Department of Psychology, Fordham University, Bronx, New York, USA.
Sanford Center for Bio-behavioral Research, Fargo, North Dakota, USA.
Int J Eat Disord. 2020 Oct;53(10):1605-1609. doi: 10.1002/eat.23371. Epub 2020 Aug 28.
Disparities in eating disorder (ED) risk, diagnosis, and treatment for those who occupy multiple marginalized social identities (e.g., combined racial/ethnic and sexual minority statuses), underscore the need for advancing multicultural research in the ED field. In this article, we argue that intersectionality-informed approaches, which examine the ways in which one's multiple social identities interact to inform risk for ED outcomes, offer an established framework for identifying frequently underserved individuals who may be at greatest risk for EDs. We highlight preliminary intersectional research in EDs and offer suggestions for further progression. In particular, we encourage future intersectionality-informed research to incorporate a broader range of social identities (e.g., age, ability status), consider the ways in which these identities may be dimensional and fluid, and embrace strengths-based approaches to illuminate dimensions of identity that may serve as protective factors. To support such research, we describe quantitative and qualitative methods for pursuing questions of intersectionality in ED investigations. Given the success of intersectionality-informed research in other areas of psychopathology and its relevance to ED as suggested by initial research, the continued pursuit of these approaches in EDs has high potential to improve identification and treatment for patients who have too often been overlooked.
在那些具有多种边缘化社会身份的人群中(例如,种族/民族和性少数群体的双重身份),进食障碍(ED)的风险、诊断和治疗存在差异,这突显了在 ED 领域推进多元文化研究的必要性。在本文中,我们认为,交叉性视角的方法——即研究一个人的多种社会身份如何相互作用,从而影响 ED 结果的风险——为确定经常服务不足、可能面临最大 ED 风险的个体提供了一个既定框架。我们强调了 ED 中初步的交叉性研究,并提出了进一步发展的建议。特别是,我们鼓励未来的交叉性研究纳入更广泛的社会身份(例如,年龄、能力状况),考虑这些身份可能具有的维度和流动性,并采用基于优势的方法来阐明可能作为保护因素的身份维度。为了支持这种研究,我们描述了在 ED 研究中探讨交叉性问题的定量和定性方法。鉴于交叉性视角研究在其他精神病理学领域的成功,以及初始研究表明其与 ED 的相关性,在 ED 中继续采用这些方法有可能提高对那些经常被忽视的患者的识别和治疗效果。