Cross-ethnic differences in eating disorder symptoms and related distress
Cross-ethnic differences in eating disorder symptoms and related distress
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DOI：
10.1002/eat.20341
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发表时间：
2007-03-01
影响因子：
5.5
通讯作者：
Herzog, David B.
中科院分区：
文献类型：
--
作者：
Franko, Debra L.;Becker, Anne E.;Herzog, David B.
目的：本研究调查了美国大学饮食失调筛查项目中饮食失调症状和相关痛苦频率的种族差异。方法：对不同种族的样本（n = 5，4 3 5）进行自我报告问题和咨询师评估的回答分析。结果：暴饮暴食、限制性饮食、呕吐和闭经的频率在不同种族之间没有显著差异。然而，组间的显着差异，发现与净化模式。狂欢相关（例如，吃到不舒服的饱）在高加索人中比非洲裔美国人参与者更频繁（p <0.001）。暴饮暴食是高加索人、非洲裔美国人和拉丁美洲人的最佳痛苦预测因子，而呕吐是亚洲人的最佳痛苦预测因子。使用泻药的亚洲参与者显着不太可能收到进一步评估的建议比non-Asian participants.Conclusion：种族多样性的症状患病率和相关的困扰。临床医生认识到这种潜在的多样性可能会提高饮食失调的文化能力。(c)出版社：Wiley Periodicals，Inc.
Objective: This study investigated ethnic differences in the frequency of eating disorder symptoms and related distress in a U.S. college-based eating disorders screening program.Method: Responses to self-report questions and counselors' assessment were analyzed in an ethnically diverse sample (n = 5,4 3 5).Results: The frequency of binge-eating, restrictive eating, vomiting, and amenorrhea did not differ significantly across ethnic groups. However, significant between-group differences were found with respect to modes of purging. Binge correlates (e.g., eating until uncomfortably full) were significantly more frequent among Caucasian than African American participants (p < .001). Binge eating was the best predictor of distress among Caucasians, African Americans, and Latinos, whereas vomiting was the best predictor of distress among Asians. Asian participants who used laxatives were significantly less likely to receive a recommendation for further evaluation than non-Asian participants.Conclusion: Ethnic diversity in symptom prevalence and related distress was identified. Clinician recognition of this potential diversity may enhance culturally competent care for eating disorders. (c) 2006 by Wiley Periodicals, Inc.