Cultural Considerations in the Treatment of Eating Disorders among Racial/Ethnic Minorities: A Systematic Review

2021 ◽  
pp. 002202212110176
Author(s):  
Ashley Acle ◽  
Brian J. Cook ◽  
Nicole Siegfried ◽  
Tammy Beasley
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Acculturative Stress ◽  
Cultural Context ◽  
Minority Groups ◽  
Diagnostic Model ◽  
Cultural Considerations ◽  
Culturally Sensitive Interventions ◽  
Treatment Use ◽  
The Impact

Eating disorders (ED) prevalence is rising among ethnic and racial minority groups, yet disparities persist in treatment seeking, and effectiveness. The purpose of this systematic review was to summarize works that provide theoretically grounded and empirically evidenced clinical recommendations for the inclusion of culture in the treatment of eating disorders in non-white individuals. Thirty one articles revealed the following 11 core recommendation themes for how to effectively address culture in ED treatment: use culturally sensitive interventions; address barriers to treatment; understand patients within their cultural context; explore the impact of culturally contextual factors; assume a collaborative, curious therapeutic stance; understand nuances that impact clinical presentations; explore family/social supports; provide education/psychoeducation; explore ethnic identity, acculturation and acculturative stress; become educated about working with ethnic and racial minorities; and use a culturally flexible diagnostic model. Consolidating these recommendations evidenced from the literature fills a gap relevant to ED treatment and provides empirically derived, culturally-accommodating guidance on how future studies may include ethnic and racial considerations when developing treatment approaches and/or evaluating outcomes.

scholarly journals Impact of eating disorders on paid or unpaid work participation and performance: a systematic review and meta-analysis protocol

2022 ◽  
Vol 10 (1) ◽  
Author(s):  
Fatima Safi ◽  
Anna M. Aniserowicz ◽  
Heather Colquhoun ◽  
Jill Stier ◽  
Behdin Nowrouzi-Kia
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Work Participation ◽  
Unpaid Work ◽  
Cochrane Library ◽  
And Performance ◽  
The Impact

Abstract Background Eating disorders (ED) can reduce quality of life by limiting participation and performance in social and occupational roles, including paid or unpaid work. The association between ED pathologies and work participation and performance must be well understood to strengthen vocational rehabilitation programmes and prevent occupational disruptions in the ED population. The aims of this study are: (1) to examine the degree of association between ED pathologies and work participation and performance in 15-year-olds and older; (2) to highlight the specific ED symptoms that are most correlated with changes in work performance and participation; (3) to compile the most common metrics and assessments used to measure work participation and performance with ED. Methods Medline, Embase, CINAHL, Web of Science, PsycINFO, and Cochrane Library will be searched for observational and experimental studies that meet the following criteria: (1) a clinical sample of typical or atypical ED; (2) paid or unpaid employment or training; (3) an association between ED pathologies and work participation or performance. Unpublished data will also be examined. Title and abstract, and full-text screening will be conducted in duplicate. Risk of bias and quality of evidence assessments will be completed. A random-effect meta-analysis will be performed. Discussion This synthesis can clarify knowledge and gaps around the impact of ED on work functioning, thereby allowing better evaluation, improvements and development of current workplace assessments, interventions, and policies. Trial registration The registration number for this systematic review on PROSPERO is CRD42021255055.

scholarly journals The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 840 ◽  
Author(s):  
Annica F. Dörsam ◽  
Hubert Preißl ◽  
Nadia Micali ◽  
Sophia B. Lörcher ◽  
Stephan Zipfel ◽  
...  
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Dietary Intake ◽  
Maternal Nutrition ◽  
Deficiency Anemia ◽  
Current Evidence ◽  
Qualitative Synthesis ◽  
Supplement Use ◽  
Sweetened Beverages ◽  
The Impact

Maternal nutrition in pregnancy has a key influence on optimum fetal health. Eating disorders (EDs) during pregnancy may have detrimental effects on fetal growth and the child’s early development. There is limited knowledge concerning the eating behavior, dietary intake and derived nutritional biomarkers as well as the nutrient supplementation in women with EDs during pregnancy. We performed a systematic review according to the PRISMA statement to synthesize current evidence in this field. Of N = 1203 hits, 13 full-texts were included in the qualitative synthesis. While women with current Binge Eating Disorder (BED) showed higher energy and fat intakes during pregnancy, women with a lifetime Anorexia Nervosa (AN), Bulimia Nervosa (BN) or both (AN + BN) had similar patterns of nutrient intake and dietary supplement use as healthy women. There is evidence, that women with a history of EDs have a sufficient diet quality and are more likely to be vegetarian. Dieting and bingeing improved substantially with pregnancy. The highlighted differences in the consumption of coffee/caffeine and artificially sweetened beverages as well as the elevated prevalence of iron deficiency anemia in women with a past or active ED during pregnancy might have an important impact on fetal development.

scholarly journals The impact of maternal eating disorders on breastfeeding practices: a systematic review

2021 ◽  
Author(s):  
Anna Kaß ◽  
Annica Franziska Dörsam ◽  
Magdalene Weiß ◽  
Stephan Zipfel ◽  
Katrin Elisabeth Giel
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Negative Impact ◽  
Total Duration ◽  
Breastfeeding Initiation ◽  
Negative Effects ◽  
Child Feeding ◽  
Negative Experiences ◽  
Breastfeeding Practices ◽  
The Impact

AbstractBreastfeeding is an effective way to protect and promote the health of the infant and mother. Cultural, social, economic, medical, or psychological factors might interfere with successful breastfeeding. Therefore, maternal eating disorders (EDs) may have detrimental effects on the decision of breastfeeding initiation and on its continuation. There is limited knowledge about the breastfeeding practices of mothers with EDs. We performed a systematic review to generate more evidence in this area. A search was conducted in PubMed and PsycINFO, and several journals were hand searched for relevant publications. Of N = 3904 hits, 13 full texts were included in the qualitative analysis. The findings on total duration of BF between mothers with and without EDs were mixed, but women with EDs showed more negative experiences and emotional problems during BF. There was not enough evidence to conclude on breastfeeding initiation, or on the duration of exclusive breastfeeding. Maternal EDs might have a negative impact on BF practices with possible negative effects on the maternal-child feeding environment. Further studies with comparable data and information on the women’s partners’ attitudes about breastfeeding are needed.

scholarly journals Refugees, resettlement experiences and mental health: a systematic review of case studies

2019 ◽  
Vol 68 (2) ◽  
pp. 121-132
Author(s):  
Karin Juliane Duvoisin Bulik ◽  
Erminia Colucci
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Case Studies ◽  
Mental Health Treatment ◽  
Cultural Context ◽  
Cochrane Library ◽  
The Cochrane Library ◽  
And Coping ◽  
Migration Experiences ◽  
The Impact

ABSTRACT Objective In 2017 the number of refugees around the world reached 25.4 million. These people make up one of the most vulnerable populations globally. This study aims to understand the strategies refugees used to cope with the impact on their mental health by the difficult pre- and post-resettlement circumstances they encountered. Methods A systematic review of articles reporting case studies concerning adult refugees’ experiences in the hosting country. The electronic databases searched were: PubMed, The Cochrane Library, PsycINFO, Embase, Scopus and Web of Science. Eligible manuscripts were examined through a narrative synthesis. Results Twenty-two articles fitted the inclusion criteria and four main themes were highlighted: reasons for fleeing; the impact of negative experiences on mental health; supportive experiences and coping strategies; and experiences of mental health treatment. Conclusions Refugees present a significant impact on mental health due to pre- and post-migration experiences. The approach offered to this group and reported as the most effective to deal with such an impact was the multidimensional approach that, besides caring for the psychic aspects, contemplated the cultural context of each one, assisted in housing, employment, financial aid, support with learning the new language and social activities.

scholarly journals COVID-19 Pandemic and Eating Disorders: What Can We Learn About Psychopathology and Treatment? A Systematic Review

2021 ◽  
Vol 23 (12) ◽  
Author(s):  
Alessio Maria Monteleone ◽  
Giammarco Cascino ◽  
Eugenia Barone ◽  
Marco Carfagno ◽  
Palmiero Monteleone
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Internalizing Symptoms ◽  
Mental Healthcare ◽  
Stressful Events ◽  
Risk And Resilience ◽  
Factors Affecting ◽  
Online Treatment ◽  
The Face ◽  
The Impact

Abstract Purpose of Review This systematic review aims to collect evidence regarding the impact of the SarsCov-2 pandemic on people affected by eating disorders (EDs) targeting the following variables: psychopathology changes, mechanisms of vulnerability or resilience, and perception of treatment modifications during the pandemic. Recent Findings Since the beginning of the pandemic, a mental health deterioration has been detected in the general population and especially in people affected by pre-existing psychiatric conditions. Furthermore, mental healthcare has moved toward online treatment. Summary ED people showed a trend toward worsening of ED-specific psychopathology and impairment in general psychopathology. The most common vulnerability mechanisms were social isolation and feelings of uncertainty, while heightened self-care and reduced social pressure were resilience factors. The online treatment, although raising many concerns related to its quality, was considered the best alternative to the face-to-face approach. These findings may support the idea that stressful events contribute to the exacerbation of ED psychopathology and highlight the relevance of internalizing symptoms in EDs. The identification of putative risk and resilience variables as well as of subjective factors affecting online treatment perception may inform healthcare professionals and may promote more personalized approaches.

Acculturative Stress and the Effects on Health and Health Behaviors in Hispanic Immigrants: A Systematic Review

2021 ◽  
pp. 073998632110448
Author(s):  
Alyssia M. Miller De Rutté ◽  
Brianna P. Rubenstein
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Behaviors ◽  
Acculturative Stress ◽  
Database Search ◽  
Future Research ◽  
Health Issues ◽  
Study Results ◽  
Stress Measure ◽  
The Impact

The purpose of this systematic review was to investigate previously published literature that examined the impact of acculturative stress on health in Spanish-speaking populations. The database search yielded a final count of 32 eligible articles for inclusion in this review. Age, acculturative stress measure, and study results were analyzed. Overall, 81.2% of studies investigated the impacts of acculturative stress on mental health with the majority concluding that increased acculturative stress had a significant relationship with greater mental health issues, such as depression, anxiety, and psychological stress. Other studies in this review examined impacts on physical health and health behaviors, but yielded inconclusive results indicating that these are areas for future research.

scholarly journals Avaliação da procura pelos serviços de saúde e tratamento farmacológico de pacientes com anorexia e bulimia nervosa

2019 ◽  
Vol 8 (5) ◽  
Author(s):  
Fernando Yamamoto Chiba ◽  
Suzely Adas Saliba Moimaz ◽  
Artênio José Ísper Garbin ◽  
Cléa Adas Saliba Garbin
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
World Health Organization ◽  
Young Women ◽  
American Psychiatric Association ◽  
World Health ◽  
Health Organization ◽  
The Impact

Introdução: Os transtornos alimentares são caracterizados como distúrbios do comportamento alimentar, associados ao desequilíbrio nos pensamentos, ações e atitudes dos indivíduos resultando em prejuízos à saúde do indivíduo. Estas condições são cada vez mais comuns na sociedade atual e têm ganhado crescente atenção da comunidade científica. Objetivo: Analisar a procura pelo atendimento e farmacoterapia em mulheres com anorexia e bulimia nervosa atendidas em uma faculdade de medicina em 2018. Material e método: Realizou-se análise documental dos prontuários médicos. A procura pelo atendimento foi considerada não-espontânea quando a paciente foi encaminhada pela unidade de urgência/emergência ou compareceu acompanhada por responsável legal sem admitir necessidade de tratamento. Resultados: Identificou-se 14 pacientes, com idade média de 31,21 anos. 43% apresentaram procura não-espontânea pelo atendimento, sendo 83% destas encaminhadas por unidades de urgência/emergência. Foram prescritos 21 medicamentos diferentes, sendo a maioria antidepressivos. 52% dos fármacos prescritos não são disponibilizados pelo Sistema Único de Saúde. 29% dos pacientes apresentavam polifarmácia, 43% automedicação e 57% pensamento de morte. Houve associação entre o pensamento de morte e uso de 4 ou mais medicamentos. Conclusão: Uma parcela considerável das pacientes teve procura não-espontânea pelo atendimento. Os fármacos prescritos foram principalmente antidepressivos e a maioria não é disponibilizado no Sistema Único de Saúde, evidenciando a onerosidade econômica e social do tratamento.Descritores: Transtornos da Alimentação e da Ingestão de Alimentos; Anorexia; Bulimia; Tratamento Farmacológico.ReferênciasLe LK, Barendregt JJ, Hay P, Mihalopoulos C. Prevention of eating disorders: A systematic review and meta-analysis. Clin Psychol Rev. 2017;53:46-58.Herpertz-Dahlmann B. Adolescent eating disorders: definitions, symptomatology, epidemiology and comorbidity. Child Adolesc Psychiatr Clin N Am. 2009;18(1):31-47.Zabala MJ, Macdonald P, Treasure J. Appraisal of caregiving burden, expressed emotion and psychological distress in families of people with eating disorders: a systematic review. Eur Eat Disord Rev. 2009;17(5):338-49.Sharan P, Sundar AS. Eating disorders in women. Indian J Psychiatry. 2015; 57(Suppl 2): S286–S295.Brandys MK, de Kovel CG, Kas MJ, van Elburg AA, Adan RA. Overview of genetic research in anorexia nervosa: The past, the present and the future. Int J Eat Disord. 2015;48(7):814-25.Mitchison D, Hay PJ. The epidemiology of eating disorders: genetic, environmental, and societal factors. Clin Epidemiol. 2014;6:89-97.American Psychiatric Association; 2013. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington.Smink FR, van Hoeken D, Hoek HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep. 2012;14(4):406-14.Geneva: World Health Organization; 1992. World Health Organization. The ICD-10 classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines.Stewart TM, Williamson DA. Multidisciplinary treatment of eating disorders--Part 1: Structure and costs of treatment. Behav Modif. 2004;28(6):812-30.Donaldson AA, Hall A, Neukirch J, Kasper V, Simones S, Gagnon S, et al. Multidisciplinary care considerations for gender nonconforming adolescents with eating disorders: A case series. Int J Eat Disord. 2018;51(5):475-479.Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Alimentação e Nutrição/Ministério da Saúde, Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Brasília: Ministério da Saúde, 2013. 84 p.Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. departamento de assistência farmacêutica e insumos estratégicos. Relação nacional de medicamentos essenciais: RENAME 2017. Brasília: Ministério da Saúde, 2017. 210 p.Stice E, Marti CN, Rohde P. Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol. 2013;122(2):445-57.Lewinsohn PM, Striegel-Moore RH, Seeley JR. Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood. J Am Acad Child Adolesc Psychiatry. 2000;39(10):1284-92.van Son GE, van Hoeken D, Bartelds AI, van Furth EF, Hoek HW. Time trends in the incidence of eating disorders: a primary care study in the Netherlands. Int J Eat Disord. 2006;39(7):565-9.Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord. 2003;34(4):383–96.Brand-Gothelf A, Leor S, Apter A, Fennig S. The impact of comorbid depressive and anxiety disorders on severity of anorexia nervosa in adolescent girls. J Nerv Ment Dis. 2014;202(10):759-62.Bühren K, Schwarte R, Fluck F, Timmesfeld N, Krei M, Egberts K, et al. Comorbid psychiatric disorders in female adolescents with first-onset anorexia nervosa. Eur Eat Disord Rev. 2014;22(1):39-44.Mizusaki K, Gih D, LaRosa C, Richmond R, Rienecke RD. Psychotropic usage by patients presenting to an academic eating disorders program. Eat Weight Disord. 2018 Jun 7. doi: 10.1007/s40519-018-0520-3. [Epub ahead of print]Fazeli PK, Calder GL, Miller KK, Misra M, Lawson EA, Meenaghan E, et al. Psychotropic medication use in anorexia nervosa between 1997 and 2009. Int J Eat Disord. 2012;45(8):970-6.Nascimento RCRM, Álvares J, Guerra Junior AA, Gomes IC, Costa EA, Leite SN et al. Availability of essential medicines in primary health care of the Brazilian Unified Health System. Rev. Saúde Pública. 2017;51(Suppl 2):10s.Fassino S, Abbate-Daga G. Resistance to treatment in eating disorders: a critical challenge. BMC Psychiatry. 2013;13:282.Becker AE, Fay KE, Agnew-Blais J, Khan AN, Striegel-Moore RH, Gilman SE. Social network media exposure and adolescent eating pathology in Fiji. Br J Psychiatry. 2011;198(1):43-50.Groesz LM, Levine MP, Murnen SK. The effect of experimental presentation of thin media images on body satisfaction: a meta-analytic review. Int J Eat Disord. 2002;31(1):1-16.

The impacts of COVID-19 on eating disorders and disordered eating: A mixed studies systematic review and implications for healthcare professionals, carers, and self

2021 ◽  
Author(s):  
Courtney McLean ◽  
Ranjani Utpala ◽  
Gemma Sharp
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Disordered Eating ◽  
Future Research ◽  
Eating Behaviours ◽  
Vulnerable Group ◽  
Eligibility Criteria ◽  
The Impact

Objective: The unique constraints to everyday life brought about by the COVID-19 pandemic have been shown to negatively impact those with pre-existing mental health issues such as eating disorders. While individuals with eating disorders or disordered eating behaviours represent a vulnerable group to COVID-19 pandemic, the impact of the pandemic is yet to be fully established. As such, we systematically examined the impact of the COVID-19 pandemic on eating disorders and disordered eating behaviours. Method: We searched electronic databases MEDLINE, PsycINFO, CINAHL, and EMBASE for literature published until October 2021. Eligible studies were required to report on individuals with or without a diagnosed eating disorder or disordered eating behaviours who were exposed to the COVID-19 pandemic. Results: Seventy-two studies met eligibility criteria with the majority supporting an increase in eating disorder or disordered eating behaviours associated with the COVID-19 pandemic. Specifically, children and adolescents and individuals with a diagnosed eating disorder present a vulnerable group to the impacts of the COVID-19 pandemic. Discussion: This systematic review provides a timely insight into COVID-19 eating disorder literature and will assist in understanding possible future long-term impacts of the pandemic on eating disorders behaviours. It appears that the role of stress in the development and maintenance of eating disorders was intensified as a means to cope with the uncertainty of the pandemic. Future research is needed among understudied and minority groups and to examine the long-term implications of the COVID-19 pandemic on eating disorders and disordered eating behaviours.

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