Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment

Abstract Background It has been well established that individuals who identify as lesbian, gay, bisexual, transgender, and queer are at increased risk for mental health pathology, including eating disorders/disordered eating behaviors (ED/DEB). However, less is understood about the unique experience...

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Main Authors: Kerry McGregor, John L. McKenna, Ellis P. Barrera, Coleen R. Williams, Sydney M. Hartman-Munick, Carly E. Guss
Format: Article
Language:English
Published: BMC 2023-05-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-023-00793-0
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author Kerry McGregor
John L. McKenna
Ellis P. Barrera
Coleen R. Williams
Sydney M. Hartman-Munick
Carly E. Guss
author_facet Kerry McGregor
John L. McKenna
Ellis P. Barrera
Coleen R. Williams
Sydney M. Hartman-Munick
Carly E. Guss
author_sort Kerry McGregor
collection DOAJ
description Abstract Background It has been well established that individuals who identify as lesbian, gay, bisexual, transgender, and queer are at increased risk for mental health pathology, including eating disorders/disordered eating behaviors (ED/DEB). However, less is understood about the unique experiences of transgender and gender diverse (TGD) people who struggle with ED/DEB. Aims The purpose of this literature review is to examine the literature regarding the unique risk factors for TGD individuals who experience ED/DEB through a lens informed by the minority stress model. Additionally, guidance around the assessment and clinical management of eating disorders for TGD individuals will be presented. Results TGD people are at increased risk for developing ED/DEB due to a number of factors including: gender dysphoria, minority stress, the desire to pass, and barriers to gender affirming care. Conclusion While guidance around assessment and treatment of ED/DEB for TGD individuals is still limited, adhering to a gender affirmative care model is essential.
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spelling doaj.art-b6664f2e24e6405ab04952c288d27cb82023-05-21T11:05:04ZengBMCJournal of Eating Disorders2050-29742023-05-0111111210.1186/s40337-023-00793-0Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatmentKerry McGregor0John L. McKenna1Ellis P. Barrera2Coleen R. Williams3Sydney M. Hartman-Munick4Carly E. Guss5Gender Multispecialty Service, Boston Children’s HospitalGender Multispecialty Service, Boston Children’s HospitalGender Multispecialty Service, Boston Children’s HospitalGender Multispecialty Service, Boston Children’s HospitalDivision of Adolescent and Young Adult Medicine, Boston Children’s HospitalGender Multispecialty Service, Boston Children’s HospitalAbstract Background It has been well established that individuals who identify as lesbian, gay, bisexual, transgender, and queer are at increased risk for mental health pathology, including eating disorders/disordered eating behaviors (ED/DEB). However, less is understood about the unique experiences of transgender and gender diverse (TGD) people who struggle with ED/DEB. Aims The purpose of this literature review is to examine the literature regarding the unique risk factors for TGD individuals who experience ED/DEB through a lens informed by the minority stress model. Additionally, guidance around the assessment and clinical management of eating disorders for TGD individuals will be presented. Results TGD people are at increased risk for developing ED/DEB due to a number of factors including: gender dysphoria, minority stress, the desire to pass, and barriers to gender affirming care. Conclusion While guidance around assessment and treatment of ED/DEB for TGD individuals is still limited, adhering to a gender affirmative care model is essential.https://doi.org/10.1186/s40337-023-00793-0Eating disordersDisordered eating behaviorsTransgenderGender diversityLGBTQ
spellingShingle Kerry McGregor
John L. McKenna
Ellis P. Barrera
Coleen R. Williams
Sydney M. Hartman-Munick
Carly E. Guss
Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment
Journal of Eating Disorders
Eating disorders
Disordered eating behaviors
Transgender
Gender diversity
LGBTQ
title Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment
title_full Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment
title_fullStr Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment
title_full_unstemmed Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment
title_short Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment
title_sort disordered eating and considerations for the transgender community a review of the literature and clinical guidance for assessment and treatment
topic Eating disorders
Disordered eating behaviors
Transgender
Gender diversity
LGBTQ
url https://doi.org/10.1186/s40337-023-00793-0
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