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Body dissatisfaction and eating disorders (ED) among young females may increase in limited-resource settings as exposure to media and higher-resource cultures increases. We examined ED prevalence and its predictors among adolescent girls in rural north-western Burkina Faso.Fieldworkers interviewed 696 female adolescents aged 12-20 years in the Nouna Health and Demographic Surveillance System (HDSS). ED were evaluated using the Structured Clinical Interview for DSM-5 (SCID-5), self-perceived appearance and body ideal were measured using Thompson and Gray's Contour Drawing Rating Scale (CDRS) and eating disorder predictors by the Eating Disorder Examination Questionnaire (EDE-Q). We assessed media exposure to magazines, radio, television, and the internet.16% of respondents had a BMI below WHO age-standardised 5th percentile, while 4% were above the 85th percentile; most respondents wanted to be larger. DSM-5 criteria for anorexia nervosa (AN) were fulfilled by four of 696 respondents (0.6%), those for bulimia nervosa by none, and those for binge eating disorder by two (0.3%). In multivariable regression, more AN symptoms were associated with greater EDE-Q body dissatisfaction, desiring a thinner body and a history of sexual harassment or assault, but not with media exposure. A thinner desired body was associated with greater media exposure, higher BMI z-score and greater EDE-Q disordered eating.ED were very rare in rural Burkinabé female adolescents, but factors predictive of ED in higher-resource settings were also predictive of ED precursor symptoms here. Our findings suggest that increasing media exposure in resource-limited settings may lead to increased body dissatisfaction, and potentially to increased future ED prevalence.L'insatisfaction corporelle et les troubles de l'alimentation (TA) chez les jeunes femmes peuvent augmenter dans des régions à ressources limitées, à mesure qu'augmente l'exposition aux médias et aux cultures plus nanties. Nous avons examiné la prévalence des TA et leurs prédicteurs chez les adolescentes dans les zones rurales du nord-ouest du Burkina Faso. MÉTHODES: Les enquêteurs de terrain ont interrogé 696 adolescentes âgées de 12 à 20 ans dans le Système de Surveillance Démographique et de Santé (SSDS) de Nouna. Les TA ont été évalués à l’aide de l’Interview Clinique Structurée du DSM-5 (SCID-5), l’apparence perçue de soi et l’idéal corporel ont été mesurés à l’aide de l’échelle de Thompson et Gray Contour Drawing Rating (CDRS) et les prédicteurs des TA par le questionnaire d’Examen des Troubles de l’Alimentation (EDE-Q). Nous avons évalué l'exposition aux médias par les magazines, la radio, la télévision et Internet. RÉSULTATS: 16% des répondants avaient un IMC inférieur au 5Les TA étaient très rares chez les adolescentes burkinabé en zone rurale, mais les facteurs prédictifs des TA dans les pays à ressources élevées étaient également prédictifs dans cette région. Nos résultats suggèrent qu'une exposition accrue aux médias dans des régions à ressources limitées pourrait conduire à une insatisfaction corporelle accrue et potentiellement à une prévalence future accrue des TA.

Objective It is unclear whether observed memory impairment in anorexia nervosa (AN) depends on the semantic structure (categorized words) of material to be encoded. We aimed to investigate the processing of semantically related information in AN. Method Memory performance was assessed in a recall, learning, and recognition test in 27 adult women with AN (19 restricting, 8 binge-eating/purging subtype; average disease duration: 9.32 years) and 30 healthy controls using an extended version of the Rey Auditory Verbal Learning Test, applying semantically related and unrelated word stimuli. Results Short-term memory (immediate recall, learning), regardless of semantics of the words, was significantly worse in AN patients, whereas long-term memory (delayed recall, recognition) did not differ between AN patients and controls. Discussion Semantics of stimuli do not have a better effect on memory recall in AN compared to CO. Impaired short-term versus long-term memory is discussed in relation to dysfunctional working memory in AN. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.