A comparison of black and white women with binge eating disorder

A comparison of black and white women with binge eating disorder
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DOI:
10.1176/appi.ajp.158.9.1455
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发表时间:
2001-09-01
影响因子:
17.7
通讯作者:
Fairburn, CG
Fairburn, CG
中科院分区:
医学1区
文献类型:
--
作者:
Pike, KM;Dohm, FA;Fairburn, CG

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目的:暴食症作为一种需要进一步研究的精神疾病被纳入 DSM-IV。这项基于社区的研究描述了患有和不患有暴食症的黑人和白人女性的种族与临床功能之间的关系。方法:从社区招募了 150 名患有暴食症的女性(52 名黑人,98 名白人)和种族匹配的 150 名健康对照受试者。通过访谈和自我报告评估饮食和精神症状。结果:患有暴食症的黑人和白人女性在许多饮食失调特征上存在显着差异,包括暴食频率、克制、其他饮食失调史、寻求治疗行为以及对饮食、体重和体形的担忧。黑人和白人健康对照受试者的肥胖率存在显着差异。结论:对于黑人和白人女性来说,暴食症与临床功能的显着损害相关。然而,叮叮咖啡馆的种族差异凸显了在精神病理学研究中考虑种族的重要性。
Objective: Binge eating disorder was introduced in DSM-IV as a psychiatric disorder needing further study. This community-based study describes the relationship between race and clinical functioning in black and white women with and without binge eating disorder.Method: A group of 150 women with binge eating disorder (52 black, 98 white) and a race-matched group of 150 healthy comparison subjects were recruited from the community. Eating and psychiatric symptoms were assessed through interviews and self-report.Results: Black and white women with binge eating disorder differed significantly on numerous eating disorder features, including binge frequency, restraint, history of other eating disorders, treatment-seeking behavior, and concerns with eating, weight, and shape. Black and white healthy comparison subjects differed significantly in obesity rates.Conclusions: For both black and white women, binge eating disorder was associated with significant impairment in clinical functioning. Yet, racial differences in clink caf presentation underscore the importance of considering race in psychopathology research.