Patricia E. Dunne

Bio: Patricia E. Dunne is an academic researcher from Columbia University. The author has contributed to research in topics: Eating disorders & Bulimia nervosa. The author has an hindex of 4, co-authored 9 publications receiving 306 citations.

The rise of eating disorders in Asia: a review

Abstract: 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.

Cultural trends and eating disorders.

Abstract: Purpose of review Culture has long been recognized as significant to the cause and expression of eating disorders. We reviewed the recent literature about recent trends in the occurrence of eating disorders in different cultures. Recent findings While historically, eating disorders were conceptualized as primarily afflicting Caucasian adolescent or young adult women within high-income, industrialized Western Europe and North America, eating disorders are increasingly documented in diverse countries and cultures worldwide. This study highlights recent trends that reflect the changing landscape of culture and eating disorders: stabilization of the incidence of anorexia nervosa and possibly lower incidence rates of bulimia nervosa in Caucasian North American and Northern European groups; increasing rates of eating disorders in Asia; increasing rates of eating disorders in the Arab region; and increasing rates of binge eating and bulimia nervosa in Hispanic and Black American minority groups in North America. Summary The changing face of eating disorders calls for a new conceptualization of culture in both the emergence and spread of eating disorders across the globe.

Expanding the Boundaries: Reconfiguring the Demographics of the "Typical" Eating Disordered Patient

Abstract: Eating disorders have long been recognized as problems afflicting a narrow segment of select populations: Caucasian, adolescent or young adult women from high-income Western countries. This review highlights recent data that reexamine and revise this constricted view of eating disorders in two specific ways. First, data are steadily accumulating that document the increasing prevalence of eating disorders among younger and older individuals. Pre-pubertal children and women in middle and late adulthood are increasingly presenting for eating disorder treatment. Second, data from around the globe indicate that there is nothing uniquely “Western” about eating disorders. As highlighted in this review, eating disorders are a global health problem, and they are predictably on the rise in many parts of the world. The data are also clear that ethnic and racial minority groups and immigrants within North America are vulnerable to eating disorders. This growing knowledge base expands the boundaries of what has historically been considered the “typical” eating disordered patient and should raise awareness among health care providers of the needs of the broader community that is at risk for eating disturbances.

The rise of eating disorders in Asia: a

Abstract: 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.

Review of the worldwide epidemiology of eating disorders

Abstract: In the eating disorder section in this issue, Keskicountries [5–7]. In Europe, anorexia nervosa is Rahkonen and Mustelin state that a basic requirement for advances in the detection and treatment of eating disorders is a better understanding of their epidemiology [1]. They compare epidemiologists with news reporters, who also attempt to answer five basic questions: who, what, when, where, and why? [1]. In previous years, the review articles in the eating disorder section in this journal showed that eating disorders most frequently occur in the highrisk group of young Western females, but do occur in older women, in men and in persons in non-Western countries [2,3]. In 2014, Pike et al. found that eating disorders appear to be increasing in Arab and Asian countries in conjunction with increasing industrialization, urbanization, and globalization [4]. This year, the articles in the section on eating disorders try to address a global perspective and reviewed the worldwide epidemiology of eating disorders, with a special focus on understudied areas of the world.

The Science Behind the Academy for Eating Disorders' Nine Truths About Eating Disorders.

Abstract: Objective In 2015, the Academy for Eating Disorders collaborated with international patient, advocacy, and parent organizations to craft the ‘Nine Truths About Eating Disorders’. This document has been translated into over 30 languages and has been distributed globally to replace outdated and erroneous stereotypes about eating disorders with factual information. In this paper, we review the state of the science supporting the ‘Nine Truths’. Methods The literature supporting each of the ‘Nine Truths’ was reviewed, summarized and richly annotated. Results Most of the ‘Nine Truths’ arise from well-established foundations in the scientific literature. Additional evidence is required to further substantiate some of the assertions in the document. Future investigations are needed in all areas to deepen our understanding of eating disorders, their causes and their treatments. Conclusions The ‘Nine Truths About Eating Disorders’ is a guiding document to accelerate global dissemination of accurate and evidence-informed information about eating disorders. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

The global burden of eating disorders

Abstract: Purpose of reviewIn 2015, the findings of the most recent Global Burden of Disease Study (GBD), GBD 2013, were published. Burden was quantified for two eating disorders: anorexia nervosa and bulimia nervosa.Recent findingsIn GBD 2013, burden was attributed to both anorexia nervosa and bulimia nervos

Cultural trends and eating disorders.

Abstract: Purpose of review Culture has long been recognized as significant to the cause and expression of eating disorders. We reviewed the recent literature about recent trends in the occurrence of eating disorders in different cultures. Recent findings While historically, eating disorders were conceptualized as primarily afflicting Caucasian adolescent or young adult women within high-income, industrialized Western Europe and North America, eating disorders are increasingly documented in diverse countries and cultures worldwide. This study highlights recent trends that reflect the changing landscape of culture and eating disorders: stabilization of the incidence of anorexia nervosa and possibly lower incidence rates of bulimia nervosa in Caucasian North American and Northern European groups; increasing rates of eating disorders in Asia; increasing rates of eating disorders in the Arab region; and increasing rates of binge eating and bulimia nervosa in Hispanic and Black American minority groups in North America. Summary The changing face of eating disorders calls for a new conceptualization of culture in both the emergence and spread of eating disorders across the globe.