Women and eating disorders, Part I: Significance and sociocultural risk factors.

Eating disorders are a significant health problem for women today and therefore are a concern for the health professionals who work with women. The significance of this problem is addressed through epidemiological data from a Western cultural perspective. Many risk factors contribute to the development of these disorders. Broad categories including sociocultural, developmental, familial, and biological factors have been identified by clinicians and researchers. The sociocultural risk factors are the norms, standards, or values of a society. The sociocultural risk factors explored in this article are (a) the value of a thin physique, (b) the value of perfection, (c) the norm of dieting, (d) the influence of the media on these values, and (e) the choice of certain professions. The role of the health professional in prevention with respect to sociocultural factors is discussed.

[1]  D. A. Fantini,et al.  Possible causes of the thin standard of bodily attractiveness for women , 1986 .

[2]  J. Polivy,et al.  Diagnosis and treatment of normal eating. , 1987, Journal of consulting and clinical psychology.

[3]  L. Beutler,et al.  Height-weight ratios among female athletes: Are collegiate athletics the precursors to an anorexic syndrome? , 1985 .

[4]  H. Babigian,et al.  Epidemiology of Anorexia Nervosa in Monroe County, New York: 1960‐1976 , 1980, Psychosomatic medicine.

[5]  J. Lacey,et al.  Body image distortion in noneating disordered women , 1987 .

[6]  R. Palmer,et al.  How Common is Anorexia Nervosa? A Prevalence Study , 1976, British Journal of Psychiatry.

[7]  L. Hsu The gender gap in eating disorders: Why are the eating disorders more common among women? , 1989 .

[8]  D. Roe,et al.  Eating habits and nutrient intakes of college women over a thirty-year period. , 1977, Journal of the American Dietetic Association.

[9]  P. N. Clarke,et al.  Body weight: relationship to conversational distance and self-actualization. , 1989, Health care for women international.

[10]  I. Nylander The feeling of being fat and dieting in a school population. An epidemiologic interview investigation. , 1971, Acta socio-medica Scandinavica.

[11]  M. Collins,et al.  Body figure perceptions and preferences among preadolescent children , 1991 .

[12]  M. Mckenna Assessment of the Eating Disordered Patient , 1989 .

[13]  S. Theander Anorexia nervosa. A psychiatric investigation of 94 female patients. , 1970, Acta psychiatrica Scandinavica. Supplementum.

[14]  A. Fallon,et al.  Sex differences in perceptions of desirable body shape. , 1985, Journal of abnormal psychology.

[15]  B. Silverstein,et al.  The role of the mass media in promoting a thin standard of bodily attractiveness for women , 1986 .

[16]  J. Thompson,et al.  The discrepancy between emotional vs. rational estimates of body size, actual size, and ideal body ratings: theoretical and clinical implications. , 1989, Journal of clinical psychology.

[17]  H. Bruch Anorexia Nervosa: therapy and theory. , 1982, The American journal of psychiatry.

[18]  T. Kuboki,et al.  Statistical studies on anorexia nervosa in Japan: detailed clinical data on 1,011 patients. , 1985, Psychotherapy and psychosomatics.

[19]  J. Carlsmith,et al.  Sexual Maturation, Social Class, and the Desire to Be Thin Among Adolescent Females , 1984, Journal of developmental and behavioral pediatrics : JDBP.

[20]  J. White The process of embarking on a weight control program. , 1984, Health care for women international.

[21]  C. Steiner-Adair The body politic: normal female adolescent development and the development of eating disorders. , 1986, The Journal of the American Academy of Psychoanalysis.

[22]  J. Rodin,et al.  Feminity/masculinity and disordered eating in women: How are they related? , 1987 .

[23]  A. Crisp Some possible approaches to prevention of eating and body weight/shape disorders, with particular reference to anorexia nervosa , 1988 .

[24]  O. W. Wooley,et al.  The Beverly Hills eating disorder: The mass marketing of anorexia nervosa , 1982 .

[25]  D. Garner,et al.  Cultural Expectations of Thinness in Women , 1980, Psychological reports.

[26]  R. Gordon Anorexia and bulimia: anatomy of a social epidemic , 1992 .

[27]  P. Garfinkel,et al.  Socio-cultural factors in the development of anorexia nervosa , 1980, Psychological Medicine.

[28]  M. Drake Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) , 1988 .

[29]  R. Palmer The dietary chaos syndrome: a useful new term? , 1979, The British journal of medical psychology.

[30]  K. Halmi,et al.  Binge-eating and vomiting: a survey of a college population , 1981, Psychological Medicine.

[31]  Femininity, image, feminism and a decision to seek treatment in obese women. , 1986, Health care for women international.

[32]  R. S. Stangler,et al.  DSM-III: psychiatric diagnosis in a university population. , 1980, The American journal of psychiatry.