Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?

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 res...

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Autores: Rosinska, Magda, Tempia Valenta, Silvia, Sánchez, Isabel, Jordana Ovejero, Olga, Alonzo Castillo, Teresa, Gálvez Solé, Laura, Fontana Eito, Rosa, Munguía, Lucero, Caravaca Sanz, Elena, Atti, Anna Rita, Granero, Roser, Jimenez Murcia, Susana, Fernández Aranda, Fernando
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/228340
Acceso en línea:https://hdl.handle.net/2445/228340
Access Level:acceso abierto
Palabra clave:Trastorns de la conducta alimentària
Eating disorders
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spelling Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?Rosinska, MagdaTempia Valenta, SilviaSánchez, IsabelJordana Ovejero, OlgaAlonzo Castillo, TeresaGálvez Solé, LauraFontana Eito, RosaMunguía, LuceroCaravaca Sanz, ElenaAtti, Anna RitaGranero, RoserJimenez Murcia, SusanaFernández Aranda, FernandoTrastorns de la conducta alimentàriaEating disordersBackground/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.MDPI2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/228340Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/nu17243914Nutrients, 2025, vol. 17, num. 24https://doi.org/10.3390/nu17243914cc-by (c) Rosinska et al., 2025http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2283402026-05-27T06:46:51Z
dc.title.none.fl_str_mv Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
title Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
spellingShingle Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
Rosinska, Magda
Trastorns de la conducta alimentària
Eating disorders
title_short Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
title_full Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
title_fullStr Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
title_full_unstemmed Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
title_sort Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?
dc.creator.none.fl_str_mv Rosinska, Magda
Tempia Valenta, Silvia
Sánchez, Isabel
Jordana Ovejero, Olga
Alonzo Castillo, Teresa
Gálvez Solé, Laura
Fontana Eito, Rosa
Munguía, Lucero
Caravaca Sanz, Elena
Atti, Anna Rita
Granero, Roser
Jimenez Murcia, Susana
Fernández Aranda, Fernando
author Rosinska, Magda
author_facet Rosinska, Magda
Tempia Valenta, Silvia
Sánchez, Isabel
Jordana Ovejero, Olga
Alonzo Castillo, Teresa
Gálvez Solé, Laura
Fontana Eito, Rosa
Munguía, Lucero
Caravaca Sanz, Elena
Atti, Anna Rita
Granero, Roser
Jimenez Murcia, Susana
Fernández Aranda, Fernando
author_role author
author2 Tempia Valenta, Silvia
Sánchez, Isabel
Jordana Ovejero, Olga
Alonzo Castillo, Teresa
Gálvez Solé, Laura
Fontana Eito, Rosa
Munguía, Lucero
Caravaca Sanz, Elena
Atti, Anna Rita
Granero, Roser
Jimenez Murcia, Susana
Fernández Aranda, Fernando
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Trastorns de la conducta alimentària
Eating disorders
topic Trastorns de la conducta alimentària
Eating disorders
description 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.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/228340
url https://hdl.handle.net/2445/228340
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/nu17243914
Nutrients, 2025, vol. 17, num. 24
https://doi.org/10.3390/nu17243914
dc.rights.none.fl_str_mv cc-by (c) Rosinska et al., 2025
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Rosinska et al., 2025
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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