目的:进食障碍(ED)意识低。我们评估了ED症状识别,感知到需要治疗,感知到的痛苦,感知的可接受性,感知的患病率因ED患者的性别而异。
方法:276名社区参与者被随机分配到三种性别条件之一(女性,男性,和非二进制),阅读三个小插图,描述三个患有ED症状的不同个体[神经性厌食症(AN),神经性贪食症(BN),和暴饮暴食症(BED)],然后回答了一系列与参与者ED症状识别相关的问题,感知到需要治疗,感知到与ED症状相关的痛苦,感知的可接受性(例如,有ED可能不会太坏的程度),和感知的患病率。进行混合方差分析和卡方分析以检查组间的差异。
结果:性别状况在结局变量中没有显著的主要影响。ED类型对问题识别有主要影响,感知到需要治疗,感知到的痛苦水平,和感知的患病率,参与者更有可能认识到AN和BN小插曲中的问题,而不是BED小插曲,参考治疗,并在小插图中评价比BN和BED小插图更高的痛苦感知水平,并且认为BN小插图的患病率高于AN小插图。感知患病率存在显著的性别与条件的交互作用,参与者对女性和非二元个体的AN患病率高于男性,女性的BN患病率高于非二元个体和男性。
结论:这些结果强调了对ED进行教育的重要性以及对ED可以发生在任何个体中的认识,不管他们的性别认同。
方法:一级,随机化的实验研究。
OBJECTIVE: Eating disorder (ED) awareness is low. We assessed if ED symptom recognition, perceived need for treatment, perceived distress, perceived acceptability, and perceived prevalence differed depending on the gender of the individual with the ED.
METHODS: 276 community participants were randomly assigned to one of three gender conditions (female, male, and non-binary), read three vignettes describing three different individuals with ED symptoms [anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED)], and then answered a series of questions related to participants ED symptom recognition, perceived need for treatment, perceived distress associated with having ED symptoms, perceived acceptability (e.g., the extent to which it may not be too bad to have an ED), and perceived prevalence. Mixed ANOVAs and chi-square analyses were conducted to examine differences between groups.
RESULTS: There were no significant main effects of gender condition across the outcome variables. There were main effects of ED type for problem recognition, perceived need for treatment, perceived level of distress, and perceived prevalence, with participants being more likely to recognize a problem in the AN and BN vignettes than the BED vignettes, refer for treatment and rate a higher perceived level of distress in then AN vignette than the BN and BED vignettes, and perceive a higher prevalence rate in the BN vignette than the AN vignette. There was a significant gender by condition interaction for perceived prevalence, with participants rating a higher prevalence of AN in women and non-binary individuals than men and a higher prevalence of BN in women than non-binary individuals and men.
CONCLUSIONS: These results highlight the importance of education on EDs and awareness that EDs can occur in any individual, regardless of their gender identification.
METHODS: Level I, experimental study with randomization.