Skip to main content
Log in

Prevalence of eating disorders in Pakistan: Relationship with depression and body shape

  • Original Research Paper
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

The current study was conducted to assess the prevalence of disturbed eating attitudes in postgraduate female students in Lahore, Pakistan. The interrelationships of disturbed eating attitudes, dissatisfaction with body weight and shape and depression were also investigated. A total of 111 volunteers were interviewed using the following questionnaires: Eating Attitude Test 26 items (EAT-26), Body Shape Questionnaire (BSQ) and the Depression Subscale of Hospital Anxiety and Depression Scale (HADS). The findings indicated that 59% of the normal-weight and 21% of the underweight women considered themselves to be overweight; 17% scored above the EAT threshold. Two women met the DSM-IV criteria for bulimia nervosa (BN) and another two those for eating disorders not otherwise specified (EDNOS). Two multiple regression analyses indicated that greater exposure to Western culture and dissatisfaction with body shape were strong predictors of faulty eating attitudes, whereas unrealistic body shape perceptions could contribute to depressive affect. These results have important implications in view of the high prevalence of disturbed eating attitudes in an Asian country.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Fallon A.E., Rozin P.: Sex differences in perception of desirable body shape. J. Abnorm. Psychol., 94, 102–105, 1985.

    Article  CAS  PubMed  Google Scholar 

  2. Zellner D.A., Harner D.E., Adler R.L.: Effects of eating abnormalities and gender on perceptions of desirable body shape. J. Abnorm. Psychol., 98, 93–96, 1989.

    Article  CAS  PubMed  Google Scholar 

  3. Szmukler G.I.: Weight and food preoccupation in a population of English-schoolgirls. In: Bergman G.J. (Ed.), Understanding AN and bulimia. Ohio, Ross Laboratories, 1983.

    Google Scholar 

  4. Johnson-Sabine E., Wood K., Patton G., Mann A., Wakeling A.: Abnormal eating attitudes in London schoolgirls -a prospective epidemiological study: Factors associated with abnormal response on screening questionnaires. Psychol. Med., 18, 601–622, 1988.

    Article  Google Scholar 

  5. Whitehouse A.M., Button E.J.: The prevalence of eating disorders in a UK college population — A reclassification of an earlier study. Int. J. Eat. Disord., 7, 393–397, 1988.

    Google Scholar 

  6. Halmi K.A., Falk J.R., Schwarz E.: Binge eating and vomiting: A survey of a college population. Psychol. Med., 11, 697–706, 1981.

    Article  CAS  PubMed  Google Scholar 

  7. Pyle R.L., Mitchell J.E., Eckert D.E., Halverstone P.A., Neuman P.A., Goff G.M.: The incidence of bulimia in freshman college students. Int. J. Eat. Disord., 2, 75–85, 1983.

    Article  Google Scholar 

  8. Crisp A.H., Palmer R.L., Kalucy R.S.: How common is anorexia nervosa? A prevalence study. Br. J. Psychiatry, 128, 549–554, 1976.

    Article  CAS  PubMed  Google Scholar 

  9. Buhrich N.: Frequency of presentation of anorexia nervosa in Malaysia. Aust. N. Z. J. Psychiatry, 15, 153–155, 1981.

    Article  CAS  PubMed  Google Scholar 

  10. Suematsu H., Ishikawa H., Inaba Y.: Epidemiologcal studies on anorexia nervosa. Psychosom. Med., 26, 53–58, 1986.

    Google Scholar 

  11. Mumford D.B., Whitehouse A.M., Platts M.: Sociocultural correlates of eating disorders among Asian Schoolgirls in Bradford. Br. J. Psychiatry, 158, 222–228, 1991.

    Article  CAS  PubMed  Google Scholar 

  12. Mumford D.B., Whitehouse A.M., Choudry I.Y.: Survey of eating disorders in English-medium schools in Lahore, Pakistan. Int. J. Eat. Disord., 11, 173–184, 1992.

    Article  Google Scholar 

  13. Furnham A., Husain K.: The role of conflict with parents in disordered eating among British Asian females. Soc. Psychiatry Psychiatr. Epidemiol., 34, 498–505, 1999.

    Article  CAS  PubMed  Google Scholar 

  14. Choudry I.F., Mumford D.B.: A pilot study of eating disorders in Mirpur (Pakistan) using an Urdu version of Eating Attitude Test. Int. J. Eat. Disord., 11, 243–251, 1992.

    Article  Google Scholar 

  15. Sing L., Antoinette M.L.: Disordered eating in three communities of China: A comparable study of female high school students in Hong Kong, Shenzhen and Hunan. Int. J Eat. Disord., 27, 317–327, 2000.

    Article  Google Scholar 

  16. Kennedy S.H., Kaplan A.S., Garfinkel P.E., Rockert W., Toner B., Abbey S.E.: Depression in anorexia nervosa and bulimia nervosa: Discriminating depressive symptoms and episodes. J. Psychosom. Res., 38, 773–782, 1994.

    Article  CAS  PubMed  Google Scholar 

  17. Garner D.M., Olmsted M.P., Bohr Y., Garfinkel P.E.: The Eating Attitude Test: psychometric features and clinical correlates. Psychol. Med., 12, 871–878, 1986.

    Article  Google Scholar 

  18. Cooper P.J., Taylor M.J., Fairburn C.G.: The development and validation of the Body Shape Questionnaire. Int. J. Eat. Disord., 6, 485–494, 1987.

    Article  Google Scholar 

  19. Minhas A.M., Haris S.: Response of Pakistani sample to eat and body shape questionnaire: An exploratory study. Pak. J. Psychol. Res., 14, 87–95, 1999.

    Google Scholar 

  20. Suhail K.: Reliability and factor analyses of the EAT-26 and BSQ for Asian subjects. J. Behav. Sci., 11, 1, 2001.

    Google Scholar 

  21. Wells J.E., Cooper P.J., Gabb D.C, Pears R.K.: The factor structure of the Eating Attitude Test with adolescent schoolgirls. Psychol. Med., 15, 141–146, 1985.

    Article  CAS  PubMed  Google Scholar 

  22. Zigmond A.S., Snaith R.P.: The Hospital Anxiety and Depression Scale. Acta Psychiatr. Scand., 67, 361–370, 1983.

    Article  CAS  PubMed  Google Scholar 

  23. Suhail K.: Reliability analysis of the HAD Scale across different cultural and ethnic groups. Ind. J. Clin. Psychol., 27, 118–123, 2000.

    Google Scholar 

  24. American Psychiatric Association: Diagnostic and Statistical Manual of Psychiatric Disorders, 4th Ed., Washington, DC, American Psychiatric Association, 1994.

    Google Scholar 

  25. Tanner J.M., Whitehouse R.H.: Height and weight standard charts. Hertford, Creaseys, 1975.

    Google Scholar 

  26. Lee S., Chiu H.F.K., Chen C.: Anorexia nervosa in Hong Kong. Why not more in Chinese? Br. J. Psychiatry, 154, 683–688, 1989.

    Article  CAS  PubMed  Google Scholar 

  27. Brayant-Waugh R., Lask B.: Anorexia nervosa in a group of Asian children living in Britain. Br. J. Psychiatry, 158, 229–233, 1991.

    Article  Google Scholar 

  28. Buhrich N: Frequency of presentation of anorexia nervosa in Malaysia. Aust. N. Z. J. Psychiatry, 15, 153–155, 1981.

    Article  CAS  PubMed  Google Scholar 

  29. Suematsu H., Ishikawa H., Inaba Y.: Epidemiological studies on anorexia nervosa. Psychosom. Med., 26, 53–58, 1986.

    Google Scholar 

  30. Garner D.M., Wooley S.C.: Confronting the failure of behavioral and dietary treatments for obesity. Clin. Psychol. Rev., 11, 729–780, 1991.

    Article  Google Scholar 

  31. Rozin P., Fallon A.: Body image, attitude to weight, and misperception of figure preferences of the opposite sex: A comparison of men and women in two generations. J. Abnorm. Psychol., 3, 342–345, 1988.

    Article  Google Scholar 

  32. Wiseman C.V., Gray J.J., Mosimann J.E., Ahrens A.H.: Cultural expectations of thinness in women: An update. Int. J. Eat. Disord., 11, 85–89, 1992.

    Article  Google Scholar 

  33. Mazur A.: US trends in feminine beauty and over adaptation. J. Sex Res., 22, 281–303, 1986.

    Article  Google Scholar 

  34. Striegel-Moore R., McAvay G., Rodin J.: Psychological and behavioral correlates of feeling fat in women. Int. J. Eat. Disord., 5, 935–947, 1986.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kausar Suhail.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Suhail, K., Zaib-u-Nisa Prevalence of eating disorders in Pakistan: Relationship with depression and body shape. Eat Weight Disord 7, 131–138 (2002). https://doi.org/10.1007/BF03354439

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03354439

Key words

Navigation