Department of Psychology, Illinois Institute of Technology, Chicago, Illinois, USA.
University of Wisconsin, Madison, Wisconsin, USA.
Eur Eat Disord Rev. 2024 Mar;32(2):338-349. doi: 10.1002/erv.3045. Epub 2023 Oct 31.
This study investigates eating pathology in transgender and gender non-conforming (TGNC) youth compared to a community-based sample and individuals with eating disorders (EDs).
Participants (ages 13-21 years) included TGNC youth from a paediatric gender clinic (N = 97), a demographically matched community-based sample of cisgender males (N = 97) and cisgender females (N = 97), and treatment-seeking patients with EDs (N = 112). The Eating Disorder Examination Questionnaire (EDE-Q) was used to assess ED cognitions and behaviours.
Transgender and gender non-conforming participants reported significantly higher EDE-Q global scores compared to the cisgender samples, but significantly lower than the ED sample. Transgender and gender non-conforming individuals reported a higher likelihood of objective binge episodes (OBEs) than the cisgender groups, albeit lower than youth with EDs. A substantial proportion of TGNC participants scored in elevated ranges on the EDE-Q global score (35% ≥ score of 3, 17% ≥ score of 4), significantly higher than cisgender males (0% ≥ score of 3, 0% ≥ score of 4) and females (9% ≥ score of 3, 3% ≥ score of 4).
Findings indicate that TGNC youth exhibit increased ED cognitions and OBEs compared to cisgender samples, highlighting the need for screening and addressing ED symptoms in this population.
本研究调查了跨性别和性别不一致（TGNC）青年与基于社区的样本和患有饮食失调症（EDs）的个体之间的饮食病理学。
参与者（年龄 13-21 岁）包括来自儿科性别诊所的 TGNC 青年（N=97）、与顺性别男性（N=97）和顺性别女性（N=97）在人口统计学上匹配的基于社区的样本，以及寻求 ED 治疗的患者（N=112）。使用饮食失调检查问卷（EDE-Q）评估 ED 认知和行为。
与顺性别样本相比，跨性别和性别不一致的参与者报告的 EDE-Q 总分显着更高，但显着低于 ED 样本。跨性别和性别不一致的个体报告的客观暴食发作（OBE）的可能性高于顺性别群体，但低于 ED 患者。相当一部分 TGNC 参与者的 EDE-Q 总分处于升高范围（35%≥得分 3，17%≥得分 4），显着高于顺性别男性（0%≥得分 3，0%≥得分 4）和女性（9%≥得分 3，3%≥得分 4）。
研究结果表明，与顺性别样本相比，TGNC 青年表现出更多的 ED 认知和 OBE，这突出表明需要在该人群中筛查和解决 ED 症状。
