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Fully revised to reflect the DSM-5, the second edition of The Oxford Handbook of Eating Disorders features the latest research findings, applications, and approaches to understanding eating disorders. Including foundational topics alongside practical specifics, like literature reviews and clinical applications, this handbook is essential for scientists, clinicians, and students alike.
Despite high reports of body-image related pathology in Latinas, how traditional cultural factors contribute to body dissatisfaction and eating disorder etiology is unknown. Current conceptualizations of eating disorder etiology, developed from studies on predominantly White women, reflect the Anglo-American experience. Examining the negotiation between Latino and American sociocultural ideals and influences is imperative to understanding culture’s impact on body-image pathology. A hierarchical regression will be utilized where acculturation and cultural values will serve as predictors of body dissatisfaction and eating disorder risk in a sample of Latina college students. Failure to understand culturally-specific Latino influences perpetuates under-identification of EDs and comorbidities as well as inability to develop culturally-competent interventions
Acculturation processes involve adaptation from the culture of origin to the host culture. As a result, foreign born Latinos experience a shift in norms, values, behaviors, and attitudes towards non-Latino (Western) culture when relocating to the United States. Acculturation among Latina women has been associated with behaviors contributing to obesity and may affect dieting behaviors. Behavior change interventions targeting weight loss through diet achieve moderate short term weight loss. Changes, however, are not sustained and disrupt homeostasis. In contrast, intuitive eating offers a non-dieting approach to weight management teaching participants to eat according to physiological hunger and satiety cues. Intuitive eating has been associated with improved physiological and mental health outcomes. A convenience sample of 54 Latina women completed surveys and anthropometric measurements at baseline as part of Valorando Nuestros Cuerpos (Valuing Our Bodies) pilot study. This aim of this study was to assess the relationship between acculturation and intuitive eating among Latina women residing near the United States-Mexico border using a cross-sectional survey. This study examined the relationship between acculturation and intuitive eating using multiple measures of acculturation including Marin's Bi-dimensional Acculturation Scale (BAS), country of birth, years of residence and age at arrival among foreign born, and the Intuitive Eating Scale-2 (IES-2). Pearson's and Spearman's correlation coefficients and a multiple linear regression were run to assess the significance of the variables representing acculturation and intuitive eating (IE). Results indicated the majority of the sample was foreign born, overweight or obese, dominant in Latino culture according to the BAS, and relatively high intuitive eating scores. Contrary to the hypothesis, analyses found no significant relationship between acculturation and intuitive eating. However, the relationship between BMI and intuitive eating approached significance. Possible reasons for lack of significance include volunteer bias from convenience sampling, frequent border crossing, and low levels of acculturation. Further research is needed to validate the translation of the complete IES-2 scale into Spanish and to include a group of Latina women with more variance in generations and ethnic groups. Despite a lack of statistical significance, intuitive eating remains a promising approach to weight maintenance for Latina women.
There is a growing knowledge base in understanding the differences and similarities between women and men, as well as the diversities among women and sexualities. Although genetic and biological characteristics define human beings conventionally as women and men, their experiences are contextualized in multiple dimensions in terms of gender, sexuality, class, age, ethnicity, and other social dimensions. Beyond the biological and genetic basis of gender differences, gender intersects with culture and other social locations which affect the socialization and development of women across their life span. This handbook provides a comprehensive and up-to-date resource to understand the intersectionality of gender differences, to dispel myths, and to examine gender-relevant as well as culturally relevant implications and appropriate interventions. Featuring a truly international mix of contributors, and incorporating cross-cultural research and comparative perspectives, this handbook will inform mainstream psychology of the international literature on the psychology of women and gender.
Anorexia nervosa and bulimia are among the few psychiatric syndromes with a plausible socio-cultural model of causation. Issues of culture and slimness are usually considered in terms of the experience of the western world, but there is a growing body of research suggesting that concern with slimness is becoming more prevalent in non-western cultures. In Culture and Weight Consciousness, Mervat Nasser brings together this research and looks at the recent emergence of eating disorders in cultures that were previously free of such problems. She relates the feminist theories that have been put forward to explain the phenomenon of eating disorders in the west to the condition of modern women in many non-western cultures and concludes that their position is not at all that different from that of their western counterparts. This leads her to address the current limitations of the concept of culture and draw out the implications for future research.
Eating disorders, once conceptualized as a White women's disease, have been on the rise affecting both women and men of diverse ethnic backgrounds. Although Asian Americans represent the third largest ethnic minority group in the U.S., little attention has been paid on the development of disordered eating among Asian Americans. Given the central role and cultural meanings behind food and eating in Asian cultures, the use of food as a culturally appropriate, yet ineffective, coping mechanism calls for deeper understanding of cultural influences and variations of eating psychopathology among Asian Americans. The present study performed a secondary data analysis on a nationally representative longitudinal sample of adolescents in the U.S (Add Health). The study examined the moderating effects of ethnicity and acculturation on the relationship between enmeshed family dynamics ( overprotectiveness and conflict avoidance) and characteristics of disordered eating (weight control behaviors, binge eating, past eating disorder diagnosis, and disordered eating behaviors). Among White adolescents, point-biserial correlations showed a weak relationship between overprotectiveness and binge eating. It also showed a weak relationship between conflict avoidance and weight control behaviors and overall disordered eating behaviors among White adolescents. There is no statistical significance in the relationships between enmeshed family dynamics and disordered eating among the Asian American counterparts. Similarly, logistic regression analyses yielded no statistically significant moderating effects of ethnicity and acculturation. The lack of statistically and clinically significant findings is likely due to inadequacies in operationalization of measurement. Future research with improved sample sizes and measurement approaches are needed to replicate the current study and to further explore the relationship between family dynamics and disordered eating among Asian Americans.
This book disseminates current information pertaining to the modulatory effects of foods and other food substances on behavior and neurological pathways and, importantly, vice versa. This ranges from the neuroendocrine control of eating to the effects of life-threatening disease on eating behavior. The importance of this contribution to the scientific literature lies in the fact that food and eating are an essential component of cultural heritage but the effects of perturbations in the food/cognitive axis can be profound. The complex interrelationship between neuropsychological processing, diet, and behavioral outcome is explored within the context of the most contemporary psychobiological research in the area. This comprehensive psychobiology- and pathology-themed text examines the broad spectrum of diet, behavioral, and neuropsychological interactions from normative function to occurrences of severe and enduring psychopathological processes.
The sociocultural model of eating disorders suggests that awareness of a thin physical ideal directly affects internalization of that ideal, which in turn, directly affects body dissatisfaction. The current study evaluated the general accuracy of the sociocultural model and examined the potential for ethnicity to protect against eating disorder symptomatology by moderating the relationships between awareness and internalization and between internalization and body dissatisfaction. Spanish (n = 100), Mexican American (n = 100), and Euro-American (n = 100) female participants completed various questionnaires measuring sociocultural attitudes towards appearance and body dissatisfaction. Analysis of covariance with tests of homogeneity of slope and path analysis using maximum likelihood with robust standard errors tested the two relationships by ethnic group. Results supported the sociocultural model: there was strong evidence for the mediational effect of internalization on the relationship between awareness and body dissatisfaction. Furthermore, ethnicity moderated the relationships such that both relationships were significantly stronger for Euro-American women than for Mexican American or Spanish women. Within the Mexican American group level of acculturation also moderated these relationships. Taken together, the results of this study highlight how ethnicity can protect against the development of eating disorder symptoms. Denouncing the thin ideal, minimizing appearance as an indicator of female value, and emphasizing personal traits other than appearance as determinants of worth are important in protecting against the development of body dissatisfaction and more severe eating pathology.