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Bulimia in British Blacks and Asians

A Catchment Area Study

Published online by Cambridge University Press:  02 January 2018

J. Hubert Lacey  and
Bridget M. Dolan
J. Hubert Lacey*
Affiliation:
Department of Psychiatry, St George's Hospital Medical School
Bridget M. Dolan
Affiliation:
Department of Psychology, University of Bradford; also Department of Psychiatry, St George's Hospital Medical School
*
St George's Hospital Medical School, Tooting, London SW17 0BR
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Abstract

This paper describes the demographic and clinical features of five non-white, normal body weight bulimics, all from the same catchment area. Comparisons with white bulimic referrals from the same area showed clinical similarities, but the non-white bulimics gave an account of gross emotional deprivation: all came from broken homes; four had been separated for long periods from their mothers; two had been subjected to incestuous abuse; and four had been cared for by white women. Response to treatment was poor. The ratio of non-white referral to white was at most one tenth of the ratio of non-white to white women in the catchment area.

Type
Papers
Information
The British Journal of Psychiatry , Volume 152 , Issue 1 , January 1988 , pp. 73 - 79
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington DC: American Psychiatric Association.Google Scholar
Bagley, C. (1971) Mental ilhiess in immigrant minorities in London. Journal of Biosocial Science, 3, 449–459.CrossRefGoogle Scholar
Bebbington, P. E., Hurry, J. & Tennant, C. (1981) Psychiatric disorder in selected immigrant groups in Camberwell. Social Psychiatry, 16, 43–51.CrossRefGoogle Scholar
Carpenter, L. & Brockington, I. F. (1980) A study of mental illness in Asians, West Indians and Africans living in Manchester. British Journal of Psychiatry, 137, 201–205.CrossRefGoogle ScholarPubMed
Cochrane, R. (1977) Mental illness in immigrants to England and Wales: an analysis of mental hospital admissions, 1971. Social Psychiatry, 12, 25–35.CrossRefGoogle Scholar
Crisp, A. H., Palmer, R. & Kalucy, R. (1976) How common is anorexia nervosa? A prevalence study. British Journal of Psychiatry, 128, 549–554.Google Scholar
Dean, G., Walsh, D., Downing, H. & Shelley, E. (1981) First admissions of native bom and immigrants to psychiatric hospitals in South East England, 1976. British Journal of Psychiatry, 139, 506–512.Google Scholar
Fairburn, C. G. & Cooper, P. J. (1983) The epidemiology of bulimia nervosa. International Journal of Eating Disorders, 2, 61–67.Google Scholar
Feighner, J., Robins, E. & Guze, S. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.Google Scholar
Furnham, A. & Alibhai, N. (1983) Cross cultural differences in the perception of femsde body shape. Psychological Medicine, 13, 829–837.Google Scholar
Garner, D. M. & Garfinkel, P. (1982) Anorexia nervosa: a multidimensional perspective. New York: Bruner-Mazel.Google Scholar
Hall, A. (1978) Family structure and relationship of 50 female anorexia nervosa patients. Australia & New Zealand Journal of Psychiatry, 11, 263–268.Google Scholar
Hedbolm, J., Hubbard, F. & Andersen, A. E. (1978) A treatment program for anorexia nervosa. Journal of Social Work Health Care, 7, 67–86.CrossRefGoogle Scholar
Herzog, D. (1982) Bulimia: the secretive syndrome. Psycho-somatics, 23, 5–11.Google Scholar
Johnson, C. L., Stuckey, M. R., Lewis, L. D. & Schwartz, D. M. (1982) Bulimia: a descriptive survey of 316 cases. International Journal of Eating Disorders, 2, 3–16.Google Scholar
Johnson, C. L., Stuckey, M. R., Lewis, L. D., Schwartz, D. M., Lewis, C., Love, S., Lewis, L. D. & Stuckey, M. R. (1984) Incidence and correlates of bulimic behaviour in female high social population. Journal of Youth and Adolescence, 13, 15–26.CrossRefGoogle Scholar
Kemsley, W. F. F. (1953/1954) Average body weights at different ages and heights. Annals of Eugenics, London, 16, 316–334.Google Scholar
Kendell, R. E., Hall, D., Hailey, A. & Babigan, H. (1973) The epidemiology of anorexia nervosa. Psychological Medicine, 2, 200–203.Google Scholar
Lacey, J. H. (1984a) Bulimic syndrome. In Advanced Medicine, 20, (ed. A. Ferguson). London: Royal College of Physicians/ Pitman.Google Scholar
Lacey, J. H. (1964b) Time-limited individual and group treatment for bulimia. Handbook of Psychotherapy for Anorexia Nervosa and Bulimia (eds D. A. Gamer & P. Garflnkel) New York: Guilford Press.Google Scholar
Lacey, J. H., Coker, S. & Birtchnell, S. A. (1985) Bulimia: factors associated with its etiology and maintenance. International Journal of Eating Disorders, 5, 475–487.Google Scholar
Lawlor, B. A. & Rand, C. S. W. (1985) Bulimianervosain a black woman. American Journal of Psychiatry, 142, 12.Google Scholar
London, M. (1986) Mental illnesasmongst immigrantminorities in the United Kingdom. British Journal of Psychiatry, 149, 265–273.CrossRefGoogle ScholarPubMed
Norris, D. L. (1979) Clinical diagnostic criteria for anorexia nervosa. South African Medical Journal, 31, 987–993.Google Scholar
Office Of Population, Censuses and Surveys, Great Britain. (1983) Population Estimates. London: Her Majesty's Stationery Office.Google Scholar
Pumariega, J., Edwards, P. & Mitchell, C. B. (1984) Anorexia nervosa in black adolescents. Journal of American Academy of Child Psychiatry, 23, 111–114.CrossRefGoogle ScholarPubMed
Pyle, R. L., Mitchell, T. E. & Eckert, E. D. (1981) Bulimia - a report of 34 cases. Journal of Clinical Psychiatry, 42, 60–65.Google Scholar
Robinson, P. & Andersen, A. (1985) Anorexia nervosa in American blacks. Journal of Psychosomatic Research, 19, 183–188.Google Scholar
Roy-Byrne, P., Lee-Benner, K. & Yager, J. (1984) Group therapy for bulimia. International Journal of Eating Disorders, 3, 97–116.Google Scholar
Silber, T. (1984) Anorexia nervosa in black adolescents. Journal National Medical Association, 76, 29–32.Google ScholarPubMed
Thomas, J. P. & Szmukler, G. S. (1985) Anorexia nervosa in patients of Afro-Caribbean extraction. British Journal of Psychiatry, 146, 653–656 Google Scholar
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