Eating Disorders最新文献

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The intersection of trauma and eating disorders: evaluating cognitive processing therapy through qualitative analysis. 创伤和进食障碍的交叉:通过定性分析评估认知加工疗法。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-02-26 DOI: 10.1080/10640266.2025.2465145
Giulia Suro, Ismael Gavidia, Natalie Tyran, Molly M Perlman, Timothy D Brewerton
{"title":"The intersection of trauma and eating disorders: evaluating cognitive processing therapy through qualitative analysis.","authors":"Giulia Suro, Ismael Gavidia, Natalie Tyran, Molly M Perlman, Timothy D Brewerton","doi":"10.1080/10640266.2025.2465145","DOIUrl":"https://doi.org/10.1080/10640266.2025.2465145","url":null,"abstract":"<p><p>Quantitative research has demonstrated that many individuals with eating disorders (EDs) present with PTSD (ED-PTSD). Cognitive processing therapy (CPT) has been integrated into the overall treatment for ED-PTSD, but qualitative data on the effectiveness of this approach is lacking. Ten patients with ED-PTSD completed 12 sessions of CPT during residential treatment (RT). After sessions 1 and 11, patients wrote an \"impact statement\" clarifying their beliefs about why their trauma occurred and how it has impacted their life. Two coders using MAXQDA2020 software evaluated these statements using a structured coding protocol to assess changes in trauma-related cognitions over time. Analyses of these cognitive changes demonstrated shifts in the appraisal process regarding why trauma occurred from stances of self-blame to external fault. Exploratory analyses also indicated that perceptions of control and safety were associated with a greater frequency of reference to EDs and body image. Qualitative findings demonstrated that trauma-related cognitions became more realistic and adaptive following CPT as evidenced by a significant reduction in assimilated and overaccommodated cognitions, and an increase in accommodated cognitions. Last, there was a notable shift in perceived responsibility for trauma and improvements in control and safety in relation to EDs.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors associated with probability of inpatient hospitalization in military-affiliated adolescents and young adults with eating disorders. 与军队附属青少年和年轻成人饮食失调患者住院概率相关的因素
IF 3 3区 医学
Eating Disorders Pub Date : 2025-02-21 DOI: 10.1080/10640266.2025.2459971
Katherine A Thompson, Viviana Bauman, Jason M Lavender, Marian Tanofsky-Kraff, Jennifer A Thornton, Natasha A Schvey, Rachel Moyer, Kevin W Sunderland, Wendy Funk, Rick Brydum, Veronika Pav, David A Klein
{"title":"Factors associated with probability of inpatient hospitalization in military-affiliated adolescents and young adults with eating disorders.","authors":"Katherine A Thompson, Viviana Bauman, Jason M Lavender, Marian Tanofsky-Kraff, Jennifer A Thornton, Natasha A Schvey, Rachel Moyer, Kevin W Sunderland, Wendy Funk, Rick Brydum, Veronika Pav, David A Klein","doi":"10.1080/10640266.2025.2459971","DOIUrl":"https://doi.org/10.1080/10640266.2025.2459971","url":null,"abstract":"<p><p>This study examined demographic and military factors related to probability of hospitalization among military-affiliated adolescents and young adults (AYA) with an eating disorder (ED) diagnosis. Participants were military-affiliated AYA (spouses not included), ages 10-26 years. De-identified data were extracted from the Military Health System Data Repository from 2016-2021. Kaplan-Meier risk estimates determined the proportion of participants with a hospitalization following their initial ED diagnosis across time. Cox proportional hazard models evaluated adjusted associations of demographic and military-specific factors with probability of hospitalization. Of 7,705 participants with an ED diagnosis, approximately one in five (<i>n</i> = 1,569) had a hospitalization during the study period. Weight categories were only recorded for 35% (<i>n</i> = 2,675) of participants. Adjusting for other variables, hospitalization was more likely for: participants 15-17 years old (versus other age groups), females (versus males), those with underweight (versus higher weights), those who received care at civilian facilities (versus directly within the Military Health System), and those with a parent serving in the Navy (versus the Army). There was no significant difference by ED diagnosis. Results indicate disparities related to hospitalization among AYA with EDs within the Military Health System. More research is needed to understand access to and engagement with ED-related healthcare among military-affiliated AYA.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of patient weight on US mental health providers' diagnosis of bulimia nervosa. 患者体重对美国心理健康提供者对神经性贪食症诊断的影响
IF 3 3区 医学
Eating Disorders Pub Date : 2025-02-16 DOI: 10.1080/10640266.2025.2465153
Dakota L Leget, Rebecca L Pearl
{"title":"The impact of patient weight on US mental health providers' diagnosis of bulimia nervosa.","authors":"Dakota L Leget, Rebecca L Pearl","doi":"10.1080/10640266.2025.2465153","DOIUrl":"https://doi.org/10.1080/10640266.2025.2465153","url":null,"abstract":"<p><p>This study examined how patient weight influences mental health providers' diagnosis of bulimia nervosa (BN). US mental health providers (<i>N</i> = 200) from PsychologyToday.com and professional listservs participated in an online experiment, reading vignettes about patients with major depressive disorder (MDD) and BN with the compensatory behavior of excessive exercise. For the BN vignette, participants were randomized to read about a patient whose weight status was described as \"healthy weight\" or \"obesity.\" Participants reported their diagnoses, confidence, treatment recommendations, and perceived symptom severity. Only 27% of participants accurately diagnosed BN, with 38% of participants instead diagnosing binge eating disorder. There were no significant differences between weight conditions in diagnostic accuracy, confidence, or treatment recommendations for the BN vignette (<i>p</i>s > .05). However, symptoms within the BN vignette were perceived as more severe in the \"obesity\" condition compared to the \"healthy weight\" condition (<i>M</i> = 5.08 ± 0.80 vs. <i>M</i> = 4.72 ± 0.99 on a 1-7 scale, <i>p</i> = .005). Within-subjects analyses revealed that participants were more accurate and confident in diagnosing MDD than BN (<i>p</i>s < .01). These findings suggest poor detection of BN among mental health providers when patients present with healthy or higher weights. Providers may benefit from improved training for detecting BN when excessive exercise is used as the primary compensatory behavior.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of incorporating an eating disorder screening tool and an eating disorder diagnostic workshop in outpatient general psychiatry settings in publicly insured populations: a case series. 纳入进食障碍筛查工具和进食障碍诊断研讨会在门诊普通精神病学设置在公共保险人群的影响:一个案例系列。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-02-11 DOI: 10.1080/10640266.2025.2459972
Stuart B Murray, Cassandra E Friedlich, Talene Kesheshian
{"title":"The impact of incorporating an eating disorder screening tool and an eating disorder diagnostic workshop in outpatient general psychiatry settings in publicly insured populations: a case series.","authors":"Stuart B Murray, Cassandra E Friedlich, Talene Kesheshian","doi":"10.1080/10640266.2025.2459972","DOIUrl":"https://doi.org/10.1080/10640266.2025.2459972","url":null,"abstract":"<p><p>With an elevated prevalence of disordered eating in low-income settings, efforts to optimize the detection of eating disorders (EDs) in such settings are necessary. A significant barrier relates to the scarcity of training for clinicians not working in specialized ED settings. This manuscript assessed the impact of an ED screening tool and an ED assessment workshop upon the detection of EDs in publicly insured psychiatry settings. Leveraging a case series design to assess 165 consecutive adult patients in outpatient psychiatry settings, we indexed the prevalence of ED diagnoses rendered by psychiatrists when assessing patients (i) without prior knowledge of ED symptoms, (ii) after being made aware of patient scores from an ED screening measure, and (iii) after undergoing an ED assessment workshop, and being made aware of patient screening scores. While 27% of the sample reported clinically significant ED symptoms on the screening measure, ED diagnoses were only rendered in 2% of the sample when psychiatrists were not made aware of ED symptoms prior to assessment. In contrast, incorporating a screening tool altered the rates of ED diagnoses, with 18% of the sample receiving an ED diagnosis. Moreover, the combinatorial introduction of both the ED screening measure and an ED assessment workshop further altered diagnostic practice-with this resulting in ED diagnoses in 27% of the sample. The findings suggest that ED screening and training workshops can have significant impacts on diagnostic accuracy and, with little cost, can provide patients with diagnoses that would otherwise go undetected.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment. 家庭参与水平作为住院治疗期间伴有和不伴有临时PTSD的进食障碍患者预后的预测因子。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-02-04 DOI: 10.1080/10640266.2025.2460290
Timothy D Brewerton, Giulia Suro, Ismael Gavidia, Molly M Perlman
{"title":"Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.","authors":"Timothy D Brewerton, Giulia Suro, Ismael Gavidia, Molly M Perlman","doi":"10.1080/10640266.2025.2460290","DOIUrl":"https://doi.org/10.1080/10640266.2025.2460290","url":null,"abstract":"<p><strong>Objective: </strong>Family involvement (FI) in the treatment of eating disorders (EDs) is critical for children/adolescents, yet its role during residential treatment (RT) in adults is uncharted. PTSD may play a role in influencing FI but is also unexplored.</p><p><strong>Method: </strong>We examined the role of FI in 2786 ED patients (89% F) admitted to RT with and without provisional PTSD. At discharge, staff rated the degree of FI as follows: 1) Not at all; 2) Slightly/somewhat; 3) Very much/extremely. Changes in ED, depression, anxiety, PTSD, and quality of life measures from admission to discharge were examined via multivariate analyses of covariance using degree of FI as an independent variable and age, gender, admission BMI, age of ED onset, and baseline symptom levels as covariates.</p><p><strong>Results: </strong>Patients with the highest FI were the youngest, had the lowest BMIs and the oldest ages of ED onset. Rates of provisional PTSD were greatest in individuals with no FI and least in those with the highest FI. Those with no FI did significantly worse on all measures than those with higher levels of FI.</p><p><strong>Conclusion: </strong>FI is an important component in ED treatment of adults in RT and is especially needed in patients with PTSD.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An evaluation of lived experience email peer support for young people with eating disorders. 对患有饮食失调的年轻人的生活经历的电子邮件同伴支持的评估。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-02-03 DOI: 10.1080/10640266.2025.2459974
Fiona Duffy, Imogen Peebles, Sarah J Taylor, Sophie Brassill, Beth Hughes, Helen Sharpe
{"title":"An evaluation of lived experience email peer support for young people with eating disorders.","authors":"Fiona Duffy, Imogen Peebles, Sarah J Taylor, Sophie Brassill, Beth Hughes, Helen Sharpe","doi":"10.1080/10640266.2025.2459974","DOIUrl":"https://doi.org/10.1080/10640266.2025.2459974","url":null,"abstract":"<p><p>Peer support is where individuals with the same shared experience provide mutual support. Using a non-controlled repeated measure design, this study evaluates initial efficacy of one-to-one email peer support. Young people with an eating disorder were matched with a recovered volunteer befriender, for up to one year, providing 1-3 email contacts a week. All participants completed measures (self-esteem, self-efficacy, wellbeing) at start of service, two and four-month intervals for recipients (<i>n</i> = 92) and peer befrienders (<i>n</i> = 86) respectively, and at end of service. Recipients also completed measures of social connectedness, impact of eating disorder, and goal-based outcomes. Multilevel mixed-effects linear regression models indicated significant improvements across all outcomes for recipients by 4 months, apart from self-esteem, and improvements self-efficacy, eating disorder impact and goal-based outcomes maintained at end of service. Peer befrienders did not show changes in self-esteem or self-efficacy, but there was a small significant reduction in wellbeing. The study provides evidence for email peer support for young people with eating disorders and highlights the need for robust support for befriending roles.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eating disorder treatment experiences among racially/ethnically minoritized samples. 种族/少数民族样本的饮食失调治疗经验。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-01-24 DOI: 10.1080/10640266.2025.2452690
Sarah Song, Kailey E Roberts, Pete Franz, Julia Lange, Aspen Martin, Margaret Sala
{"title":"Eating disorder treatment experiences among racially/ethnically minoritized samples.","authors":"Sarah Song, Kailey E Roberts, Pete Franz, Julia Lange, Aspen Martin, Margaret Sala","doi":"10.1080/10640266.2025.2452690","DOIUrl":"10.1080/10640266.2025.2452690","url":null,"abstract":"<p><p>Although eating disorders (EDs) affect individuals of all races and ethnicities, racially/ethnically minoritized individuals are less likely to receive ED treatment than White individuals. The present study aimed to compare ED treatment experiences in a sample of racially/ethnically minoritized individuals vs. White participants. As a secondary aim, we explored how acculturation and mental health stigma factors were associated with treatment experiences. We recruited 41 White and 27 racially/ethnically minoritized individuals with a history of EDs (with all racially/ethnically minoritized individuals having to be categorized into one group due to limited power to conduct analyses across groups). Participants completed an assessment of their treatment experiences, ratings of the helpfulness of each treatment, self-reported barriers to treatments, their level of acculturation, and their tolerance towards stigma. We found that racially/ethnically minoritized participants reported receiving a significantly lower total number of ED treatments than White participants. Second, racially/ethnically minoritized participants were significantly less likely to seek out inpatient and day treatment/partial hospitalization than White participants. Third, racially/ethnically minoritized rated nutritionists and residential treatment as significantly less helpful than White participants. Fourth, racially/ethnically minoritized participants identified the lack of cultural competence among providers as a significantly more substantial barrier to treatment than White participants. Finally, among racially/ethnically minoritized participants, higher immersion in dominant society correlated positively with perceived helpfulness of ED treatment. These insights can guide the development of targeted interventions aimed at mitigating treatment barriers and enhancing treatment outcomes for racially/ethnically minoritized individuals affected by EDs.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12287417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concurrent delivery of written exposure therapy for posttraumatic stress disorder treatment in an intensive eating disorder program: a case series. 同时提供书面暴露疗法治疗创伤后应激障碍强化饮食失调项目:一个病例系列。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-01-18 DOI: 10.1080/10640266.2025.2453258
Aaron R Keshen, Nami Trappenberg, Sara Bartel, Anastasia Harris, Victoria Taylor, Jenna Whitney, Susan Gamberg, Colby Price, Kathryn Trottier
{"title":"Concurrent delivery of written exposure therapy for posttraumatic stress disorder treatment in an intensive eating disorder program: a case series.","authors":"Aaron R Keshen, Nami Trappenberg, Sara Bartel, Anastasia Harris, Victoria Taylor, Jenna Whitney, Susan Gamberg, Colby Price, Kathryn Trottier","doi":"10.1080/10640266.2025.2453258","DOIUrl":"https://doi.org/10.1080/10640266.2025.2453258","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) and eating disorders (EDs) frequently co-occur, with PTSD potentially worsening ED treatment outcomes. Integrated and concurrent interventions that treat both conditions together have been recommended, but no best practices exist. This case series of nine patients provides preliminary data on Written Exposure Therapy (WET), a brief, low-resource PTSD intervention, delivered concurrently with inpatient or day hospital ED treatment. Results showed reductions in PTSD symptoms, with most patients experiencing clinically significant improvements. Changes in ED symptoms varied, but no patients experienced deterioration. These findings suggest WET is a promising, efficient method for treating PTSD alongside ED treatment, supporting the need for clinical trials to assess its acceptability and efficacy for ED-PTSD.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-8"},"PeriodicalIF":3.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining eating pathology and psychosocial functioning across subjective eating disorder recovery stages in sexual and gender minority individuals. 在性少数和性别少数个体的主观饮食失调恢复阶段检查饮食病理学和心理社会功能。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-01-17 DOI: 10.1080/10640266.2025.2452663
Matthew F Murray, Alexander Broekhuijse, Kelly A Romano, Jennifer E Wildes, Alissa A Haedt-Matt
{"title":"Examining eating pathology and psychosocial functioning across subjective eating disorder recovery stages in sexual and gender minority individuals.","authors":"Matthew F Murray, Alexander Broekhuijse, Kelly A Romano, Jennifer E Wildes, Alissa A Haedt-Matt","doi":"10.1080/10640266.2025.2452663","DOIUrl":"10.1080/10640266.2025.2452663","url":null,"abstract":"<p><p>Subjective eating disorder (ED) recovery has important clinical relevance. However, studies have focused on the perspectives of cisgender heterosexual individuals, which is notable given that sexual and gender minority (SGM) people often describe feelings misrepresented by prevailing ED conceptualizations. We examined eating pathology and psychosocial functioning across subjective recovery stages in SGM individuals (<i>N</i> = 196). Analyses of variance tested differences between active ED (<i>n</i> = 106, 54.1%), partial recovery (<i>n</i> = 82, 41.8%), and full recovery (<i>n</i> = 8, 4.1%) groups. Groups differed in body dissatisfaction, binge eating, restricting, clinical impairment, autonomy, environmental mastery, and self-acceptance. Most differences were observed between the full recovery and active ED groups and the full recovery and partial recovery groups, such that subjectively higher levels of ED recovery were generally associated with lower transdiagnostic ED symptoms and better psychosocial functioning. Clinical profiles appear similar between SGM and cisgender heterosexual individuals across subjective ED recovery stages.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-8"},"PeriodicalIF":3.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiences of discrimination in healthcare settings, trust in providers and disordered eating behaviors in LGBTQ+ college students. LGBTQ+ 大学生在医疗环境中遭受歧视的经历、对医疗服务提供者的信任以及饮食失调行为。
IF 3 3区 医学
Eating Disorders Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1080/10640266.2024.2416343
Taryn Henning, Madison Weinstock, Suzanne E Mazzeo, An Pham
{"title":"Experiences of discrimination in healthcare settings, trust in providers and disordered eating behaviors in LGBTQ+ college students.","authors":"Taryn Henning, Madison Weinstock, Suzanne E Mazzeo, An Pham","doi":"10.1080/10640266.2024.2416343","DOIUrl":"10.1080/10640266.2024.2416343","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals report more experiences of healthcare discrimination and disordered eating behaviors (DEBs), and less trust in physicians than their cisgender and heterosexual counterparts. Although research supports a link between discrimination and DEBs among LGBTQ+ populations, few studies have specifically investigated healthcare discrimination and DEBs in this population. This study examined whether LGBTQ+ status moderated the relation between negative healthcare experiences and DEBs in undergraduates. Undergraduates (<i>n</i> = 322) from a Southeastern (United States) university completed measures of healthcare discrimination, trust in physicians, and DEBs. Analyses investigated whether LGBTQ+ status moderated the relation between healthcare discrimination and DEBs; trust in physicians and DEBs. LGBTQ+ individuals (35% of sample), reported less trust in physicians (<i>p</i> < .001), and more body dissatisfaction (<i>p</i> = .007) and shape/weight overvaluation (<i>p</i> = .008). Among all undergraduates, experiences of healthcare discrimination were associated with higher body dissatisfaction (<i>p</i> = .003) and shape/weight overvaluation (<i>p</i> = .008). Less trust in physicians was associated with greater shape/weight overvaluation (<i>p =</i> .005). LGBTQ+ status did not moderate either relation. It is important to reduce healthcare discrimination and foster patient-provider trust for all young adults. Future research should examine factors influencing patient-provider trust among LGBTQ+ individuals.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"120-137"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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