Psychological and behavioural characteristics of females with anorexia nervosa in Singapore
This study aimed to compare a sample of females with anorexia nervosa in Singapore with international clinical and population samples from published data in terms of endorsement of risk factors related to anorexia nervosa, severity of eating pathology and levels of psychosocial impairment and to explore the nature of the relationships between the anorexia nervosa risk factors and adherence to Asian cultural values.
Data from the Eating Disorder Inventory-3 (EDI-3), the Eating Attitudes Test (EAT-26), the Perceived Sociocultural Pressure Scale (PSPS), the Ideal Body Stereotype Scale (IBSS), the Eating Disorder Examination Questionnaire (EDE-Q), the Clinical Impairment Assessment Questionnaire, and the Asian American Values Scale—Multidimensional (AAVS-M) were collected from 41 female patients (13–31 years old) who presented for treatment of anorexia nervosa at the Singapore General Hospital.
The profile and presentation of anorexia nervosa in Singapore was comparable to that observed in the Western clinical samples in terms of levels of endorsement of the risk factors for anorexia nervosa. No protective benefit of orientation to Asian culture was found.
The observed pattern of general similarity of presentation between Western data and Singaporean data, together with the finding that no protective benefit of orientation to Asian culture was observed, suggests that it may be appropriate to directly apply evidence-based Western models of intervention to the treatment of anorexia nervosa in Singapore.
KeywordsAnorexia nervosa Culture Risk factors Singapore
Complaince with ethical standards
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Ethics approval was obtained from the Human Research Ethics Committee of James Cook University and the Singapore General Hospital.
Informed consent was obtained from all individual participants included in the study.
- 19.Ong YL, Tsoi WF, Cheah JS (1982) A clinical and psychosocial study of seven cases of anorexia nervosa in Singapore. Singap Med J 23(5):255–261Google Scholar
- 20.Soh NL-W, Touyz S, Dobbins TA, Surgenor LJ, Clarke S, Kohn MR, Lee EL, Leow V, Rieger E, Ung KEK, Walter G (2007) Restraint and eating concern in North European and East Asian women with and without eating disorders in Australia and Singapore. Aust N Z J Psychiatry 41(6):536–545CrossRefGoogle Scholar
- 23.Ho TF, Tai BC, Lee EL, Cheng S, Liow PH (2006) Prevalence and profile of females at risk of eating disorders in Singapore. Singap Med J 47(6):499–503Google Scholar
- 24.Garner DM (2004) Eating Disorder Inventory-3 professional manual. Psychological Assessment Resources Inc, LutzGoogle Scholar
- 27.Lake AJ, Staiger PK, Glowinski H (2000) Effect of western culture on women’s attitudes to eating and perceptions of body shape. Int J Eat Disord 27(1):83–89. doi: 10.1002/(SICI)1098-108X(200001)27:1<83:AID-EAT9>3.0.CO;2-J CrossRefPubMedGoogle Scholar
- 28.Lee HY, Lee EL, Pathy P, Chan YH (2005) Anorexia nervosa in Singapore: an eight-year retrospective study. Singap Med J 46(6):275–281Google Scholar
- 33.Nakai Y (2011) Changes of non-fat-phobic anorexia nervosa for the last 45 years in Japan. Paper presented at the The International Conference on Eating Disorders, MiamiGoogle Scholar
- 36.Neumark-Sztainer D, Wall M, Guo J, Story M, Haines J, Eisenberg M (2006) Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc 106(4):559–568. doi: 10.1016/j.jada.2006.01.003 CrossRefPubMedPubMedCentralGoogle Scholar