SOCIOCULTURAL FACTORS IN THE DEVELOPMENT OF ANOREXIA-NERVOSA

SOCIOCULTURAL FACTORS IN THE DEVELOPMENT OF ANOREXIA-NERVOSA
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DOI:
10.1017/s0033291700054945
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发表时间:
1980-01-01
影响因子:
6.9
通讯作者:
GARFINKEL, PE
GARFINKEL, PE
中科院分区:
医学1区
文献类型:
--
作者:
GARNER, DM;GARFINKEL, PE

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研究对象是一群专业舞蹈(N = 183)和模特(N = 56)的学生,他们根据职业选择必须更加关注和控制自己的身体形状。获得所有受试者的身高和体重数据。此外,还进行了一份有助于评估神经性厌食症症状的调查问卷,即饮食态度测试(EAT)。这些测试的结果与正常女大学生(N = 59)、神经性厌食症患者(N = 68)和音乐学生(N = 35)的结果进行了比较。舞蹈和模特学生中神经性厌食症和过度节食问题的比例过高。舞蹈组检出原发性神经性厌食症12例(6·5%)。除一名病例外,所有病例都是在学习舞蹈时患上这种疾病的。在舞蹈组中,来自竞争最激烈的环境的人患神经性厌食症的频率最高。这些数据表明,苗条的压力和成就期望都是神经性厌食症发展的危险因素。在神经性厌食症作为一种多因素决定的疾病的背景下讨论了社会文化决定因素的影响。
A population of professional dance (N = 183) and modelling (N = 56) students, who by career choice must focus increased attention and control over their body shapes, was studied. Height and weight data were obtained on all subjects. In addition, a questionnaire that is useful in assessing the symptoms of anorexia nervosa, the Eating Attitudes Test (EAT), was administered. Results of these tests were compared with those of normal female university students (N = 59), patients with anorexia nervosa (N = 68), and music students (N = 35).Anorexia nervosa and excessive dieting concerns were overrepresented in the dance and modelling students. Twelve cases (6·5%) of primary anexoria nervosa were detected in the dance group. All but one case developed the disorder while studying dance. Within the dance group those from the most competitive environments had the greatest frequency of anorexia nervosa. These data suggest that both pressures to be slim and achievement expectations are risk factors in the development of anorexia nervosa. The influence of socio-cultural determinants are discussed within the context of anorexia nervosa as a multidetermined disorder.