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Eating disorders: lessons from a cross-cultural study

Published online by Cambridge University Press:  09 July 2009

Michael B. King*
Affiliation:
Institute of Psychiatry and Maudsley Hospital, London
Dinesh Bhugra
Affiliation:
Institute of Psychiatry and Maudsley Hospital, London
*
1Address for correspondence: Dr Michael B. King, Academic Department of Psychiatry. Royal Free Hospital, Pond Street, London NW3 2QG

Synopsis

Five hundred and eighty schoolgirls living in a small North Indian industrial town were screened using the EAT-26. Although twenty-nine per cent scored above the threshold for the questionnaire (≥ 20), closer scrutiny of the pattern of responses revealed misinterpretations of a large number of questions possibly on a conceptual basis. Linguistic and conceptual pitfalls inherent to cross-cultural epidemiological research are discussed with reference to previous work.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1989

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References

Bhugra, D. & King, M. (1988). Bulmia nervosa among Asian schoolgirls. British Medical Journal 297, 1198.Google Scholar
Buhrich, N. (1981). Frequency of presentation of anorexia nervosa in Malaysia. Australian and New Zealand Journal of Psychiatry 15, 153155.CrossRefGoogle ScholarPubMed
Cooper, P. J. & Fairburn, C. G. (1983). Binge eating and self induced vomiting in the community. British Journal of Psychiatry 142, 139144.CrossRefGoogle ScholarPubMed
Crisp, A. H., Palmer, R. L. & Kalucy, R. S. (1976). How common is anorexia nervosa? A prevalence study. British Journal of Psychiatry 128, 549554.Google Scholar
Eisler, I. & Szmukler, G. I. (1985). Social class as a confounding variable in the eating attitudes test. Journal of Pychiatric Research 19, 171176.Google ScholarPubMed
Elsarrag, M. E. (1968). Psychiatry in the Northern Sudan: a study in comparative psychiatry. British Journal of Psychiatry 114, 945948.CrossRefGoogle Scholar
Garner, D. M. & Garfinkel, P. E. (1979). The eating attitudes test; an index of the symptoms of anorexia nervosa. Psychological Medicine 9, 273279.CrossRefGoogle ScholarPubMed
Garner, D. M., Olmsted, M. P, Bohr, Y. & Garfinkel, P. E. (1982). The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine 12, 871878.CrossRefGoogle ScholarPubMed
German, G. A. (1972). Aspects of clinical psychiatry in Sub-Saharan Africa. British Journal of Psychiatry 121, 461479.Google Scholar
Healy, K., Conroy, R. M. & Walsh, N. (1984). The prevalence of binge-eating and bulimia in 1063 college students. Journal of Psychiatric Research 19, 161166.CrossRefGoogle Scholar
Indian Council for Medical Research (1972). Growth and Physical Development of Indian Infants and Children. Technical Report Series, No. 18. ICMR: New Delhi.Google Scholar
Johnson-Sabine, E., Wood, K., Patton, G., Mann, A. & Wakeling, A. (1988). Abnormal eating attitudes in London schoolgirls – a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychological Medicine 18, 615622.CrossRefGoogle ScholarPubMed
King, M. B. (1986). Eating disorders in general practice. British Medical Journal 293, 14121414.CrossRefGoogle ScholarPubMed
Kleinman, A. (1987). Anthropology and psychiatry. The role of culture in cross-cultural research on illness. British Journal of Psychiatry 151, 447454.CrossRefGoogle ScholarPubMed
Mumford, D B. & Whitehouse, A. M. (1988 a). Increased prevalence of bulimia nervosa among Asian schoolgirls. British Medical Journal 297, 718.CrossRefGoogle ScholarPubMed
Mumford, D. B. & Whitehouse, A. M. (1988 b). Bulimia nervosa among Asian schoolgirls. British Medical Journal 297, 1404.CrossRefGoogle ScholarPubMed
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, 621625.CrossRefGoogle ScholarPubMed
Nogami, Y., Yamaguchi, T., Ishiwata, H., Sakai, T & Kusakabe, Y. (1984). The prevalence of binge eating in the Japanese university and high school student population.Paper presented at International Conference on Anorexia Nervosa and Related Disorders.Swansea, UK.Google Scholar
Okasha, A., Kamel, M., Sadek, A., Lotaif, F & Bishry, Z. (1977). Psychiatric morbidity among university students in Egypt. British Journal of Psychiatry 131, 149154.Google Scholar
Sen, B. & Man, J J. (1986). Psychiatric research instruments in the transcultural setting: experiences in India and Brazil. Social Science and Medicine 23, 277281.Google Scholar
Szmukler, G. I. (1983). Weight and food preoccupation in a population of English schoolgirls. In Understanding Anorexia Nervosa and Bulimia (ed, Bargman, G. J.), pp. 2127. Fourth Ross Conference on Medical Research, Ross Laboratories: Ohio.Google Scholar
Szmukler, G. I. (1985). The epidemiology of anorexia nervosa and bulimia. Journal of Psychiatric Research 19, 143153.Google Scholar
Wells, J. E., Coope, P. A., Gabb, B. C. & Pears, R. K. (1985). The factor structure of the Eating Attitudes Test with adolescent schoolgirls. Psychological Medicine 15, 141146.Google Scholar