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Abnormal eating attitudes and behaviours in two ethnic groups from a female British urban population

Published online by Cambridge University Press:  09 July 2009

David Reiss
David Reiss*
Affiliation:
Academic Department of Psychiatry, Royal Free Hospital, London
*
1Address for correspondence: Dr David Reiss, Department of Forensic Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF.
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Synopsis

African-Caribbean (N = 136) and White British (N = 192) female family planning clinic attenders were administered the Bulimic Investigatory Test, Edinburgh (BITE) and the General Health Questionnaire (GHQ-28). A proportion of the participants were subsequently interviewed. The African-Caribbeans were found to have both significantly more disordered eating attitudes and a significantly higher level of abnormal eating behaviour than the White British. Although the African-Caribbean group had a significantly higher mean Body Mass Index this did not mediate the difference in levels of eating attitudes. When compared with the White British group more African-Caribbean women reported feelings of failure, guilt, abnormality and self-consciousness concerning their eating habits. The results indicate that eating problems may be highly prevalent in this ethnic minority population and suggest that there may be differences in the nature of eating disorder psychopathology between ethnic groups.

Type
Original Articles
Information
Psychological Medicine , Volume 26 , Issue 2 , March 1996 , pp. 289 - 299
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

American Psychiatric Association (1987). DSM-III-R: Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. Revised. American Psychiatric Assocation: Washington, DC.Google Scholar
Balarajan, R. & Raleigh, V. S. (1992). The ethnic populations of England and Wales: the 1991 Census. Health Trends 24, 113–116.Google Scholar
Beglin, S. J. & Fairburn, C. G. (1992). Women who choose not to participate in surveys on eating disorders. International Journal of Eating Disorders 12, 113–116.3.0.CO;2-W>CrossRefGoogle Scholar
Bell, R. M. (1991). Self-portraits of anorexia from medieval Italy.Paper presented to the International Symposium on Eating Disorders,Paris, France,17–19 April.Google Scholar
Bhugra, D. & King, M. (1988). Bulimia nervosa among Asian schoolgirls. British Medical Journal 297, 1198.CrossRefGoogle ScholarPubMed
Boskind-Lodahl, M. (1976). Cinderella's stepsisters: a feminist perspective on anorexia nervosa and bulimia. Signs: Journal of Women in Culture and Society 2, 342–356.CrossRefGoogle Scholar
Bruch, H. (1966). Anorexia nervosa and its differential diagnosis. Journal of Nervous and Mental Disease 141, 555–566.CrossRefGoogle Scholar
Bruch, H. (1974). Eating Disorders: Obesity, Anorexia Nervosa and the Person Within. Routledge & Regan Paul: London.Google Scholar
Cooper, P. J. & Fairburn, C. G. (1983). Binge-eating and self-induced vomiting in the community. A preliminary study. British Journal of Psychiatry 142, 139–144.CrossRefGoogle ScholarPubMed
Cooper, Z. & Fairburn, C. G. (1987). The eating disorder examination: a semistructured interview for the assessment of the specific psychopathology of eating disorders. International Journal of Eating Disorders 6, 1–8.3.0.CO;2-9>CrossRefGoogle Scholar
Crisp, A. H., Palmer, R. L. & Kalucy, R. S. (1976). How common is anorexia nervosa? A prevalence study. British Journal of Psychiatry 128, 549–554.CrossRefGoogle ScholarPubMed
DiNicola, V. F. (1990). Anorexia multiforme: self-starvation in historical and cultural context. Part II. Transcultural Psychiatric Research Review 27, 245–286.CrossRefGoogle Scholar
Dolan, B. (1991). Cross-cultural aspects of anorexia nervosa and bulimia: a review. International Journal of Eating Disorders 10, 67–78.3.0.CO;2-N>CrossRefGoogle Scholar
Dolan, B., Lacey, J. H. & Evans, C. (1990). Eating behaviour and attitudes to weight and shape in British women from three ethnic groups. British Journal of Psychiatry 157, 523–528.CrossRefGoogle ScholarPubMed
Dolan, B., Evans, C. & Lacey, J. H. (1991). The natural history of disordered eating behaviour and attitudes of adult women.Paper presented to the International Conference on Eating Disorders,Paris, France,17–19 April.Google Scholar
Eisler, I. & Szmukler, G. I. (1985). Social class as a confounding variable in the eating attitudes test. Journal of Psychiatric Research 19, 171–176.CrossRefGoogle ScholarPubMed
Fahy, T. A., Robinson, P. H., Russell, G. F. M. & Sheinman, B. (1988). Anorexia nervosa following torture in a young African woman. British Journal of Psychiatry 153, 385–387.CrossRefGoogle Scholar
Ford, K. A., Dolan, B. M. & Evans, C. (1990). Cultural factors in the eating disorders: a study of body shape preferences of Arab students. Journal of Psychosomatic Research 34, 501–507.CrossRefGoogle ScholarPubMed
Freeman, C. P. L. & Henderson, M. (1988). The BITE: indices of agreement. British Journal of Psychiatry 152, 595–597.CrossRefGoogle ScholarPubMed
Furnham, A. & Alibhai, N. (1983). Cross-cultural differences in the perception of female body shapes. Psychological Medicine 13, 829–837.CrossRefGoogle ScholarPubMed
Garfinkel, P. E. & Garner, D. M. (1982). Anorexia Nervosa, A Multidimensional Perspective. Bruner/Mazel: New York.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1978). Socio-cultural factors in anorexia nervosa. Lancet, ii, 674.CrossRefGoogle Scholar
Garner, D. M. & Garfinkel, P. E. (1980). Socio-cultural factors in the development of anorexia nervosa. Psychological Medicine 10, 647–656.CrossRefGoogle ScholarPubMed
Garner, D. M., Garfinkel, P. E., Schwartz, D. & Thompson, M. (1980). Cultural expectations of thinness in women. Psychological Reports 47, 483–491.CrossRefGoogle ScholarPubMed
Garrow, J. S. & Webster, J. (1985). Quetelet's index (W/H2) as a measure of fatness. International Journal of Obesity 9, 147–153.Google ScholarPubMed
Goldberg, D. P. (1985). Identifying psychiatric illness among general medical patients. British Medical Journal 291, 161–162.CrossRefGoogle ScholarPubMed
Goldberg, D. P. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139–145.CrossRefGoogle ScholarPubMed
Gray, J. J., Ford, K. & Kelly, L. M. (1987). The prevalence of bulimia in a black college population. International Journal of Eating Disorders 6, 733–740.3.0.CO;2-U>CrossRefGoogle Scholar
Hedblom, J. E., Hubbard, F. A. & Andersen, A. E. (1981). Anorexia nervosa: a multi-disciplinary treatment program for patient and family. Social Work in Health Care 7, 67–86.CrossRefGoogle Scholar
Henderson, M. & Freeman, C. P. L. (1987). A self-rating scale for bulimia: the ‘BITE’. British Journal of Psychiatry 150, 18–24.CrossRefGoogle ScholarPubMed
Holden, N. L. & Robinson, P. H. (1988). Anorexia nervosa and bulimia nervosa in British blacks. British Journal of Psychiatry 152, 544–549.CrossRefGoogle ScholarPubMed
Hsu, L. K. G. (1987). Are the eating disorders becoming more common in blacks? International Journal of Eating Disorders 6, 113–124.3.0.CO;2-#>CrossRefGoogle Scholar
Johnson, C. L., Stuckey, M. K., Lewis, L. D. & Schwartz, D. M. (1982). Bulimia: a descriptive survey of 316 cases. International Journal of Eating Disorders 2, 3–16.3.0.CO;2-K>CrossRefGoogle Scholar
Johnson-Sabine, E. C., Wood, K. H., Patton, G., Mann, A. & Wakeling, A. (1988). Abnormal eating attitudes in London schoolgirls – a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychological Medicine 18, 615–622.CrossRefGoogle ScholarPubMed
Jones, D. J., Fox, N. M., Babigan, H. M. & Hutton, H. E. (1980). Epidemiology of anorexia nervosa in Monroe County, New York: 1960–76. Psychosomatic Medicine 42, 551–558.CrossRefGoogle Scholar
Kendell, R. E., Hall, D. J., Hailey, A. & Babigan, H. M. (1973). The epidemiology of anorexia nervosa. Psychological Medicine 3, 200–203.CrossRefGoogle ScholarPubMed
King, M. B. (1989). Eating disorders in a general practice population. Prevalence, characteristics and follow-up at 12 to 18 months. Psychological Medicine, Monograph Supplement 14, 1–34.Google Scholar
King, M. B. & Bhugra, D. (1989). Eating disorders: lessons from a cross-cultural study. Psychological Medicine 19, 955–958.CrossRefGoogle ScholarPubMed
Kleinman, A. (1987). Anthropology and psychiatry: the role of culture in cross-cultural research on illness. British Journal of Psychiatry 151, 447–454.CrossRefGoogle ScholarPubMed
Lacey, J. H. (1992). Homogamy: the relationships and sexual partners of normal-weight bulimic women. British Journal of Psychiatry 161, 638–642.CrossRefGoogle ScholarPubMed
Lacey, J. H. & Dolan, B. M. (1988). Bulimia in British blacks and Asians: a catchment area study. British Journal of Psychiatry 152, 73–79.CrossRefGoogle ScholarPubMed
Lacey, J. H., Coker, S. & Birtchnell, S. A. (1986). Bulimia: factors associated with etiology and maintenance. International Journal of Eating Disorders 5, 475–487.3.0.CO;2-0>CrossRefGoogle Scholar
Lawlor, B. A. & Rand, C. S. W. (1985). Bulimia nervosa in a black woman. American Journal of Psychiatry 142, 1514.Google Scholar
Littlewood, R. & Lipsedge, M. (1987). The butterfly and the serpent: culture, psychopathology and biomedicine. Culture, Medicine and Psychiatry 11, 289–335.CrossRefGoogle ScholarPubMed
McAvoy, B. R. & Raza, R. (1988). Asian women. Health Trends 20, 11–17.Google Scholar
Mann, A. H., Wakeling, A., Wood, K., Monck, E., Dobbs, R. & Szmukler, G. (1983). Screening for abnormal eating attitudes and psychiatric morbidity in an unselected population of 15-year-old schoolgirls. Psychological Medicine 13, 573–580.CrossRefGoogle Scholar
Mumford, D. B. & Whitehouse, A. M. (1988). Increased prevalence of bulimia nervosa among Asian schoolgirls. British Medical Journal 297, 718.CrossRefGoogle ScholarPubMed
Mumford, D. B., Whitehouse, A. M. & Platts, M. (1991). Sociocultural correlates of eating disorders among Asian schoolgirls in Bradford. British Journal of Psychiatry 158, 222–228.CrossRefGoogle ScholarPubMed
Nasser, M. (1986). Comparative study of the prevalence of abnormal eating attitudes among Arab female students of both London and Cairo Universities. Psychological Medicine 16, 621–625.CrossRefGoogle ScholarPubMed
Nasser, M. (1988). Culture and weight consciousness. Journal of Psychosomatic Research 32, 573–577.CrossRefGoogle ScholarPubMed
Nevo, S. (1985). Bulimic symptoms: prevalence and ethnic differences among college women. International Journal of Eating Disorders 4, 151–168.3.0.CO;2-T>CrossRefGoogle Scholar
Norušis, M. J. (1988). SPSS/PC + V2.0. SPSS Inc.: Chicago.Google Scholar
Palazzoli, M. P. (1974). Anorexia Nervosa. Chaucer: London.Google Scholar
Prince, R. (1983). Is anorexia nervosa a culture-bound syndrome? Transcultural Psychiatry Research Review 20, 299–300.CrossRefGoogle Scholar
Pumariega, A. J., Edwards, P. & Mitchell, C. B. (1984). Anorexia nervosa in black adolescents. Journal of the American Academy of Child Psychiatry 23, 111–114.CrossRefGoogle ScholarPubMed
Robinson, P. & Andersen, A. (1985). Anorexia nervosa in American blacks. Journal of Psychiatric Research 19, 183–188.CrossRefGoogle ScholarPubMed
Rowland, C. V. Jr. (1970). Anorexia nervosa. A survey of the literature and review of thirty cases. International Psychiatry Clinics 7, 37–137.Google Scholar
Roy-Byrne, P., Lee-Benner, K. & Yager, J. (1984). Group therapy for bulimia. International Journal of Eating Disorders 3, 97–116.3.0.CO;2-I>CrossRefGoogle Scholar
Shaw, B. F. & Garfinkel, P. E. (1990). Research problems in the eating disorders. International Journal of Eating Disorders 9, 545–555.3.0.CO;2-Z>CrossRefGoogle Scholar
Silber, T. J. (1984). Anorexia nervosa in black adolescents. Journal of the National Medical Association 76, 29–32.Google ScholarPubMed
Thomas, J. P. & Szmukler, G. I. (1985). Anorexia nervosa in patients of Afro-Caribbean extraction. British Journal of Psychiatry 146, 653–656.CrossRefGoogle ScholarPubMed
Warren, M. P. & Vande Wiele, R. L. (1973). Clinical and metabolic features of anorexia nervosa. American Journal of Obstetrics and Gynecology 117, 435–449.CrossRefGoogle ScholarPubMed
White, W. C., Hudson, L. & Campbell, S. N. (1985). Bulimarexia and black women: a brief report. Psychotherapy 22, 449–450.CrossRefGoogle Scholar
Wiseman, C. V., Gray, J. J., Mosimann, J. G. & Ahrens, A. H. (1992). Cultural expectations of thinness in women: an update. International Journal of Eating Disorders 11, 85–89.3.0.CO;2-T>CrossRefGoogle Scholar