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| Research article summary (published 29 Jun 2003): |
A comparison of cognitive and behavioral symptoms between Mexican and American eating disorder patients.
Full Abstract
OBJECTIVE:
Mexican and U.S. patients with anorexia nervosa or bulimia (complete and partial syndromes) were compared on severity and types of preoccupations and rituals related to eating disorders and the motivation to change.
METHOD:
One hundred seventy-four patients who met DSM-IV criteria for anorexia nervosa, bulimia nervosa, or ED-NOS participated. Eighty-seven subjects entered treatment at the Instituto Nacional de Psiquiatría "Ramón de la Fuente" in Mexico City and were matched with 87 patients treated at the New York Presbyterian Hospital. Patients were interviewed with the Yale-Brown-Cornell Eating Disorder Scale (YBC-EDS) (English or Spanish version).
RESULTS:
All YBC-EDS scores were higher for the Mexican group, which also had a greater number of current preoccupations and rituals. U.S. and Mexican patients were quite similar in their endorsement of current preoccupations, but the Mexican group was more likely to have rituals in all checklist categories, and the rituals were more egosyntonic. More U.S. patients had received previous treatment for their eating disorder. A negative correlation was obtained between the amount of previous treatment and motivation to change the preoccupations and rituals (higher scores indicating lower motivation).
DISCUSSION:
Cultural factors may influence characteristics of eating disorders. The previous treatment experiences of the U.S. patients seemed to positively influence their motivation for further treatment.Copyright by Wiley Periodicals, Inc.
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Author information
Author/s: Caballero, Alejandro R (AR); Sunday, Suzanne R (SR); Halmi, Katherine A (KA);
Affiliation: Instituto Nacional de Psiquiatría Ramón de la Fuente, Mexico City, México.
Journal and publication information
Publication Type: Comparative Study; Journal Article
Journal: The International journal of eating disorders (Int J Eat Disord), published in United States. (Language: eng)
Reference: 2003-Jul; vol 34 (issue 1) : pp 136-41
Dates: Created 2003/05/28; Completed 2003/10/22; Revised 2006/11/15;
PMID: 12772178, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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