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Eating disorders: an Indian perspective

S K Khandelwal1, P Sharan, S Saxena

  • 1Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.

The International Journal of Social Psychiatry
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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Anorexia nervosa is rarely seen in India, with five young women presenting atypical eating disorder symptoms like vomiting and weight loss, complicating diagnosis due to cultural factors.

Area of Science:

  • Psychiatry
  • Cultural Psychiatry
  • Eating Disorders

Background:

  • Anorexia nervosa and related eating disorders are infrequently observed in non-Western societies.
  • Information on eating disorders in India is notably scarce.
  • This study investigates the presentation and diagnosis of eating disorders in young Indian women.

Observation:

  • Five cases of young women presented with anorexia nervosa-like symptoms, including food refusal, persistent vomiting, significant weight loss, and amenorrhea.
  • Key characteristic features of anorexia nervosa, such as hyperactivity and body image disturbances, were absent in these cases.
  • The patients experienced considerable diagnostic challenges despite ultimately being diagnosed with eating disorders.

Findings:

  • The study highlights the atypical presentation of eating disorders in the Indian context.

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  • Socio-cultural factors in India may contribute to the apparent rarity and unique manifestation of these conditions.
  • Diagnostic difficulties arise from the deviation from classical anorexia nervosa symptoms.

    • Implications:

    • Findings suggest a need for culturally sensitive diagnostic criteria for eating disorders in diverse populations.
    • Understanding socio-cultural influences is crucial for accurate diagnosis and effective treatment of eating disorders globally.
    • Further research is warranted to explore the epidemiology and phenomenology of eating disorders in India and similar cultural settings.