nach oben

Community Mental Health Journal

Erschienen in:

19.08.2015 | Original Paper

Eating Disorders in Lebanon: Directions for Public Health Action

verfasst von: Nadine Zeeni, Hiba Safieddine, Rita Doumit

Erschienen in: Community Mental Health Journal | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

Research in the field of eating disorders (ED) is limited in the Middle East. The aim of the present study was to profile Lebanese ED outpatients. A mixed-method design was used. Clinicians across Lebanon filled individual questionnaires about their 2013 ED outpatients (n = 104) and participated in focus groups. Results showed that bulimia nervosa was the most prevalent ED (46.1 %) followed by anorexia nervosa (39.4 %) and binge eating (14.4 %). The emerging socio-demographic profile of the Lebanese ED patient was that of a single female young adult of middle to high socio-economic status with severe ED symptoms (amenorrhea, multiple purging behaviors) and depression. Also, there was a general delay in seeking help which made patient recovery more difficult. The present study emphasizes the critical need for a public health approach to ED awareness and could help in developing preventive and remedial educational programs targeting youth in Lebanon and the Middle East.

Ackard, D. M., Cronemeyer, C. L., Franzen, L. M., Richter, S. A., & Norstrom, J. (2011). Number of different purging behaviors used among women with eating disorders: Psychological, behavioral, self-efficacy and quality of life outcomes. Eating Disorders, 19(2), 156–174.PubMedCrossRef

Adler, N. E., Epel, E. S., Castellazzo, G., & Ickovics, J. R. (2000). Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy white women. Health Psychology, 19(6), 586–592.PubMedCrossRef

Afifi-Soweid, R. A., Najem Kteily, M. B., & Shediac-Rizkallah, M. C. (2002). Preoccupation with weight and disordered eating behaviors of entering students at a University in Lebanon. International Journal of Eating Disorders, 32(1), 52–57.PubMedCrossRef

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR (4th ed., Vol. 943). Washington, DC: American Psychiatric Association.

Berkman, N. D., Lohr, K. N., & Bulik, C. M. (2007). Outcomes of eating disorders: A systematic review of the literature. International Journal of Eating Disorders, 40(4), 293–309.PubMedCrossRef

Chatelard, S., Bodenmann, P., Vaucher, P., Herzig, L., Bischoff, T., & Burnand, B. (2014). General practitioners can evaluate the material, social and health dimensions of patient social status. PLoS ONE, 9(1), e84828.PubMedPubMedCentralCrossRef

De la Rie, S. M., Noordenbos, G., & Van Furth, E. F. (2005). Quality of life and eating disorders. Quality of Life Research, 42(6), 1511–1522.

Doumit, R., Khazen, G., Katsounari, I., Kazandjian, C., Long, J., & Zeeni, N. (2015). Investigating vulnerability for developing eating disorders in a multi-confessional population. Community Mental Health Journal. doi:10.1007/s10597-015-9872-6.

Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: Prevalence, persistence, correlates, and treatment-seeking. Journal American College Health, 59(8), 700–707.CrossRef

Fairburn, C. G., & Harrison, P. J. (2003). Eating disorders. The Lancet, 361(9355), 407–416.CrossRef

Ferrer-Garcia, M., & Gutiérrez-Maldonado, J. (2011). The use of virtual reality in the study, assessment, and treatment of body image in eating disorders and nonclinical samples: A review of the literature. Body Image, 9, 1–11.PubMedCrossRef

Haworth-Hoeppner, S. (2000). The critical shapes of body image: The role of culture and family in the production of eating disorders. Journal of Marriage and the Family, 62(1), 212–227.CrossRef

Hepworth, N., & Paxton, S. J. (2007). Pathways to help-seeking in bulimia nervosa and binge eating problems: A concept mapping approach. International Journal of Eating Disorders, 40(6), 493–504.PubMedCrossRef

Hoek, H. W., & Van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 34(4), 383–396.PubMedCrossRef

Jackson, C. W., Cates, M., & Lorenz, R. (2010). Pharmacotherapy of eating disorders. Nutrition in Clinical Practice, 25(2), 143–159.PubMedCrossRef

Jones, J. M., Bennett, S., Olmsted, M. P., Lawson, M. L., & Rodin, G. (2001). Disordered eating attitudes and behaviours in teenaged girls: A school-based study. Canadian Medical Association Journal, 165(5), 547–552.PubMedPubMedCentral

Keel, P. K., & Klump, K. L. (2003). Are eating disorders culture-bound syndromes? Implications for conceptualizing their etiology. Psychological Bulletin, 129(5), 747.PubMedCrossRef

Kessler, R. C., Berglund, P. A., Chiu, W. T., Deitz, A. C., Hudson, J. I., Shahly, V., & Xavier, M. (2013). The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biological Psychiatry, 73(9), 904–914.PubMedPubMedCentralCrossRef

Khawaja, M., & Afifi-Soweid, R. (2004). Images of body weight among young men and women: Evidence from Beirut, Lebanon. Journal of Epidemioogy and Community Health, 58, 352–353.CrossRef

Kugu, N., Akyuz, G., Dogan, O., Ersan, E., & Izgic, F. (2006). The prevalence of eating disorders among university students and the relationship with some individual characteristics. Australian and New Zealand Journal of Psychiatry, 40(2), 129–135.PubMedCrossRef

Latzer, Y., Vander, S., & Gilat, I. (2008). Socio-demographic characteristics of eating disorder patients in an outpatient clinic: A descriptive epidemiological study. European Eating Disorder Reviews, 16(2), 139–146.CrossRef

Lelwica, M., Hoglund, E., & McNallie, J. (2009). Spreading the religion of Thinness from California to Calcutta. A critical feminist postcolonial analysis. Journal of Feminist Studies in Religion, 25(1), 19–41.CrossRef

Levinson, C., & Rodebaugh, T. (2012). Social anxiety and eating disorder comorbidity: The role of negative social evaluation fears. Eating Behaviors, 13, 27–35.PubMedCrossRef

Madanat, H. N., Lindsay, R., & Campbell, T. (2011). Young urban women and the nutrition transition in Jordan. Public Health Nutrition, 14(4), 599–604.PubMedCrossRef

Makino, M., Tsuboi, K., & Dennerstein, L. (2004). Prevalence of eating disorders: A comparison of Western and Non-Western Countries. Medscape General Medicine, 6(3), 49.PubMedPubMedCentral

Malachpines, A., & Zaidman, N. (2003). Israeli Jews and Arabs: Similarities and differences in the utilization of social support. Journal of Cross Cultural Psychology, 34, 465–480.CrossRef

Maxwell, M., Thornton, L. M., Root, T. L., Pinheiro, A. P., Strober, M., Brandt, H., & Bulik, C. M. (2011). Life beyond the eating disorder: Education, relationships, and reproduction. International Journal of Eating Disorders, 44(3), 225–232.PubMedPubMedCentralCrossRef

Maziak, W. (2006). Health in the middle East. BMJ, 333(7573), 815–816.PubMedPubMedCentralCrossRef

McVey, G., Gusella, J., Tweed, S., & Ferrari, M. A. (2009). Controlled evaluation of web-based training for teachers and public health practitioners on the prevention of eating disorders. Eating Disorders, 17(1), 1–26.PubMedCrossRef

Mischoulon, D., Eddy, K. T., Keshaviah, A., Dinescu, D., Ross, S. L., Kass, A. E., & Herzog, D. B. (2011). Depression and eating disorders: Treatment and course. Journal of Affective Disorders, 130(3), 470–477.PubMedCrossRef

Mousa, T. Y., Mashal, R. H., Al-Domi, H. A., & Jibril, M. A. (2010). Body image dissatisfaction among adolescent schoolgirls in Jordan. Body Image, 7(1), 46–50.PubMedCrossRef

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(3), 621–625.PubMedCrossRef

Nasser, M. (1988). Culture and weight consciousness. Journal of Psychosomatic Research, 32(6), 573–577.PubMedCrossRef

Pike, K. M., Dunne, P. E., & Addai, E. (2013). Expanding the boundaries: Reconfiguring the demographics of the “typical” eating disordered patient. Current Psychiatry Reports, 15(11), 411.PubMedCrossRef

Presnell, K., Stice, E., Seidel, A., & Madeley, M. C. (2009). Depression and eating pathology: Prospective reciprocal relations in adolescents. Clinical Psychology & Psychotherapy, 16(4), 357.CrossRef

Sancho, C., Arija, M. V., Asorey, O., & Canals, J. (2007). Epidemiology of eating disorders: A two year follow up in an early adolescent school population. European Child and Adolescent Psychiatry, 16(8), 495–504.PubMedCrossRef

Schulte, S. J., & Thomas, J. (2013). Relationship between eating pathology, body dissatisfaction and depressive symptoms among male and female adolescents in the United Arab Emirates. Eating Behavior, 14(2), 157–160.CrossRef

Smink, F. R., Van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406–414.PubMedPubMedCentralCrossRef

Steinhausen, H. C. (2009). Outcome of eating disorders. Child and Adolescent Psychiatric Clinics of North America, 18(1), 225–242.PubMedCrossRef

Støving, R. K., Andries, A., Brixen, K. T., Bilenberg, N., Lichtenstein, M. B., & Hørder, K. (2012). Purging behavior in anorexia nervosa and eating disorder not otherwise specified: A retrospective cohort study. Psychiatry Research, 198(2), 253–258.PubMedCrossRef

Swami, V., Airs, N., Chouhan, B., Leon, M. A. P., & Towell, T. (2009). Are there ethnic differences in positive body image among female British undergraduates? European Psychologist, 14, 288–296.CrossRef

Talleyrand, R. (2010). Eating disorders in African American Girls: Implication for counselors. Journal of Counseling and Development, 88, 219–324.CrossRef

Tamim, H., Dumit, N., Terro, A., Al-Hourany, R., Sinno, D., Seif, F., & Musharrafieh, U. (2004). Weight control measures among university students in a developing country: A cultural association or a risk behavior. Journal of the American College of Nutrition, 23(5), 391–396.PubMedCrossRef

Tozzi, F., Thornton, L. M., Mitchell, J., Fichter, M. M., Klump, K. L., Lilenfeld, L. R., & Price Foundation Collaborative Group. (2006). Features associated with laxative abuse in individuals with eating disorders. Psychosomatic Medicine, 68(3), 470–477.PubMedCrossRef

Wade, T. D., Davidson, S., & O’Dea, J. A. (2003). A preliminary controlled evaluation of a school-based media literacy program and self-esteem program for reducing eating disorder risk factors. International Journal of Eating Disorders, 33(4), 371–383.PubMedCrossRef

Walcott, D. D., Pratt, H. D., & Pattel, D. R. (2003). Adolescents and eating disorders: Gender, racial, ethnic, sociocultural, and socioeconomic issues. Journal of Adolescent Research, 18(3), 223–243.CrossRef

Yahia, N., El-Ghazale, H., Achkar, A., & Rizk, S. (2011). Dieting practices and body image perception among Lebanese university students. Asia Pacific Journal of Clinical Nutrition, 20(1), 21–28.PubMed

Zeeni, N., Gharibeh, N., & Katsounari, I. (2013). The influence of socio-cultural factors on the eating attitudes of Lebanese and Cypriot students: A cross-cultural study. Journal of Human Nutrition and Dietetics, 26(Suppl. 1), 45–52.PubMedCrossRef

Titel: Eating Disorders in Lebanon: Directions for Public Health Action
verfasst von: Nadine Zeeni
Hiba Safieddine
Rita Doumit
Publikationsdatum: 19.08.2015
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 1/2017
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-015-9917-x

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2017

Unmet Needs of Adults in Community Mental Health Care With and Without Intellectual and Developmental Disabilities: A Cross-Sectional Study

Longitudinal Trajectory of Adolescent Exposure to Community Violence and Depressive Symptoms Among Adolescents and Young Adults: Understanding the Effect of Mental Health Service Usage

Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study

Predictors of Outreach Meetings Among Substance Using Homeless Youth