The changing profile of eating disorders at a tertiary psychiatric clinic in Hong Kong (1987–2007)

Lee, Paul; Ng, King Lam; Kwok, Kathleen; Fung, C. F.

doi:10.1002/eat.20686

Cited by 49 publications

(38 citation statements)

References 27 publications

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“…The higher prevalence of binge eating reported by Singaporean women in this study is somewhat counter-intuitive, given that BN has been observed only rarely in newly industrialized Asian countries and binge eating disorder has not yet been described. 11,36 One possible interpretation of this finding is that there may be a lower threshold for reporting either consumption of ''an unusually large amount of food given the circumstances'' or ''a sense of having lost control over your eating'' among Singaporean women, given the importance placed on self-control, avoidance of shame, and conformity to social norms in traditional Asian societies. 19,37 A lower threshold of this kind would be consistent with Singaporean women's greater fearfulness surrounding weight gain, loss of control over eating, and the prospect of regular weighing.…”

Section: Discussionmentioning

confidence: 92%

Eating‐disordered behavior in Australian and Singaporean women: A comparative study

Mond

Chen

Kumar

2010

Intl J Eating Disorders

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Section: Discussionmentioning

confidence: 92%

Eating‐disordered behavior in Australian and Singaporean women: A comparative study

Mond

Chen

Kumar

2010

Intl J Eating Disorders

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“…Self-vomiting, abuse of laxatives and excessive exercise are common compensatory purging mechanisms used in patients with BN (American Psychiatric Association, 1994). The gender difference in both AN and BN is similar with a marked female predominance (Chisuwa and O'Dea, 2010;Lee et al, 2010;Marques et al, 2011;Chandra et al, 2012). Although the etiology of eating disorders has yet to be examined, it is evident that the causes are multifactorial, and are influenced by multiple developmental, social, and biological processes (Kim, 2012;Södersten et al, 2006;Weiselberg et al, 2011).…”

Section: Introductionmentioning

confidence: 93%

The effects of serotonin1A receptor on female mice body weight and food intake are associated with the differential expression of hypothalamic neuropeptides and the GABAA receptor

Butt

Hong

et al. 2014

Neuropeptides

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“…This difference may not have had much impact on the findings of this study. Recent studies identified that the eating disorder psychopathology was similar between westernised Chinese and Australians [49,50], and the clinical presentation of eating disorders in Hong Kong Chinese has increasingly been found to conform to that in Western countries [51]. …”

Section: Discussionmentioning

confidence: 99%

Enhancing quality of life in people with disordered eating using an online self-help programme

2013

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BackgroundEating disorders are serious mental illnesses that have a significant effect on afflicted individuals’ quality of life. Evidence has shown that they can be improved with treatment. Internet-based interventions are useful in engaging individuals with eating disorders in self-management and treatment. This study aimed primarily to identify the change in quality of life of individuals with disordered eating after participating in an open trial of an Internet-based self-help programme, and compared their quality of life at assessment with that of healthy controls. Factors affecting their quality of life were examined. Secondary outcomes related to symptom improvement were also reported.MethodsThis study included 194 individuals with disordered eating and 50 healthy controls. The former group was recruited from eating disorder outpatient clinics and treatment units, as well as via information disseminated through various Internet websites, while the healthy controls were recruited from university student newspapers and university campuses. The Medical Outcomes Study Short Form Survey (SF-36v2) was used to assess participants’ quality of life. Other measures were used to assess their symptoms and motivational stages of change to recover from an eating disorder. The Wilcoxon signed ranks test and one-way repeated measures ANOVA were used to identify the change in quality of life of individuals with disordered eating from baseline to 1-, 3- and 6-month follow-ups. The Mann–Whitney U test was employed to compare the difference in quality of life between participants with disordered eating and the healthy controls. Spearman rank order correlations were performed to examine the factors associated with quality of life.ResultsThe participants with disordered eating had significantly poorer quality of life than the healthy controls in both physical and psychological domains. The factors associated with their poor quality of life included dieting behaviour, use of laxatives, severe eating disorder psychopathology, depression and anxiety. Over a six-month follow-up period, a significant number of participants engaged in self-help behaviours using the Internet-based programme. They experienced improvements in their quality of life, eating disorder psychopathology, depression severity, anxiety level and motivational stages of change.ConclusionsInternet-based self-help programmes have the potential to enhance quality of life in individuals with disordered eating and could be useful adjuncts to professional treatment.

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The changing profile of eating disorders at a tertiary psychiatric clinic in Hong Kong (1987–2007)

Abstract: The clinical profile of eating disorders in Hong Kong has increasingly conformed to that of Western countries.

Cited by 49 publications

References 27 publications

Eating‐disordered behavior in Australian and Singaporean women: A comparative study

Eating‐disordered behavior in Australian and Singaporean women: A comparative study

The effects of serotonin1A receptor on female mice body weight and food intake are associated with the differential expression of hypothalamic neuropeptides and the GABAA receptor

Enhancing quality of life in people with disordered eating using an online self-help programme

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