Eating Disorders among Adolescents in a Tertiary Care Centre in India

Basker, Mona M; Mathai, Sarah; Korula, Sophy; Mammen, Priya

doi:10.1007/s12098-012-0819-4

Cited by 13 publications

(18 citation statements)

References 15 publications

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“…By comparison, a diagnosis of AN (14.6 % of all ED diagnoses), was associated with an upper-SES background, not being the first-born, and ED onset in adolescence. Therefore, although there may be reason to believe that factors contributing to ED onset such as body dissatisfaction and dieting, may be on the rise, it is important to note that available evidence does not suggest that unhealthy weight loss strategies and eating disordered behaviors are common in India [ 114 – 117 ], nor does it give any indication that rates of clinical EDs are rising [ 118 ]. Even so, the perception that EDs are increasing in urban India appears to be gaining ground, based on the findings of a 2012 survey of 66 practicing psychiatrists whom were asked whether they perceived EDs to be a ‘serious clinical issue’ in India.…”

Section: Introductionmentioning

confidence: 99%

The rise of eating disorders in Asia: a review

2015

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Once concentrated among adolescent Caucasian females in high-income Western countries, today, eating disorders (EDs) are truly global. Building upon previous work describing the rise of EDs among cultures in transition, we contextualize the emergence of EDs in Asia by locating this development within the broader discourse about the processes of change that have radically transformed Asian societies over the last three decades. By identifying where EDs are emerging in the region, and by examining their particular expression, our aim is to explicate a fuller story of the relationship between culture and eating disorders.Much of the discussion of EDs in non-Western societies is predicated upon the assumption that an increase in EDs is the by-product of “Westernization”, the term used to describe the process by which increased cultural contact with the West results in the transmission of so-called ‘Western’ ideas and cultural norms to a non-Western culture. While the Westernization literature represents a historical anchor in our understanding of EDs in Asia, we propose that this analysis is incomplete in that societal change in the form of industrialization and urbanization occurring independently from, or in tandem with, “Western” influence are critical factors contributing to the rise of EDs in Asia. Further, our review of eating disorders in Asia suggests that an understanding of the diversity and distinctiveness of the individual countries and cultures that comprise ‘Asia’ is crucial to understanding the emergence and rise of EDs across this vast region, suggesting that eating disorders are not culture-bound or culture-specific, but rather culture-reactive. Taking into account both the historical influence of Western culture and the more contemporary effects of Asian industrialization and urbanization, key distinctions among respective Asian cultures expands our understanding of the development and expression of EDs globally.

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Section: Introductionmentioning

confidence: 99%

The rise of eating disorders in Asia: a review

2015

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“…[34] The symptoms of AN were found to flare up after being teased by peers about weight which was followed by concerns about weight gain, in the majority of cases. [2729] There is also a case of AN which had atypical features such as denial of fears of weight gain. [36] One report of disordered eating described a young female, in whom “not eating” was conceptualized as a resistance to the patriarchal system and this highlights the role of Indian sociocultural factors for developing an ED.…”

Section: Resultsmentioning

confidence: 99%

“…Bradycardia, hypotension, anemia, and dyselectrolytemia have been reported at the time of presentation to a psychiatrist. [272838] Wernicke–Korsakoff syndrome was the presenting symptom for a 39-year-old female who had AN from adolescence. [39] Surreptitious use of metformin, with episodes of hypoglycemia, was the presenting symptom in another case of AN in a 21-year-old female.…”

Section: Resultsmentioning

confidence: 99%

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Eating Disorders: An Overview of Indian Research

Vaidyanathan¹,

Kuppili

Menon³

2019

Indian Journal of Psychological Medicine

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There has been sporadic research on eating disorders in India, with no published attempt to collate and summarize the literature landscape. Hence, the present narrative review aims to summarize Indian work related to eating disorders, discern current trends, and highlight gaps in research that will provide directions for future work in the area. Electronic search using the MEDLINE, Google Scholar, and PsycINFO databases was done to identify relevant peer-reviewed English language articles, in October 2018, using combinations of the following medical subject headings or free text terms: “eating disorders,” “anorexia nervosa,” “bulimia,” “treatment,” “epidemiology,” “co-morbidity,” “management,” “medications,” “behavioral intervention,” and “psychosocial intervention.” The data extracted from studies included details such as author names, year, from which of the states in India the work originated, type of intervention (for interventional studies), comparator (if any), and major outcomes. There is increasing research focused on eating disorders from India over the last decade, but it continues to be an under-researched area as evidenced by the relative paucity of original research. The cultural differences between east and west have contributed to variations in the presentation as well as challenges in the diagnosis. Hence, there is a need for the development of culturally sensitive instruments for diagnosis, as well as generating locally relevant epidemiological data about eating disorders from community and hospital settings.

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