Eating disorders (ED) prevalence is rising among ethnic and racial minority groups, yet disparities persist in treatment seeking, and effectiveness. The purpose of this systematic review was to summarize works that provide theoretically grounded and empirically evidenced clinical recommendations for the inclusion of culture in the treatment of eating disorders in non-white individuals. Thirty one articles revealed the following 11 core recommendation themes for how to effectively address culture in ED treatment: use culturally sensitive interventions; address barriers to treatment; understand patients within their cultural context; explore the impact of culturally contextual factors; assume a collaborative, curious therapeutic stance; understand nuances that impact clinical presentations; explore family/social supports; provide education/psychoeducation; explore ethnic identity, acculturation and acculturative stress; become educated about working with ethnic and racial minorities; and use a culturally flexible diagnostic model. Consolidating these recommendations evidenced from the literature fills a gap relevant to ED treatment and provides empirically derived, culturally-accommodating guidance on how future studies may include ethnic and racial considerations when developing treatment approaches and/or evaluating outcomes.

少数族裔和种族群体中的饮食失调 (ED) 患病率正在上升，但在寻求治疗和有效性方面仍然存在差异。本系统评价的目的是总结为将文化纳入治疗非白人个体的饮食失调提供理论依据和经验证明的临床建议的工作。31 篇文章揭示了以下 11 个关于如何在 ED 治疗中有效解决文化问题的核心推荐主题：使用文化敏感的干预措施；解决治疗障碍；在文化背景下了解患者；探索文化背景因素的影响；采取合作、好奇的治疗立场；了解影响临床表现的细微差别；探索家庭/社会支持；提供教育/心理教育；探索民族认同、文化适应和文化压力；接受与少数族裔和种族一起工作的教育；并使用文化上灵活的诊断模型。整合文献中的这些建议填补了与 ED 治疗相关的空白，并就未来的研究如何在制定治疗方法和/或评估结果时考虑种族和种族因素提供了经验派生的、文化适应的指导。