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| Pàgina inicial > Articles > Articles publicats > Eating disorders in an immigrant population : |
(Hospital Universitari de Bellvitge) (Università di Bologna. Dipartimento di Scienze Biomediche e Neuromotorie) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari Vall d'Hebron) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Università di Bologna. Dipartimento di Scienze Biomediche e Neuromotorie) (Institut d'Investigació Biomèdica de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge)| Data: | 2025 |
| Descripció: | 16 pàg. |
| Resum: | Background/Objectives: Sociocultural factors, including migration and acculturation, may influence the clinical profile and course of eating disorders (EDs). This study examined differences between immigrant and native-born Spanish patients with EDs in (1) clinical presentation and (2) treatment response. Methods: Consecutive outpatients from the Eating Disorders Unit at Bellvitge University Hospital (Barcelona, Spain) were assessed using the Eating Disorder Inventory-2 (EDI-2), Symptom Checklist-90-R (SCL-90-R), and Temperament and Character Inventory-Revised (TCI-R). Statistical analyses included chi-square tests, ANOVA, Cox regression for dropout, and logistic regression for predictors of poor outcome, adjusted for ED subtype. Results: The sample included 1104 patients (947 native-born; 157 immigrants). Immigrant patients showed a distinct clinical profile, with lower drive for thinness and body dissatisfaction but higher interpersonal distrust, maturity fears, perfectionism, anxiety-related symptoms, and self-transcendence. They also presented a worse treatment response, including higher dropout rates, poorer outcomes, and lower remission rates. Predictive models identified different risk factors for poor treatment response in each group: among native-born patients, younger age of ED onset, higher novelty seeking, and lower self-directedness were associated with worse outcomes, whereas among immigrant patients, greater ED severity, lower harm avoidance, and lower self-transcendence predicted poorer results. Conclusions: Immigrant patients with EDs exhibit a differentiated clinical presentation and less favorable treatment response compared to native-born patients. The differential predictors of poor outcome highlight the need for culturally informed and individually tailored interventions that consider both sociocultural context and personality-related vulnerabilities. |
| Ajuts: | Ministerio de Ciencia e Innovación PDI2021-124887OB-I00 Instituto de Salud Carlos III DTS22/00072 Instituto de Salud Carlos III FORT23/00032 European Commission 101080219 Generalitat de Catalunya 2021/SGR-00824 |
| Nota: | Altres ajuts: This research was funded by grants from Plan Nacional sobre Drogas Convocatoria de subvenciones para proyectos de investigación financiados con fondos europeos 2022 (EXP2022/008847). RG and FFA are supported by the Catalan Institution for Research and Advanced Studies (ICREA Academia, 2021-Programme and 2024-Programme, respectively). |
| Drets: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.  |
| Llengua: | Anglès |
| Document: | Article ; recerca ; Versió publicada |
| Matèria: | Eating disorders ; Personality traits ; Immigrant ; Native-born ; Acculturation |
| Publicat a: | Nutrients, Vol. 17, Num. 24 (2025) , art. 3914, ISSN 2072-6643 |
