|dc.contributor.author||Boon, Evelyn Swee Kim||-|
|dc.description.abstract||Background: Eating disorders have been continually on the rise in Singapore since 1982. Despite the significant increase in numbers of eating disorders, literature on the clinical population in Singapore has remained relatively scarce. Additionally, literature on specific body image issues experienced by this population has been even scarcer. In spite of this, the concept of “body image” has long been associated and assumed synonymous with eating disorders, to the extent that it has become the sine qua non for eating disorders and a key diagnostic feature for Anorexia Nervosa and Bulimia Nervosa. In order to better capture the multi-dimensional aspect of disturbance in body image, it is proposed that the term “body shape psychopathology” would be a more apt description for the complex body image issues experienced by individuals with eating disorders. Specifically, a comprehensive and multifactorial investigation was needed to explore and present how body shape psychopathology is manifested in eating disordered patients in Singapore.
Objectives: The overarching aims of this thesis were to conduct an in-depth exploration into the body shape psychopathology of the clinical population in Singapore, to illuminate the similarities and differences in adolescents with an eating disorder across Singapore (a predominantly Asian culture) and Sydney (a largely Western culture), and to compare between the different ethnic and eating disorder diagnostic groups. This thesis also aimed to explore eating disorder and body shape psychopathology experienced by males with eating disorders, through a matched-pair comparison with their female counterparts. In addition, through a series of case studies, it sought to explore their qualitative perceptions on having an eating disorder and their corresponding experiences with their body shape psychopathology.
Body Shape Psychopathology in Eating Disordered Patients in Singapore
Main Findings: Body shape psychopathology in eating disordered patients in Singapore did not differ much to those in the Western culture. The clinical presentation, eating disorder and body shape psychopathology seemed consistent with most existing studies. The levels of drive for thinness, body dissatisfaction, weight and shape concerns, body-checking cognitions and behaviours, and quality of life all seemed to be similar to clinical populations in the Western countries. Comparisons across ethnicity, cultures and genders seemed to yield more similarities than differences. The adolescent sample from Singapore did not differ to their peers from Sydney (Australia), there were more similarities than differences between genders, and the cross-comparisons among the ethnic groups did not yield any differences. Although these findings arose from a small sample size, they pave the way for a further investigation and replication in future with a larger sample size, and a possible focus on purposive sampling for the minority ethnic groups in Singapore. Comparison across the eating disorder diagnostic groups yielded mixed results.
Implications: Preliminary results indicate that eating disordered patients in Singapore had similar body shape and eating disordered psychopathology when compared to other clinical samples from the United States of America and Europe. In fact, they had similar levels of fat phobia, weight and shape concerns as those in their Western counterparts. The findings of this thesis highlights the potential avenues for further investigation arising from any existing gaps in knowledge and future directions in this area of research. The findings also contribute significantly to the current related academic literature in Singapore||en_AU|
|dc.publisher||University of Sydney||en_AU|
|dc.publisher||Sydney Medical School||en_AU|
|dc.publisher||Central Clinical School||en_AU|
|dc.rights||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.||en_AU|
|dc.subject||Body Shape Disturbance||en_AU|
|dc.title||Body Shape Psychopathology in Eating Disordered Patients in Singapore||en_AU|
|dc.type.pubtype||Doctor of Philosophy Ph.D.||en_AU|
|dc.description.disclaimer||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.||en_AU|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|