Eating Disorders in South Asia

Vaidyanathan, Sivapriya; Menon, Vikas

doi:10.1007/978-3-030-97416-9_16-1

Cited by 1 publication

(6 citation statements)

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“…Several reports from India have mentioned using non-pharmacological techniques, such as cognitive behavioral therapy (CBT), supportive psychotherapy, hypnotherapy, and play therapy, often in combination with other treatment modalities for EDs. [ 8 ] However, these reports typically lack comprehensive descriptions of the therapy’s structure and components. As these observations were uncontrolled, it became challenging to determine the actual effects of these therapies and the best practice elements involved.…”

Section: Resultsmentioning

confidence: 99%

“…Clinicians have successfully used add-on high-frequency repetitive transcranial magnetic stimulation (rTMS) to treat a young adult girl with AN who responded poorly to a combination of antidepressants, antipsychotics, and cognitive behavior therapy. [ 8 ] The stimulation was applied to the dorsolateral PFC over 3 weeks, improving body weight and attitudes toward eating, weight, and body shape. Another report of successful application of add-on transcranial direct current stimulation (tDCS) in a patient with schizophrenia reduced their food cravings, contributing to the reversal of weight gain, making this a promising treatment to manage cravings.…”

Section: Resultsmentioning

confidence: 99%

“…Hence, there is a need for the development of culturally appropriate scales for measuring ED. [ 8 71 ]…”

Section: Discussionmentioning

confidence: 99%

“…However, recent studies suggest a growing association between body shape perception and higher scores on ED assessments, possibly influenced by ongoing societal transitions and the increasing prevalence of Western ideals. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…Gratitude and moderation are ingrained in eating habits, often commencing meals with prayers. [ 6 7 8 ] This rich diet heritage parallels the prevailing ideals of body esthetics, which was in contrast with Western standards. Figurines from the Mauryan era depict women with attributes signifying fertility, such as full breasts and wide hips.…”

Section: Introductionmentioning

confidence: 99%

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Research on feeding and eating disorders in India: A narrative review

Vaidyanathan,

Menon

2024

Indian Journal of Psychiatry

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Despite growing evidence of their prevalence, research on feeding and eating disorders (FEDs) in India has been sporadic. This narrative review aimed to summarize the research on FED in India and set priorities for future research and translation of evidence. An electronic search was conducted in the MEDLINE, PsycINFO, and Google Scholar databases to identify relevant English peer-reviewed articles from April 1967 to July 2023. The extracted data from these studies included author names, publication year, research location, type of intervention (for interventional studies), nature of comparator treatments, and main outcomes or findings. We found a rising trend in the prevalence of EDs in India. Adolescent age group, female sex, higher socioeconomic status, family history of mental illness or disordered eating, and borderline personality pattern were risk factors for EDs. For feeding disorders (FDs), childhood age group, malnutrition, pregnancy, psychosis, intellectual disability (ID), and obsessive-compulsive disorder (OCD) were putative risk factors. Both physical and psychiatric comorbidities were common in FEDs. Culture appears to exert a pathoplastic effect on symptom presentation in FEDs; an illustrative example is the documented nonfat phobic variant of anorexia nervosa (AN) in India. Research on management has focused on using assessment tools, investigations to rule out medical comorbidities, psychosocial and family-based psychotherapies, nutritional rehabilitation, pharmacotherapy, and neuromodulation approaches. Whereas the publication output on FEDs in India has increased over the last decade, it remains an under-researched area, with a striking paucity of original research. Future research priorities in FEDs include conducting country-wide registry-based studies to offer real-world insights, longitudinal research to identify culturally relevant risk factors, and developing brief, culturally sensitive diagnostic instruments for FEDs in the Indian context. This will help generate locally relevant epidemiological data on FEDs and inform treatment and prevention strategies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Hence, there is a need for the development of culturally appropriate scales for measuring ED. [ 8 71 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%