Eating disorder symptoms among transgender and gender diverse youth.

IF 1.8 4区医学 Q3 PSYCHIATRY

Clinical Child Psychology and Psychiatry Pub Date : 2024-01-01 Epub Date: 2023-06-21 DOI:10.1177/13591045231184917

Rachel Kramer, Claire M Aarnio-Peterson, Lee Ann Conard, Katrina R Lenz, Abigail Matthews

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引用次数: 1

Abstract

Compared to cisgender peers, transgender and gender diverse (TGD) youth and adults report elevated eating disorder (ED) symptoms likely related to gender dysphoria and attempts to modify their bodies accordingly. Less is known about the impact on gender-affirming care and ED symptoms. This study aimed to expand on extant research and describe ED symptoms in TGD youth seeking gender-affirming care while exploring potential associations between gender-affirming hormone use and ED symptoms. A total of 251 TGD youth completed the Eating Disorders Examination-Questionnaire (EDE-Q) as part of routine clinical care. ANCOVAs and negative binomial regressions examined differences in ED symptoms among transgender females (identifying as female but assigned male at birth) and transgender males (identifying as male but assigned female at birth). ED severity was not significantly different among transgender females versus transgender males, (p = .09), or associated with gender-affirming hormone use (p = .07). Transgender females receiving gender-affirming hormones reported a greater proportion of objective binge eating episodes compared to those who were not (p = .03). Over a quarter of TGD youth reported engagement in ED behaviors suggesting assessment and intervention related to ED behaviors among TGD youth is imperative since adolescence is a particularly vulnerable period for adolescents and engagement in ED behaviors could lead to full ED development and medical risk.

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变性和不同性别青少年的饮食失调症状。

与顺性别同龄人相比，跨性别和性别多元化（TGD）青年和成年人报告的饮食失调（ED）症状较高，这可能与性别焦虑症和试图相应地改变自己的身体有关。人们对性别确认护理和进食障碍症状的影响知之甚少。本研究旨在扩展现有研究，描述寻求性别确认护理的 TGD 青少年的 ED 症状，同时探讨性别确认激素的使用与 ED 症状之间的潜在关联。作为常规临床治疗的一部分，共有 251 名 TGD 青少年填写了饮食失调检查问卷（EDE-Q）。方差分析和负二项回归检验了变性女性（出生时被认定为女性，但被分配为男性）和变性男性（出生时被认定为男性，但被分配为女性）在ED症状方面的差异。变性女性与变性男性之间的 ED 严重程度没有明显差异（p = 0.09），也与使用性别确认激素无关（p = 0.07）。与未接受性别确认激素治疗的变性女性相比，接受性别确认激素治疗的变性女性客观上暴饮暴食的比例更高（p = .03）。超过四分之一的变性青少年报告说他们有ED行为，这表明必须对变性青少年的ED行为进行评估和干预，因为青春期是青少年特别脆弱的时期，ED行为可能会导致全面的ED发展和医疗风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.