Culture and ethnicity
AN may present differently in people with a non-Western
background (see Soh et al. [37] for a review), and there are
significant body composition differences across ethnicities.
For example, Asian women show higher levels of body fat
for the same BMI than their Western peers [38]. There is
more mixed evidence that cultural issues influence psychological
symptom variability. While a commonly cited
difference is that fear of fatness is less evident in patients
from a non-Western background, many studies do not
show this [39]. Likewise, levels of body image disturbance
amongst clinical groups from different cultures have been
found to be largely identical despite genuine cultural differences
in body image concern in those who do not have
an ED [40]. Studies that have historically highlighted
symptom variability across cultures have commonly examined
ethnic minorities residing in Western countries:
when an ethnic group is studied in their country of origin,
many of the proposed differences in clinical presentation
cannot be found. Likewise, struggles with psychological
control reported in AN appear universal, but importantly
it is deviation from the cultural norm (whatever the culture)
that seems to distinguish women with EDs from
their peer group [41]. In short, rather than ethnicity
explaining any noted symptom variations, the
pertinent
assessment issues may relate to understanding the current
cultural norms and their dissonance with the culture of
their ethnic background.
Culture and ethnicityAN may present differently in people with a non-Westernbackground (see Soh et al. [37] for a review), and there aresignificant body composition differences across ethnicities.For example, Asian women show higher levels of body fatfor the same BMI than their Western peers [38]. There ismore mixed evidence that cultural issues influence psychologicalsymptom variability. While a commonly citeddifference is that fear of fatness is less evident in patientsfrom a non-Western background, many studies do notshow this [39]. Likewise, levels of body image disturbanceamongst clinical groups from different cultures have beenfound to be largely identical despite genuine cultural differencesin body image concern in those who do not havean ED [40]. Studies that have historically highlightedsymptom variability across cultures have commonly examinedethnic minorities residing in Western countries:when an ethnic group is studied in their country of origin,many of the proposed differences in clinical presentationcannot be found. Likewise, struggles with psychologicalcontrol reported in AN appear universal, but importantlyit is deviation from the cultural norm (whatever the culture)that seems to distinguish women with EDs fromtheir peer group [41]. In short, rather than ethnicityexplaining any noted symptom variations, thepertinentassessment issues may relate to understanding the currentcultural norms and their dissonance with the culture oftheir ethnic background.
การแปล กรุณารอสักครู่..