Department of Psychology, Michigan State University, East Lansing, Michigan, USA.
Int J Eat Disord. 2023 Jan;56(1):68-71. doi: 10.1002/eat.23725. Epub 2022 May 5.
Reviews by Devoe et al. (2022), Linardon et al. (2022), and Schneider et al. (2022) illustrate the profound impact the COVID-19 pandemic has had on people with eating disorders (EDs) or disordered eating (DE) and their families. However, there is a dearth of research on how the pandemic has affected individuals with marginalized identities, who have been historically underrepresented in ED/DE research. The few studies conducted to date suggest that people with marginalized identities, including people of color, LGBTQ + people, women, and people experiencing socioeconomic disadvantage, may have had even greater increases in EDs/DE than people without marginalized identities. In this Commentary, I discuss who is missing from research on EDs/DE during the COVID-19 pandemic, strategies for breaking down barriers to participation in research for diverse groups, and the implications of existing research findings for people with marginalized identities. Improved measurement of salient aspects of participants' identities and increased recruitment and retention of participants from diverse backgrounds is necessary to more fully understand the impact of the COVID-19 pandemic on all people affected by EDs and DE. Concurrently, increased access to affordable and culturally sensitive care is urgently required to meet the extensive treatment needs already documented.
Devoe 等人(2022 年)、Linardon 等人(2022 年)和 Schneider 等人(2022 年)的评论表明,新冠疫情对患有饮食障碍(ED)或饮食失调(DE)的人和他们的家人产生了深远的影响。然而,关于疫情如何影响边缘化身份的个体的研究却很少,这些个体在 ED/DE 研究中历来代表性不足。迄今为止进行的少数研究表明,具有边缘化身份的个体,包括有色人种、LGBTQ+人群、女性和经历社会经济劣势的人,其 ED/DE 可能比没有边缘化身份的人增加得更多。在这篇评论中,我讨论了在新冠疫情期间 ED/DE 研究中缺失了哪些人群,以及为打破多样化群体参与研究的障碍而采取的策略,以及现有研究结果对边缘化身份人群的影响。需要改进对参与者身份重要方面的测量,并增加来自不同背景的参与者的招募和保留,以更全面地了解新冠疫情对所有受 ED 和 DE 影响的人的影响。同时,迫切需要增加对负担得起和文化敏感的护理的获取,以满足已经记录的广泛的治疗需求。