Factors associated with treatment seeking in a community sample of European American and Mexican American women with eating disorders

Cachelin, Fary M.; Striegel‐Moore, Ruth H.; Regan, Pamela C.

doi:10.1002/erv.720

Cited by 28 publications

(27 citation statements)

References 38 publications

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“…Similar to what we found in other studies that examine the feasibility and efficacy of the CBTgsh program (Shea et al, 2014; Shea et al, 2012), Mexican American women described the core components (i.e., intervention of problematic cognitions and behaviors) and the self-help feature as the most helpful and empowering aspect of the treatment. The systematic approach of the book and the flexibility of the program structure may be especially appealing to a population who would not otherwise seek professional psychological services due to a myriad of cultural, financial, and intuitional barriers (Cachelin et al, 2006; Cawthorne, 2008). The low-cost, self-help feature provides an alternative to participating in more expensive commercial weight loss programs.…”

Section: Discussionmentioning

confidence: 99%

Mexican American women’s perspectives on a culturally adapted cognitive-behavioral therapy guided self-help program for binge eating.

Shea

Cachelin²,

Gutiérrez

et al. 2016

Psychological Services

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The prevalence of bulimia nervosa (BN) and binge eating disorder (BED) among Latinas is comparable to those of the general population; however, few interventions and treatment trial research have focused on this group. Cognitive-behavioral therapy (CBT) is the treatment of choice for binge eating related disorders. CBT-based guided self-help (CBTgsh)—a low-cost minimal intervention—has also been shown effective in improving binge eating related symptom, but the effectiveness of the CBTgsh among ethnic minority women is not well understood. Cultural adaptation of evidence-based treatments can be an important step for promoting treatment accessibility and engagement among underserved groups. This qualitative study was part of a larger investigation that examined the feasibility and efficacy of a culturally adapted CBTgsh program among Mexican American women with binge eating disorders. Post-treatment focus groups were conducted with 12 Mexican American women with BN or BED who participated in the intervention. Data were analyzed with the grounded theory methodology (Corbin & Strauss, 2008). Three themes emerged from the data: 1) eating behavior and body ideals are socially and culturally constructed, 2) multifaceted support system is crucial to Mexican American women’s treatment engagement and success, and 3) the culturally adapted CBTgsh program is feasible and relevant to Mexican American women’s experience, but it can be strengthened with increased family and peer support. The findings provide suggestions for further adaptation and refinement of the CBTgsh, and implications for future research as well as early intervention for disordered eating in organized care settings.

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Section: Discussionmentioning

confidence: 99%

Mexican American women’s perspectives on a culturally adapted cognitive-behavioral therapy guided self-help program for binge eating.

Shea

Cachelin²,

Gutiérrez

et al. 2016

Psychological Services

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“…These inequities are especially germane for mental health, for which racial minorities are at risk for non-detection in primary care practices 19. Several studies also support that ethnicity may be a risk correlate of reduced access to care for an eating disorder in the U.S 20,21. Concerns about ethnic disparities in service access for an eating disorder have been raised for ethnic minority patients in the UK22–24 and for immigrants to Australia as well 11.…”

Section: Ethnic Disparities In Utilization Of Eating Disorders Carementioning

confidence: 99%

A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers

Becker

Arrindell

Perloe

et al. 2009

Intl J Eating Disorders

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122

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Objective:The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample.Method:We conducted an exploratory secondary analysis of qualitative data comprising transcripts from semi-structured interviews with past and prospective consumers of eating disorder treatment (n = 32). Transcripts were inputted into NVivo 8 for coding, sorting, and quantifying thematic content of interest within strata defined by ethnic minority and non-minority participants. We then examined the influence of key social barriers—including stigma and social stereotypes—on perceived impact on care.Results:The majority of respondents (78%) endorsed at least one social barrier to care for an eating or weight concern. Perceived stigma (or shame) and social stereotyping—identified both within social networks and among clinicians—had adversely impacted care for 59% and 19% of respondents, respectively.Discussion:Social barriers to care for eating and weight related concerns may be prevalent in the U.S. and impact both ethnic minority and non-minority health care consumers. © 2009 by Wiley Periodicals, Inc. (Int J Eat Disord 2010;)

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“…Yet despite their problem severity, Latina women’s eating disorders largely go undetected and untreated (Becker et al, 2010; Cachelin, Rebeck, Veisel, & Striegel-Moore, 2001; Cachelin, Striegel-Moore, & Regan, 2006). Research has demonstrated Latina women encounter numerous barriers—both on individual and institutional levels—to seeking professional help, including feelings of shame, perceived stigma, financial constraints, limited access to affordable healthcare services, and a paucity of culturally competent providers (Cachelin et al, 2001; Cachelin & Striegel-Moore, 2006; Dow, 2011). In one study, fewer than 28% of a sample of Mexican American women with weight and eating disorders ever had sought treatment, and of this group only 6.6% actually had received treatment (Cachelin et al, 2006).…”

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confidence: 99%

Culturally adapted cognitive behavioral guided self-help for binge eating: A feasibility study with Mexican Americans.

Cachelin¹,

Shea²,

Phimphasone³

et al. 2014

Cultural Diversity & Ethnic Minority Psychology

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Objective was to test feasibility and preliminary efficacy of a culturally adapted cognitive-behavioral self-help program to treat binge eating and related problems in Mexican Americans. Participants were 31 women recruited from the Los Angeles area and diagnosed with binge eating disorder, recurrent binge eating or bulimia nervosa. Participants completed a culturally adapted version of a CBT-based self-help program with 8 guidance sessions over a 3-month period. Treatment efficacy was evaluated in terms of binge eating, psychological functioning, and weight loss. Intent-to-treat analyses revealed 35.5% abstinence from binge eating at post-treatment and 38.7% diagnostic remission. Results indicated significant pre-treatment to post-treatment improvement on distress level, BMI, eating disorder psychopathology, and self-esteem. Satisfaction with the program was high. Findings demonstrate that the program is acceptable, feasible, and efficacious in reducing binge eating and associated symptoms for Mexican American women. Study provides “proof of concept” for implementation of culturally adapted forms of evidence-based programs.

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Factors associated with treatment seeking in a community sample of European American and Mexican American women with eating disorders

Cited by 28 publications

References 38 publications

Mexican American women’s perspectives on a culturally adapted cognitive-behavioral therapy guided self-help program for binge eating.

Mexican American women’s perspectives on a culturally adapted cognitive-behavioral therapy guided self-help program for binge eating.

A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers

Culturally adapted cognitive behavioral guided self-help for binge eating: A feasibility study with Mexican Americans.

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