The clinical presentation of Japanese women with anorexia nervosa and bulimia nervosa: A study of the Eating Disorders Inventory-2

Pike, Kathleen M.; Mizushima, Hiroko

doi:10.1002/eat.20065

Cited by 61 publications

(39 citation statements)

References 18 publications

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“…Compared with the North American standardization sample, all the Japanese groups with anorexia and bulimia reported significantly greater maturity fears with EDI-2 20 . Lee et al compared their survey with Hong Kong university students and the data of Canadian females and found that the Hong Kong students showed significantly higher Maturity Fear 21 .…”

Section: Maturity Fearmentioning

confidence: 68%

“…Asian Americans students scored significantly higher than Afro-Americans and Caucasian Americans on 3 of 6 perfectionism items on the EDI 24 . Compared with the North American sample, the Japanese AN-restricting subtype group (AN-R) presented lower levels of drive for thinness and perfectionism 20 . The Hong Kong students showed significantly lower perfectionism than the Canadian female sample 21 .…”

Section: Perfectionismmentioning

confidence: 87%

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Eating attitudes, weight control behaviors and risk factors for eating disorders among Chinese female dance students

Tao

Sun²

2015

Eur. J. Psychiat.

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CHINAABSTRACT -Background and Objectives: Along with the economic development, eating disorders begin to appear in China. In this context, we study potential risks for eating disorders.Methods: 1,199 Chinese students, aged 12-25 years, were randomly selected in spring 2006 from a survey with a series of scales (EAT-26, EDI) that were used as a screening examination for eating attitudes, weight control behaviors and risk factors. Among them were 31 female Chinese dance students. The dancer students were compared with the female high risk group of eating disorders (EAT ≥ 20) and the female low risk group (EAT 0-9) according to their scores on EAT-26 and EDI.Results: There were just 3 dancers (10%) with scores on the EAT-26 who were over the cut-off point of 20 for high risk of an eating disorder. The dance group also showed significantly higher scores than the low risk group (EAT 0-9) not only on the subscales Dieting, and EAT-26 total scores on the EAT-26, but also on the subscales Perfectionism and Maturity Fears on the EDI.Conclusions: Among the group of female Chinese dance students, most participants did not show a high risk for eating disorders and their high scores on some subscales on the EAT-26 and EDI could be caused by their occupation.

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Section: Maturity Fearmentioning

confidence: 68%

Section: Perfectionismmentioning

confidence: 87%

Eating attitudes, weight control behaviors and risk factors for eating disorders among Chinese female dance students

Tao

Sun²

2015

Eur. J. Psychiat.

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“…34 Despite the consistency of cross-cultural DT differences, individuals with eating disor- ders typically exhibit significantly greater DT than non-eating-disordered controls within culturally homogeneous groups, such as Hong Kong 33 and Japan. 35 Thus, although sociocultural context may moderate mean DT levels, similar casecontrol DT distinctions are found in both Western and non-Western cultural settings.…”

Section: Psychological Testingmentioning

confidence: 82%

“…With the exception of a study comparing schoolgirls in Singapore with previously published American data 30 and an assessment across strata defined by religious identification, 49 both of which reported negative findings, these studies have all reported significant between-group differences. Of these, significantly lower DT or weight concern was reported for eating disorder patients in presumably less culturally Western populations compared with reference populations (e.g., AN-R Hong Kong patients compared with AN-R Canadian patients, 33 Japanese compared with North Americans, 35 East Berliners compared with West Berliners, 28,29 and Asian-Americans compared with non-Asian-Americans). 37 Finally, one study demonstrated higher levels of DT in Black, compared with White, preadolescents in the United States.…”

Section: Psychological Testingmentioning

confidence: 98%

Should non‐fat‐phobic anorexia nervosa be included in DSM‐V?

Becker

Thomas

Pike

2009

Intl J Eating Disorders

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153

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Objective: Cross-cultural data suggest that rationales for food refusal vary in anorexia nervosa (AN), and a variant, termed non-fat-phobic AN (NFP-AN), has been described. This review evaluates whether data support modification of the requirement for intense fear of weight gain to meet AN criterion B in DSM-V.Method: We performed a systematic search of the Medline and PsychInfo literature and evaluated the relevant publications by Robins and Guze's (Am J Psychiatry 126, [983][984][985][986][987] 1970) criteria as a standard for diagnostic validity. We also performed a meta-analysis comparing the severity of eating pathology in AN to (a) NFP-AN and (b) AN with low drive for thinness (low-DT-AN).Results: A modest literature indicates that NFP-AN has wide geographic distribution and occurs in both Western and non-Western populations alongside cases of typical AN. Aggregating across eligible studies, patients with NFP-AN or low-DT-AN score at least 2/3 of a standard deviation lower on measures of eating pathology than patients with conventional AN. Transcultural comparison of drive for thinness suggests significantly lower norms in non-Western cultures.Discussion: NFP-AN occurs with wide distribution. Further research is necessary on the course and outcomes of NFP-AN to characterize its congruence with, or distinction from, conventional AN. We discuss several options for including a description of NFP-AN in DSM-V. V

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“…[14][15][16] A well-established literature in anthropology and sociology of the body and selfhood [17][18][19][20][21][22][23][24][25] suggests avenues for cross-cultural variation in capacity and inclination for self-evaluation with respect to bodily attributes as well as in eating disorder symptom phenomena and severity. [26][27][28] For example, a study of bulimic disorders in India related their low prevalence to the local prominence and cultural support for a sociocentric selfdefinition that the investigators suggest may discourage these behaviors. 29 Likewise, ethnographic data on selfhood and body experience in Fiji support that the relative emphasis on social-rather than personal-attributes constituting identity may diminish personal investment in, and accountability for, body shape or weight.…”

Section: Culture-relevant Considerations For Interpretation Of Dimensmentioning

confidence: 99%

Clarifying criteria for cognitive signs and symptoms for eating disorders in DSM‐V

Becker

Eddy

Perloe

2009

Intl J Eating Disorders

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Objective: This article reviews literature relevant to challenges in clinical ascertainment of cognitively-based diagnostic criteria of anorexia nervosa (AN) and bulimia nervosa (BN) to examine whether revision might enhance their clinical utility.Method: We performed a systematic literature search to identify publications relevant to clinical evaluation of cognitive symptoms of AN and BN.Results: The literature supports several reasons that individuals with an eating disorder may not endorse cognitive symptoms, despite their presence. These include limited insight, minimization, or denial, as well as intentional concealment related to perceived stigma, social desirability, or investment in maintaining behavioral symptoms. We also identified reasons that the word ''refusal'' in AN criterion A may render its application problematic.Discussion: We conclude that specific guidance for ascertainment of cognitive signs for AN and BN in the absence of patient disclosure or endorsement, longitudinal evaluation, and/or collateral data may improve clinical utility of these diagnostic criteria. V

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The clinical presentation of Japanese women with anorexia nervosa and bulimia nervosa: A study of the Eating Disorders Inventory-2

Abstract: Differences between the Japanese and North American groups suggest that certain cultural differences exist in eating disorder profiles.

Cited by 61 publications

References 18 publications

Eating attitudes, weight control behaviors and risk factors for eating disorders among Chinese female dance students

Eating attitudes, weight control behaviors and risk factors for eating disorders among Chinese female dance students

Should non‐fat‐phobic anorexia nervosa be included in DSM‐V?

Clarifying criteria for cognitive signs and symptoms for eating disorders in DSM‐V

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