 2015 to 2020. Data was analyzed using chi-square and independent samples t-tests. Black participants were much less likely to engage in self-induced vomiting, despite being just as likely to meet criteria for a bulimia nervosa spectrum diagnosis and having similar rates of binge-eating and distress towards body image concerns. Black participants were more likely to experience obesity but maintained similar levels of body image concerns as White participants. Given the evidence that Black participants often are under-diagnosed, particularly with bulimia nervosa spectrum disorders, these results could suggest that weight biases and/or expectations that patients with bulimia nervosa spectrum disorders will primarily present with self-induced vomiting could be contributing to these diagnostic errors. Level I, randomized controlled trials
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DOI：
10.1007/s40519-018-0577-z
发表时间：
2020-04
期刊：
Eating and weight disorders : EWD
影响因子：
--
作者：
Goode RW;Kalarchian MA;Craighead L;Conroy MB;Gary-Webb T;Bennett E;Cowell MM;Burke LE
通讯作者：
Burke LE
影响因子：
4
作者：
Cachelin, FM;Veisel, C;Striegel-Moore, RH
通讯作者：
Striegel-Moore, RH
影响因子：
5.5
作者：
Fernandes, Nisha H.;Crow, Scott J.;Peterson, Carol B.
通讯作者：
Peterson, Carol B.
影响因子：
5.5
作者：
Franko, Debra L.;Becker, Anne E.;Herzog, David B.
通讯作者：
Herzog, David B.
影响因子：
17.7
作者：
Pike, KM;Dohm, FA;Fairburn, CG
通讯作者：
Fairburn, CG