McClain Zachary, Peebles Rebecka
Craig Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, 11 Northwest Tower, Room 10, Philadelphia, PA 19104, USA.
Craig Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, 11 Northwest Tower, Room 10, Philadelphia, PA 19104, USA.
Pediatr Clin North Am. 2016 Dec;63(6):1079-1090. doi: 10.1016/j.pcl.2016.07.008. Epub 2016 Oct 12.
Adolescence is a crucial period for emerging sexual orientation and gender identity and also body image disturbance and disordered eating. Body image distortion and disordered eating are important pediatric problems affecting individuals along the sexual orientation and gender identity spectrum. Lesbian, gay, bisexual, transgender (LGBT) youth are at risk for eating disorders and body dissatisfaction. Disordered eating in LGBT and gender variant youth may be associated with poorer quality of life and mental health outcomes. Pediatricians should know that these problems occur more frequently in LGBT youth. There is evidence that newer treatment paradigms involving family support are more effective than individual models of care.
青春期是性取向和性别认同初现的关键时期,也是身体意象紊乱和饮食失调的关键时期。身体意象扭曲和饮食失调是影响性取向和性别认同谱系中个体的重要儿科问题。女同性恋、男同性恋、双性恋、跨性别(LGBT)青少年有饮食失调和身体不满的风险。LGBT及性别多样化青少年的饮食失调可能与较差的生活质量和心理健康结果相关。儿科医生应该知道,这些问题在LGBT青少年中更频繁地出现。有证据表明,涉及家庭支持的新型治疗模式比个体护理模式更有效。