Eating disorders among queer and trans individuals: Implications for conceptualization, assessment, and treatment.

IF 1 4区 医学 Q4 PSYCHIATRY
Claire E Cusack, Scout Silverstein, Autumn J Askew, Melissa Simone, M Paz Galupo, Cheri A Levinson
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引用次数: 0

Abstract

Eating disorders (EDs) have been traditionally viewed as a disorder affecting cisgender, heterosexual women. Yet, the prevalence of EDs among queer and trans (QnT) individuals, coupled with the lack of interventions that attend to contextual factors related to sexual orientation and gender identity, underscore a critical health disparity issue requiring urgent attention. Here, we first review factors pertaining to QnT individuals' minoritized sexual and gender identities that are important to consider in ED conceptualization for this population (e.g., minority stressors, identity-based body image standards). Next, we describe problematic assumptions present in existing ED assessment and propose more inclusive approaches. Lastly, we provide suggestions for practices that providers can implement within their treatment of EDs among QnT individuals.

同性恋和变性人的饮食失调:对概念化、评估和治疗的影响。
饮食失调症(EDs)历来被视为一种影响顺性别异性恋女性的疾病。然而,饮食失调症在同性恋和变性人(QnT)中的流行,加上缺乏关注与性取向和性别认同相关的背景因素的干预措施,凸显了一个亟需关注的重要健康差异问题。在此,我们首先回顾了与 QnT 人的少数性取向和性别认同有关的因素,这些因素在 ED 概念化中对这一人群非常重要(例如,少数群体的压力、基于身份的身体形象标准)。接下来,我们描述了现有 ED 评估中存在问题的假设,并提出了更具包容性的方法。最后,我们为医疗服务提供者在治疗 QnT 群体的 ED 时可采取的做法提供建议。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
30
期刊介绍: The Bulletin of the Menninger Clinic offers a psychodynamic perspective on the application of theory and research in outpatient psychotherapy, attachment theory, developments in cognitive neuroscience and psychopathologies, as well as the integration of different modes of therapy. This widely indexed, peer-reviewed journal has been published since 1936 by the Menninger Clinic. Topical issues focus on critical subjects such as disordered attachments, panic disorder, trauma, and evidence-based interventions.
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