School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Nottingham Centre for Gender Dysphoria, Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
Eur Eat Disord Rev. 2015 Jul;23(4):287-93. doi: 10.1002/erv.2362. Epub 2015 May 5.
High levels of body dissatisfaction have already been reported in the trans population; however, the root of this dissatisfaction, and its association with eating disordered behaviours, has not been studied in-depth. This study aims to assess eating disorder risk by comparing 200 trans people, 200 people with eating disorders and 200 control participants' scores on three subscales of the Eating Disorders Inventory-2 (EDI-2) and to further explore dissatisfaction in the trans participants using the Hamburg Body Drawing Scale (HBDS). The results showed that overall participants with eating disorders scored higher than trans or control groups on all EDI-2 measures, but that trans individuals had greater body dissatisfaction than control participants and, importantly, trans males had comparable body dissatisfaction scores to eating disordered males. Drive for thinness was greater in females (cis and trans) compared with males. In relation to HBDS body dissatisfaction, both trans males and trans females reported greatest dissatisfaction not only for gender-identifying body parts but also for body shape and weight. Overall, trans males may be at particular risk for eating disordered psychopathology and other body image-related behaviours.
已经有研究报道跨性别群体中存在较高水平的身体不满，但这种不满的根源及其与饮食失调行为的关系尚未得到深入研究。本研究旨在通过比较 200 名跨性别者、200 名饮食障碍者和 200 名对照组参与者在饮食障碍问卷-2（EDI-2）的三个分量表上的得分来评估饮食障碍风险，并进一步使用汉堡身体绘图量表（HBDS）来探讨跨性别参与者的不满。结果表明，总体而言，饮食障碍组在所有 EDI-2 测量中得分均高于跨性别者或对照组，但跨性别者的身体不满程度高于对照组，重要的是，跨性别男性与饮食障碍男性的身体不满程度相当。与男性相比，女性（顺性别和跨性别）的瘦身欲望更高。关于 HBDS 的身体不满，跨性别男性和跨性别女性不仅对性别认同的身体部位，而且对身体形状和体重报告了最大的不满。总体而言，跨性别男性可能特别容易出现饮食障碍心理病理和其他与身体形象相关的行为。
