Skip to main content

Research Repository

See what's under the surface

Advanced Search

Eating symptomatology and general psychopathology in patients with anorexia nervosa from China, UK and Spain: a cross-cultural study examining the role of social attitudes

Aguera, Zaida; Brewin, Nicola; Chen, Jue; Granero, Roser; Kang, Qing; Fernandez-Aranda, Fernando; Arcelus, Jon

Authors

Zaida Aguera

Nicola Brewin

Jue Chen

Roser Granero

Qing Kang

Fernando Fernandez-Aranda

Jon Arcelus



Abstract

Cultural studies exploring differences in the manifestation of anorexia nervosa (AN) have primarily focus on Western and non-Western cultures. However, no study so far has considered the role that social attitudes (i.e. Collectivist vs. Individualist cultural values) have in the clinical manifestations of eating disorders, including AN patients. With this in mind, the aim of this study is to compare eating and general psychopathology in a large sample of individuals diagnosed with AN from China, Spain, and United Kingdom (UK), in order to study the differences according to belonging to Western or non-Western country, or the country's Individualist Index (IDV). The total sample comprised on 544 adults with a diagnosis of AN recruited from People´s Republic of China (n=72), UK (n=117), and Spain (n=355). Assessment measures included the Eating Disorders Inventory and the Symptom Checklist-90- Revised. Our results show significant differences in most of the eating and psychopathological indices between the three countries. Patients from Western societies (Spain and UK) share more similarities regarding psychopathological expression of AN than the non-Western country (China). While Western countries show higher levels of body dissatisfaction, somatization and overall psychopathology, Chinese patients tend to deny or minimize depression, anxiety and other psychopathological symptoms. Besides, the IDV shows cultural differences in the interpersonal sensitivity scale, being AN patients from UK (the more individualistic society) who presented with higher levels of interpersonal sensitivity (i.e. discomfort during interpersonal interactions and more negative expectations concerning interpersonal behavior). In conclusion, our findings suggest that psychopathological expression of AN is better explained by Western/Eastern influence than by individualist/collectivist values. Although the diagnosis for the eating disorder may be the same, differences in the psychopathology comorbid to the eating disorders may suggest the need for treatments to be modified according to the culture.

Journal Article Type Article
Journal PLoS ONE
Electronic ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 12
Issue 3
Article Number e0173781
APA6 Citation Aguera, Z., Brewin, N., Chen, J., Granero, R., Kang, Q., Fernandez-Aranda, F., & Arcelus, J. (in press). Eating symptomatology and general psychopathology in patients with anorexia nervosa from China, UK and Spain: a cross-cultural study examining the role of social attitudes. PLoS ONE, 12(3), https://doi.org/10.1371/journal.pone.0173781
DOI https://doi.org/10.1371/journal.pone.0173781
Keywords Anorexia Nervosa; cross-cultural study; Western; non-Western, collectivism; Individualism
Publisher URL http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0173781
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

Files

file.pdf (881 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





You might also like



Downloadable Citations

;