Non-fat-phobic anorexia nervosa in British South Asian adolescents.

Objective The current study investigated the clinical features of British South Asian adolescent females presenting with low weight in the absence of organic disease. Methods The authors performed a retrospective case note study of South Asian British female adolescents presenting with weight loss/anorexia nervosa to psychiatric clinics and matched White English peers presenting with low weight. Results South Asian patients presented more frequently with loss of appetite (p = .01) and less frequently with fat phobia (p = .032) and weight preoccupation (p = .001). South Asians also had significantly more satisfactory relationships with their nuclear family and peers (p = .03). Discussion Differing symptom profiles for anorexia nervosa need to be taken into account when assessing patients from different cultures. South Asian adolescents may present with a non–fat-phobic form of anorexia nervosa. This has clinical and epidemiologic implications. Further investigation is warranted to assess the nosologic status of this group. © 2005 by Wiley Periodicals, Inc.