Developing a Culturally-Sensitive Eating Disorders Measure for South Asian American Women

项目摘要 进食障碍（ED）是一种严重的精神疾病，与高体力和 心理损伤、发病率和死亡率以及共病精神病理学。尽管类似的艾德 患病率估计，南亚人（SA），来自印度次大陆的个体，包括 孟加拉国、尼泊尔、巴基斯坦、斯里兰卡、不丹和马尔代夫不太可能被评估、转诊或 相对于他们的白色对应物，他们接受了艾德治疗。此外，当SA妇女确实接受治疗时， 他们通常等到他们的症状严重到足以引起身体并发症，他们更 相对于他们的白色同龄人，他们可能会被医疗服务提供者解雇。这些差异可以归因于， 第二部分，与SA中艾德评估相关的方法学挑战。对SA进行的少数研究 主要使用西方的诊断工具，这些工具在白色欧洲妇女中得到规范和验证， 限制了SA社区的普遍性。因为这些仪器不能捕捉症状， 结构相关的SA妇女的经验ED，我们目前的理解的表现， 这些疾病在该人群中的流行率可能是不准确的。为了解决这个问题， 应用程序将在文化上适应和修改SA的进食障碍检查问卷（EDE-Q） 生活在美国的女性。这项工作将改善这一服务不足群体中ED的识别， 从长远来看，可以用来促进卫生服务提供者的SA妇女的评估。总而言之，拟议的 这一工具将作为推进对艾德分类理解的必要垫脚石 在SA之间的演示。

PROJECT SUMMARY Eating disorders (EDs) are serious psychiatric illnesses that are associated with high physical and psychological impairment, morbidity and mortality, and comorbid psychopathology. Despite similar ED prevalence estimates, South Asians (SAs), individuals descending from the subcontinent of India, including Bangladesh, Nepal, Pakistan, Sri Lanka, Bhutan, and the Maldives, are less likely to be assessed, referred, or treated for an ED relative to their White counterparts. Additionally, when SA women do present for treatment, they usually wait until their symptoms are severe enough to cause physical complications, and they are more likely to be dismissed by health providers relative to their White peers. These disparities can be attributed, in part, to methodological challenges related to ED assessment in SAs. The few studies conducted with SAs have primarily utilized Western diagnostic tools that were normed and validated with White, European women, limiting generalizability to SA communities. Because these instruments do not capture symptoms and constructs relevant to SA women's experiences of EDs, our current understanding of the manifestations and prevalence of these conditions within this population is potentially inaccurate. To remedy this issue, this application will culturally-adapt and modify the Eating Disorder Examination-Questionnaire (EDE-Q) for SA women living in the United States. This work will improve identification of EDs in this underserved group, and, in the long-term, could be used to facilitate health providers' assessment of SA women. In sum, the proposed tool will serve as the necessary steppingstone for advancing understanding of the classification of ED presentations among SAs.