Eating Disorders in Sexual and Gender Minority Adolescents.

Jason M Nagata, Elena Stuart, Jacqueline O Hur, Smriti Panchal, Patrick Low, Anita V Chaphekar, Kyle T Ganson, Jason M Lavender
Author Information
  1. Jason M Nagata: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, 94143, CA, USA. jason.nagata@ucsf.edu.
  2. Elena Stuart: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, 94143, CA, USA.
  3. Jacqueline O Hur: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, 94143, CA, USA.
  4. Smriti Panchal: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, 94143, CA, USA.
  5. Patrick Low: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, 94143, CA, USA.
  6. Anita V Chaphekar: Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, 94143, CA, USA.
  7. Kyle T Ganson: Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
  8. Jason M Lavender: Military Cardiovascular Outcomes Research Program (MiCOR), Department of Medicine, Uniformed Services University, Bethesda, MD, USA.

Abstract

PURPOSE OF REVIEW: To consolidate recent literature addressing eating disorders and disordered eating behaviors among sexual and gender minority (SGM) adolescents, including but not limited to lesbian, gay, bisexual, transgender, and queer (LGBTQ) adolescents.
RECENT FINDINGS: Sexual and gender minority adolescents are at heightened vulnerability to eating disorders and disordered eating behaviors compared to their cisgender and heterosexual peers, potentially due to minority stress, gender norms, objectification, and the influence of the media, peers, and parents. We report findings from recent literature on the epidemiology and prevalence, assessment, mental health comorbidity, quality of life and psychosocial functioning, risk and protective factors, and treatment and interventions for eating disorders in sexual and gender minority adolescents. Addressing eating disorders in sexual and gender minority adolescents requires an integrated approach consisting of screening, tailored treatment, and comprehensive support to address intersectional challenges. Gender-affirming and trauma-informed care approaches may be considered.

Keywords

References

  1. Eat Disord. 2021 Nov-Dec;29(6):685-695 [PMID: 32475303]
  2. Pediatr Ann. 2021 Sep;50(9):e371-e378 [PMID: 34542335]
  3. Int J Eat Disord. 2023 Mar;56(3):604-615 [PMID: 36493406]
  4. J Child Adolesc Psychiatr Nurs. 2010 Nov;23(4):205-13 [PMID: 21073595]
  5. J Adolesc Health. 2024 Feb 4;: [PMID: 38310504]
  6. J Eat Disord. 2023 Mar 27;11(1):51 [PMID: 36973817]
  7. West J Med. 2000 Mar;172(3):164-5 [PMID: 18751246]
  8. Int J Eat Disord. 2024 Mar;57(3):648-660 [PMID: 38279188]
  9. Int J Eat Disord. 2022 Jul;55(7):933-946 [PMID: 35532063]
  10. Body Image. 2023 Mar;44:178-186 [PMID: 36642014]
  11. J Eat Disord. 2023 Sep 22;11(1):164 [PMID: 37736682]
  12. J Pediatr Adolesc Gynecol. 2020 Feb;33(1):3-9 [PMID: 31154017]
  13. Body Image. 2021 Jun;37:50-62 [PMID: 33549975]
  14. Curr Opin Psychiatry. 2020 Nov;33(6):521-527 [PMID: 32796186]
  15. J Eat Disord. 2024 Feb 7;12(1):23 [PMID: 38326869]
  16. Psychol Med. 1998 May;28(3):551-8 [PMID: 9626712]
  17. Eat Behav. 2020 Apr;37:101381 [PMID: 32416588]
  18. Acad Pediatr. 2023 Aug;23(6):1247-1251 [PMID: 36587733]
  19. Eur Eat Disord Rev. 2020 Jan;28(1):92-101 [PMID: 31793119]
  20. J Adolesc Health. 2019 Dec;65(6):815-817 [PMID: 31500946]
  21. Am Psychol. 2020 Feb-Mar;75(2):189-203 [PMID: 32052994]
  22. Int J Eat Disord. 2024 Feb;57(2):303-315 [PMID: 37990394]
  23. J Couns Psychol. 2019 Mar;66(2):131-142 [PMID: 30702325]
  24. J Eat Disord. 2021 Sep 15;9(1):113 [PMID: 34526146]
  25. LGBT Health. 2021 Jul;8(5):359-366 [PMID: 34097472]
  26. Psychol Sex Orientat Gend Divers. 2017 Sep;4(3):304-313 [PMID: 29201935]
  27. Can J Diet Pract Res. 2023 Jun 1;84(2):84-92 [PMID: 36413404]
  28. Eat Weight Disord. 2021 Oct;26(7):2227-2239 [PMID: 33270173]
  29. Int J Eat Disord. 2020 Apr;53(4):513-524 [PMID: 31943285]
  30. J Homosex. 2020 Aug 23;67(10):1471-1489 [PMID: 30912709]
  31. Pediatrics. 2020 Feb;145(2): [PMID: 31974216]
  32. Front Nutr. 2024 Feb 14;11:1332953 [PMID: 38419847]
  33. J Eat Disord. 2023 Jul 4;11(1):111 [PMID: 37400915]
  34. J Homosex. 2023 Apr 16;70(5):806-830 [PMID: 34812698]
  35. Curr Opin Psychiatry. 2022 Nov 1;35(6):362-371 [PMID: 36125216]
  36. Clin Psychol Rev. 2011 Feb;31(1):113-21 [PMID: 20817335]
  37. Int J Eat Disord. 2024 Mar 6;: [PMID: 38445416]
  38. J Adolesc Health. 2021 Jun;68(6):1215-1219 [PMID: 33707147]
  39. J Sch Health. 2021 Oct;91(10):788-795 [PMID: 34426965]
  40. Transgend Health. 2023 Mar 31;8(2):159-167 [PMID: 37013088]
  41. Behav Ther. 2021 Mar;52(2):406-417 [PMID: 33622509]
  42. Soc Sci Med. 2023 Jan;317:115624 [PMID: 36566607]
  43. Int J Eat Disord. 2017 May;50(5):515-522 [PMID: 27862124]
  44. J Adolesc Health. 2024 Jan;74(1):18-27 [PMID: 37791928]
  45. Int J Eat Disord. 2023 Aug;56(8):1570-1580 [PMID: 37163420]
  46. Pediatrics. 2018 Oct;142(4): [PMID: 30224363]
  47. Int J Eat Disord. 2021 May;54(5):851-868 [PMID: 33655603]
  48. Body Image. 2020 Sep;34:215-220 [PMID: 32652490]
  49. Pediatrics. 2020 Apr;145(4): [PMID: 32220906]
  50. Eat Behav. 2021 Aug;42:101528 [PMID: 34049053]
  51. Body Image. 2020 Dec;35:53-62 [PMID: 32846389]
  52. Int J Environ Res Public Health. 2022 Apr 20;19(9): [PMID: 35564417]
  53. Eur Eat Disord Rev. 2023 Jan;31(1):46-64 [PMID: 36367345]
  54. J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-9 [PMID: 20855043]
  55. J Eat Disord. 2020 Dec 8;8(1):74 [PMID: 33292636]
  56. J Eat Disord. 2023 Oct 13;11(1):182 [PMID: 37833810]
  57. Curr Opin Pediatr. 2017 Aug;29(4):475-480 [PMID: 28562420]
  58. Int Rev Psychiatry. 2016;28(1):81-94 [PMID: 26618239]
  59. J Eat Disord. 2020 Oct 16;8:51 [PMID: 33088566]
  60. J Eat Disord. 2023 Feb 28;11(1):32 [PMID: 36855189]
  61. J Adolesc Health. 2021 Sep;69(3):470-476 [PMID: 34053814]
  62. Int J Eat Disord. 2022 Dec;55(12):1690-1707 [PMID: 36054425]
  63. Biol Psychiatry. 2007 Feb 1;61(3):348-58 [PMID: 16815322]
  64. Appetite. 2021 Aug 1;163:105204 [PMID: 33741450]
  65. J Psychosom Res. 2002 Nov;53(5):1007-20 [PMID: 12445590]
  66. Transgend Health. 2019 Oct 29;4(1):297-299 [PMID: 31663036]
  67. Psychol Assess. 2021 May;33(5):459-463 [PMID: 33646808]
  68. Eat Weight Disord. 2022 Mar;27(2):813-820 [PMID: 34057704]
  69. Eat Behav. 2021 Apr;41:101517 [PMID: 33962139]
  70. J Eat Disord. 2022 Dec 23;10(1):199 [PMID: 36564815]
  71. Pediatrics. 2023 Apr 1;151(4): [PMID: 36861300]
  72. Curr Opin Psychiatry. 2020 Nov;33(6):562-567 [PMID: 32858597]
  73. Psychiatry Res. 2014 Sep 30;219(1):1-9 [PMID: 24857566]
  74. JAMA Pediatr. 2023 Apr 1;177(4):363-372 [PMID: 36806880]

Grants

  1. T32 GM007546/NIGMS NIH HHS
  2. T32GM07546/NIH HHS
  3. K08HL1549350/NIH HHS

MeSH Term

Humans
Feeding and Eating Disorders
Sexual and Gender Minorities
Adolescent
Male
Female

Word Cloud

Created with Highcharts 10.0.0eatingdisordersgenderminorityadolescentssexualrecentliteraturedisorderedbehaviorsSexualpeerstreatmentEatingPURPOSEOFREVIEW:consolidateaddressingamongSGMincludinglimitedlesbiangaybisexualtransgenderqueerLGBTQRECENTFINDINGS:heightenedvulnerabilitycomparedcisgenderheterosexualpotentiallyduestressnormsobjectificationinfluencemediaparentsreportfindingsepidemiologyprevalenceassessmentmentalhealthcomorbidityqualitylifepsychosocialfunctioningriskprotectivefactorsinterventionsAddressingrequiresintegratedapproachconsistingscreeningtailoredcomprehensivesupportaddressintersectionalchallengesGender-affirmingtrauma-informedcareapproachesmayconsideredDisordersGenderMinorityAdolescentsBisexualGayLGBTLGBTQ+LesbianTransgender

Similar Articles

Cited By