Eating DisordersPub Date : 2025-01-01Epub Date: 2024-06-10DOI: 10.1080/10640266.2024.2365519
Zachary A Soulliard, Thomas P Le, Vic Yamasaki
{"title":"Pride and body image among transgender and nonbinary adults: the mediating role of body appreciation between gender identity pride and intuitive eating.","authors":"Zachary A Soulliard, Thomas P Le, Vic Yamasaki","doi":"10.1080/10640266.2024.2365519","DOIUrl":"10.1080/10640266.2024.2365519","url":null,"abstract":"<p><p>Studies exploring disordered eating among transgender and nonbinary populations have primarily focused on minority stressors with a dearth of research examining the role of gender identity pride on body appreciation and intuitive eating. To address this gap in the literature, the present study, comprised of 148 transgender and nonbinary adults (<i>M</i><sub><i>age</i></sub> = 24.68, <i>SD</i> = 6.64), tested the associations among gender identity pride, body appreciation, and intuitive eating, controlling for demographics and minority stress variables. The study also tested body appreciation as a mediator in the cross-sectional association between gender identity pride and intuitive eating. Regression models indicated that greater gender identity pride was significantly associated with greater body appreciation, but not intuitive eating. Greater body appreciation was a significant mediator in the positive association between gender identity pride and intuitive eating. Findings support the significant role and relevance of examining gender identity pride as related to body appreciation and intuitive eating. Future research may determine the causal impact of gender identity pride on body image and eating behaviors in transgender and nonbinary populations. Clinicians may consider the positive role of gender identity pride when addressing body image and eating behaviors with their transgender and nonbinary clients.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"60-77"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297077","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}
Eating DisordersPub Date : 2025-01-01DOI: 10.1080/10640266.2024.2433325
Erika Hansson, Manuela Schmidt
{"title":"Measuring disordered eating in adolescent boys: a systematic literature review.","authors":"Erika Hansson, Manuela Schmidt","doi":"10.1080/10640266.2024.2433325","DOIUrl":"https://doi.org/10.1080/10640266.2024.2433325","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to map which instruments are currently being used to measure disordered eating in adolescent boys as part of a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis.</p><p><strong>Method: </strong>Utilizing the PRISMA review protocol, 174 journal articles were reviewed.</p><p><strong>Results: </strong>Sixty-seven articles used versions of the Eating Attitudes Test to measure adolescent boys' disordered eating, 32 used versions of the Eating Disorder Examination-Questionnaire, 30 used versions of the Eating Disorder Inventory, 25 used SCOFF, and 10 used the Drive for Muscularity Scale. A plethora of other instruments for measuring disordered eating were utilized as well.</p><p><strong>Conclusion: </strong>Studying adolescent boys' disordered eating by using instruments primarily developed and validated for girls may provide unreliable estimates of the numbers of boys who suffer from disordered eating, which would preclude early intervention. One strength of the reviewed studies was that several used multiple measurements to validate their results. One of the weaknesses was the lack of distinguishing genders among certain groups, such as athletes or patients. Among the opportunities identified was the possibility of expanding on research on the association between puberty and disordered eating, with sports and parents potentially acting as buffers against the onset of disordered eating. A clear threat to research on disordered eating among adolescent boys was the (in)accuracy of the measurements.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-21"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916152","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}
Eating DisordersPub Date : 2025-01-01Epub Date: 2024-08-05DOI: 10.1080/10640266.2024.2381908
Jerel P Calzo, Jack Andrzejewski, Catalina Torres, Scout Silverstein, Ethan Lopez, Allegra R Gordon
{"title":"\"There is a paywall to my happiness\": the influence of socioeconomic determinants on transgender and gender diverse young adults' experiences with eating disorders.","authors":"Jerel P Calzo, Jack Andrzejewski, Catalina Torres, Scout Silverstein, Ethan Lopez, Allegra R Gordon","doi":"10.1080/10640266.2024.2381908","DOIUrl":"10.1080/10640266.2024.2381908","url":null,"abstract":"<p><p>Transgender and gender diverse (TGD) young adults experience elevated risk for eating disorders (ED), partially due to cissexist discrimination and victimization; less is understood about how socioeconomic determinants contribute to their ED risk. Qualitative data collected from 66 TGD young adults (18-30 years old; 29% self-identified as transgender women, 29% as transgender men, 39% as nonbinary people, and 3% as another gender identity (e.g., māhū)) in eight asynchronous online focus groups explored how socioeconomic determinants in conjunction with other dimensions of identity and lived experience shape disordered eating behavior (DEB) and ED risk. Participants described how economic barriers-including poverty and dependency on others (e.g. parents for health insurance)-and challenges produced by insurance and healthcare systems impeded healthcare access to the detriment of their overall mental health and risk for ED. In addition, participants shared different ways they leveraged financial resources to cope with stress, sometimes in ways that impelled disordered eating behaviors. Finally, participants described how poverty, socioeconomic advantage and disadvantage, and classism compound other systems of oppression (e.g. racism, ableism, weight bias) to adversely impact their general health and ED risk.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"100-119"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11735290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894688","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}
Eating DisordersPub Date : 2025-01-01Epub Date: 2025-01-15DOI: 10.1080/10640266.2024.2351655
Kristin E Heron, Kelly A Romano, Emily Panza, Nicholas S Perry, Charlotte A Dawson, Abby L Braitman
{"title":"Sexual minority stressors and disordered eating behaviors in daily life: a daily diary study of sexual minority cisgender female couples.","authors":"Kristin E Heron, Kelly A Romano, Emily Panza, Nicholas S Perry, Charlotte A Dawson, Abby L Braitman","doi":"10.1080/10640266.2024.2351655","DOIUrl":"10.1080/10640266.2024.2351655","url":null,"abstract":"<p><p>Young cisgender sexual minority women (e.g. lesbian, queer) in the U.S. are at risk for disordered eating behaviors (DEB). Minority stress theory proposes sexual minority stressors (SMS; e.g. discrimination) related to marginalized statuses are culturally specific stressors that may explain engagement in these behaviors. However, little is known about daily SMS-DEB associations. We conducted a 14-day daily diary study of 321 U.S.-based sexual minority cisgender women ages 19-35 who were in a relationship with a woman. SMS were assessed using an 8-item daily measure of distal SMS (e.g. heard anti-LGBT talk, verbal harassment), and DEB with single items capturing dietary restraint, overeating, loss of control eating, and emotional eating. Multi-level models revealed on days when women experienced SMS, they were more likely to report dietary restraint and emotional eating, but not overeating or loss of control eating. Women who generally reported more frequent SMS were more likely to report all four DEB. There were no significant couple-level SMS-DEB associations. These findings expand our understanding of how SMS is associated with DEB in the daily lives of cisgender sexual minority women. Future studies are needed to explore the temporal sequencing of the associations. Findings may also help to inform the design of culturally tailored interventions aimed at reducing DEB among sexual minority women.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"33 1","pages":"25-43"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984757","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}
Eating DisordersPub Date : 2025-01-01Epub Date: 2024-08-13DOI: 10.1080/10640266.2024.2352673
Savannah R Roberts
{"title":"The pride framework: a sociocultural-developmental approach for understanding LGBTQ+ adolescents' body image and disordered eating.","authors":"Savannah R Roberts","doi":"10.1080/10640266.2024.2352673","DOIUrl":"10.1080/10640266.2024.2352673","url":null,"abstract":"<p><p>This theoretical review paper offers a sociocultural-developmental framework for understanding LGBTQ+ adolescents' body image concerns and disordered eating risk. The Pride Framework integrates well-established sociocultural theories and extant empirical research, drawing from objectification theory, the tripartite influence model, minority stress theory, and intersectionality theory. The Pride Framework situates sociocultural appearance pressures within the adolescent developmental context, wherein biological, cognitive, and social transitions exacerbate the likelihood of body image disturbances and eating pathology. Various processes are then posited to link these sociocultural-developmental pressures to body image concerns and disordered eating. Crucially, this framework underscores that LGBTQ+ status itself does not pose a risk for body dissatisfaction and eating disorders. Instead, it is the experience of residing in a society that stigmatizes LGBTQ+ identities that increases youth's vulnerabilities. LGBTQ+ health researchers and practitioners are encouraged to engage in collaborative efforts with the aim of fostering acceptance for LGBTQ+ youth. This, in turn, could support normative adolescent identity exploration processes within sociocultural settings that are both affirming and inclusive, potentially mitigating adverse health consequences associated with body image disturbances.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"8-24"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977026","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}
Eating DisordersPub Date : 2025-01-01Epub Date: 2024-05-30DOI: 10.1080/10640266.2024.2355699
Marley G Billman Miller, Dominic M Denning, Jordan C Alvarez, Jorge Castro Lebron, Seba Bakoyema, Tiffany A Brown
{"title":"Examining eating disorder pathology and self-stigma of help-seeking behaviors in a community sample of sexual minority adults: an intersectional investigation of race and gender.","authors":"Marley G Billman Miller, Dominic M Denning, Jordan C Alvarez, Jorge Castro Lebron, Seba Bakoyema, Tiffany A Brown","doi":"10.1080/10640266.2024.2355699","DOIUrl":"10.1080/10640266.2024.2355699","url":null,"abstract":"<p><strong>Background: </strong>Self-stigma of seeking psychological help is a critical factor prohibiting individuals from seeking eating disorder (ED) treatment, but has been widely unexplored in racial/ethnic and sexual minority (SM) samples. The current study examined differences in ED pathology and self-stigma of help-seeking at the intersection of race and gender within a cisgender SM sample.</p><p><strong>Methods: </strong>Cisgender SM participants (<i>n</i> = 354) identifying as Black, Indigenous, or People of Color (BIPOC; 52%), Asian American and Pacific Islander (AAPI; 24%), or White (24%) were recruited through Prolific Academic. One-way analyses of variance were used to examine differences in the Self-Stigma of Seeking Help Scale (SSOSH) and Eating Pathology Symptom Inventory (EPSI) subscales among men and women in each group. Pearson's correlations explored associations between SSOSH and EPSI subscales within each subgroup.</p><p><strong>Results: </strong>Findings indicated significant between-group differences on the SSOSH and the EPSI subscales of Body Dissatisfaction, Purging, and Excessive Exercise. SSOSH was significantly positively correlated with Body Dissatisfaction in the White SM cis-women group and Binge Eating in the BIPOC SM cis-men group.</p><p><strong>Conclusions: </strong>Results demonstrate unique, intersectional between-group differences in ED pathology and self-stigma among SM individuals. Further research on the impact of intersectionality on these constructs within larger samples is warranted.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"138-159"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176351","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}
Eating DisordersPub Date : 2025-01-01Epub Date: 2024-06-26DOI: 10.1080/10640266.2024.2371250
Scout Silverstein, Megan Hellner, Jessie Menzel
{"title":"Development of a gender-affirming care protocol in eating disorder treatment settings.","authors":"Scout Silverstein, Megan Hellner, Jessie Menzel","doi":"10.1080/10640266.2024.2371250","DOIUrl":"10.1080/10640266.2024.2371250","url":null,"abstract":"<p><p>Transgender and gender-expansive (TGE) individuals suffer from eating disorders (EDs) at disproportionate rates relative to their gender-conforming counterparts. While literature on EDs in TGE populations is growing and evolving, best practice guidelines are scant. A framework for providing gender-affirming care (GAC) in an ED treatment setting was developed by integrating findings from a focused literature review and insights from leading experts. Following synchronous and asynchronous training, the protocol was implemented in a virtual ED treatment setting with a national reach serving patients ages 6-24 years. This paper offers a summary of best practices and approaches for providing GAC in ED treatment settings. The use of GAC practices has the potential to address underlying issues and inequities in treatment delivery and outcomes. We encourage ED treatment providers to consider the adoption/adaptation of GAC best practices to more effectively meet the needs of TGE patients. More research is needed to better understand the influence of individual and collective GAC practices on specific ED treatment outcomes.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"160-176"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452002","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}
{"title":"Body image distress and disordered eating among gay and straight men from Greece and Cyprus.","authors":"Marios Argyrides, Elly Anastasiades, Antonios Dakanalis, Stefani Rodosthenous","doi":"10.1080/10640266.2024.2349337","DOIUrl":"10.1080/10640266.2024.2349337","url":null,"abstract":"<p><p>Sociocultural factors play a significant role in the development of body image distress and disordered eating behavior in diverse populations, including men. One group which seems to be at increased risk, is sexual minority men. However, these factors have rarely been studied outside of Western populations. The present study sought to explore these factors in Greek and Greek-Cypriot men. Greek and Greek-Cypriot men (<i>N</i> = 367; <i>n</i> = 162 gay; <i>n</i> = 205 straight) completed measures of sociocultural pressures, appearance comparisons, body dissatisfaction, body appreciation and disordered eating. Results indicated that gay men were more likely to have disordered eating habits than straight men. Additionally, gay men had significantly lower scores on measures of body-image related wellbeing (i.e. satisfaction and appreciation), and higher on measures of societal pressures and appearance-related comparisons, appearance-related anxiety and disordered eating. Greek and Greek-Cypriot gay men had lower levels of muscularity internalization than straight men. Our findings extend research on body image distress and disordered eating in gay and straight men to Greek and Greek-Cypriot populations.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"33 1","pages":"44-59"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984843","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}
Eating DisordersPub Date : 2025-01-01Epub Date: 2024-08-06DOI: 10.1080/10640266.2024.2381319
Scout Silverstein, Tamara Santibañez
{"title":"A qualitative investigation of tattooing as an adaptive appearance investment: positive body image and eating disorder recovery in a predominantly transgender and gender expansive sample.","authors":"Scout Silverstein, Tamara Santibañez","doi":"10.1080/10640266.2024.2381319","DOIUrl":"10.1080/10640266.2024.2381319","url":null,"abstract":"<p><p>Tattooed individuals often express the positive effects of wearing body art toward improved self-image and confidence. This research builds on prior data exploring the positive effects of tattooing and investigates how tattoos impact one's relationship to eating disorder (ED) recovery and body image. We held three focus groups lasting 60 minutes each, recruiting participants via purposive snowball sampling (<i>n</i> = 15), with additional opportunities to respond to focus group prompts asynchronously. Eligible participants were individuals with lived experience of an ED, self-identified as being in recovery, had three or more tattoos, and spoke English. Participants predominantly held gender-expansive (<i>n</i> = 4 Non-Binary, <i>n</i> = 3 Genderqueer, <i>n</i> = 3 Cisgender Women, <i>n</i> = 3 Transgender, <i>n</i> = 2 Transmasculine, <i>n</i> = 2 Gender Non-Conforming, <i>n</i> = 2 Intersex, <i>n</i> = 1 Cisgender Man) and non-heterosexual identities. Focus groups were held between April 2021 and July 2023 and followed a semi-structured interview format. Primary analyses focused on participants' responses to open-ended prompts regarding how they understood the relationships between tattooing, body image, and ED recovery. Thematic analysis identified four core themes: Tattooing allowing for embodiment, tattooing allowing for recovery-oriented behaviors, tattooing enabling positive body image, and tattooing facilitating empowerment. An overarching message was that tattooing is a therapeutic and transformative process, allowing for self-determination. Participants indicated that tattooing can be experienced as a powerful mechanism for behavioral change and shifts in relationship to one's body. Participants expressed that tattooing can be an effective route towards both gender euphoria and body liberation, enhancing one's ability to maintain ED recovery.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"78-99"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894689","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}
Eating DisordersPub Date : 2024-12-27DOI: 10.1080/10640266.2024.2434355
Natalie Tamplin, Wei Lin Toh, Andrea Phillipou
{"title":"Self-objectification and eating disorder psychopathology in women: the mediating role of rumination.","authors":"Natalie Tamplin, Wei Lin Toh, Andrea Phillipou","doi":"10.1080/10640266.2024.2434355","DOIUrl":"https://doi.org/10.1080/10640266.2024.2434355","url":null,"abstract":"<p><p>Objectification theory posits that self-objectification can lead to disordered eating, with significant positive correlations between self-objectification and eating disorder (ED) psychopathology found in women in both clinical and non-clinical samples. Maladaptive rumination is another process frequently associated with EDs, but its relationship with self-objectification and ED psychopathology needs further investigation. Our aim was to conduct a preliminary test to investigate whether maladaptive rumination mediated the relationship between self-objectification and ED psychopathology in women. Data were collected online from a general community sample of 243 women. Correlation and mediation analyses were undertaken. Significant positive associations were found between rumination, self-objectification, and ED psychopathology. Rumination significantly mediated the relationship between self-objectification and ED psychopathology, accounting for 20.52% of the variance, suggesting that a greater tendency to ruminate may contribute to ED vulnerability in those with high self-objectification. These preliminary findings may inform assessment and formulation of women presenting with ED psychopathology in addition to supporting psychological interventions (e.g. CBT or acceptance-based approaches), which can target both self-objectification and rumination processes. Future research involving replication with clinical samples is warranted to corroborate the relationship between these constructs, their impact on ED psychopathology over time and to investigate their utility in assessment and treatment approaches.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899370","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}