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Asian students in the anglosphere - unravelling the unique familial pressures contributing to eating pathology: a systematic review

Journal of eating disorders, 2023-01, Vol.11 (1), p.4-4, Article 4 [Peer Reviewed Journal]

2023. The Author(s). ;COPYRIGHT 2023 BioMed Central Ltd. ;The Author(s) 2023 ;ISSN: 2050-2974 ;EISSN: 2050-2974 ;DOI: 10.1186/s40337-023-00733-y ;PMID: 36627676

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  • Title:
    Asian students in the anglosphere - unravelling the unique familial pressures contributing to eating pathology: a systematic review
  • Author: Sun, Victor ; Soh, Nerissa ; Touyz, Stephen ; Maguire, Sarah ; Aouad, Phillip
  • Subjects: Analysis ; Anglosphere ; Asian ; College students ; Disordered eating ; Eating disorder ; Eating disorders ; Familial ; Genetic aspects ; Medical research ; Medicine, Experimental ; Parent and child ; Parenting ; Review ; Stress (Psychology) ; Student
  • Is Part Of: Journal of eating disorders, 2023-01, Vol.11 (1), p.4-4, Article 4
  • Description: There is no clear consensus on the specific familial pressures affecting Asian students in the Anglosphere, despite the validation of the Tripartite Influence model of eating disturbances in this group. However, traditional familial risk factors for disordered eating can be elevated for immigrant Asians with collectivistic-oriented familial dynamics, necessitating an examination of the culture-specific risk profile for eating pathology in student-aged Asians. This systematic review aims to consolidate and critically examine the literature on the most widely studied familial pressures related to disordered eating in Asian students in the Anglosphere. A systematic search was conducted in five databases for peer-reviewed articles measuring familial pressures and eating pathology in Asian students > 10 years old from an Anglosphere country. Following PRISMA guidelines, papers were screened by title, abstract and full text based on the eligibility criteria. Eligible studies were qualitatively analysed and synthesised narratively to assess the relationship between familial pressures and eating pathology. In total, 14 papers were eligible for inclusion in the review. Eight topics related to familial stressors were identified (1) intergenerational conflict; (2) lack of familial cohesion; (3) parental overprotection; (4) low parental care; (5) familial achievement orientation; (6) parental expectations; (7) parental criticism; and (8) direct parental influence. In multiple studies, intergenerational conflict, maternal overprotection, and familial achievement orientation were significantly elevated and associated with disordered eating in US and UK Asian students, compared to white students. The studies examining parental criticism and familial cohesion had more heterogeneous findings. The findings demonstrate the perception of Asian parenting styles as overprotective and incompatible with individualist-oriented Western values could increase eating pathology in adolescent and university students living in Anglosphere countries. The synthesised findings of the literature also indicate disordered eating acts as a compensatory mechanism for the ongoing psychological distress generated from intergenerational conflict and familial achievement orientation. Conversely, traditional eating disorder literature on familial cohesion and low parental care may not be applicable to young Asians. Future research should focus on how social appearance anxiety and psychological factors can mediate the link between disordered eating and familial stressors in Asian students.
  • Publisher: England: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 2050-2974
    EISSN: 2050-2974
    DOI: 10.1186/s40337-023-00733-y
    PMID: 36627676
  • Source: DOAJ Directory of Open Access Journals
    PubMed Central (Training)
    GFMER Free Medical Journals
    Springer Nature OA/Free Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
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