Perceptions of general and postpresidential election discrimination are associated with loss of control eating among racially/ethnically diverse young men

Kelly, Nichole R.; Smith, Tasia M.; Hall, Gordon C. Nagayama; Guidinger, Claire; Williamson, Gina; Budd, Elizabeth L.; Giuliani, Nicole R.

doi:10.1002/eat.22803

Cited by 25 publications

(32 citation statements)

References 82 publications

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“…Finally, research is beginning to make clear that disadvantage (Becker et al, 2017, 2019; Coffino, Grilo, & Udo, 2020; Lydecker, & Grilo, 2019) and discrimination (Kelly et al, 2018; Kelly, Cotter, Guidinger, & Williamson, 2020; Mason, Lewis, & Heron, 2017) are significant contributors to disordered eating. Inclusion of these social determinants of health in research, case conceptualization, and treatment is vital to understanding and affirming the experiences of black and Indigenous people with EDs.…”

Section: Resultsmentioning

confidence: 99%

“…The final section includes four articles examining how environmental stressors, including discrimination and acculturative stress, are associated with disordered eating in black and Indigenous people (Gerbasi et al, 2014; Kelly et al, 2018; Munn‐Chernoff et al, 2015; Perez et al, 2002). We note that relatively few articles on the potential association between discrimination and disordered eating have been published, and urge additional research on the impact of discrimination on disordered eating for people of color (particularly those with multiple marginalized identities, such as black and Indigenous women and gender diverse individuals).…”

Section: Question 3: How Are Environmental Stressors That Disproportimentioning

confidence: 99%

“…Kelly et al (2018) is one of few studies to directly investigate the association between discrimination and disordered eating. Kelly et al (2018) found that perceived discrimination following the 2016 election in the US was associated with greater loss of control eating frequency among African American and Latino men. We encourage researchers to continue to examine how experiences of discrimination and oppression may increase risk for disordered eating in black, Indigenous, and other people of color.…”

Section: Question 3: How Are Environmental Stressors That Disproportimentioning

confidence: 99%

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A virtual issue highlighting eating disorders in people of black/African and Indigenous heritage

Mikhail

Klump

2020

Intl J Eating Disorders

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While eating disorders affect people from all racial/ethnic backgrounds, research has traditionally focused on eating disorders in white populations. In this virtual issue, we present a collection of 14 articles previously published in the International Journal of Eating Disorders highlighting eating disorders in people of black/African and Indigenous heritage. Featured articles examine the prevalence and presentation of disordered eating in black and Indigenous populations; access to care and treatment experiences for black and Indigenous people; and environmental stressors, such as acculturative stress and discrimination, that may contribute to disordered eating in these populations. Future directions for inclusive research with people of black/African and Indigenous heritage are discussed, including reporting participant demographics, examining differences in risk factors and treatment outcomes across race/ethnicity, and partnering with black and Indigenous communities to produce culturally sensitive research attuned to the needs and priorities of these populations.

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Section: Resultsmentioning

confidence: 99%

Section: Question 3: How Are Environmental Stressors That Disproportimentioning

confidence: 99%

Section: Question 3: How Are Environmental Stressors That Disproportimentioning

confidence: 99%

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A virtual issue highlighting eating disorders in people of black/African and Indigenous heritage

Mikhail

Klump

2020

Intl J Eating Disorders

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“…Researchers are encouraged to continue providing recommendations for modifications to existing treatment models to address the specific concerns of individuals within Hispanic communities. Closer examination of gender variables is also required, as virtually all research conducted in this population excludes males (see Kelly et al, ), transgender individuals, and those of nonbinary orientations.…”

Section: Clinical Practices and Summarymentioning

confidence: 99%

Cultural considerations for treating Hispanic patients with eating disorders: A case study illustrating the effectiveness of CBT in reducing bulimia nervosa symptoms in a Latina patient

2019

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Eating disorders (ED's) are the deadliest of all mental disorders, yet there is a paucity of research examining the clinical presentation of eating disorders in Hispanic populations and limited guidelines for culturally sensitive treatment. Given the rapid growth of Hispanic communities in the U.S., it is important to acknowledge the unique clinical profile of patients within this demographic and examine eating pathology within this socio-cultural context. This case study aims to illustrate the utility, relevance, and effectiveness of cognitive behavioral therapy (CBT) on alleviating eating disorder symptoms in an adult Latina patient with bulimia nervosa to understand the broader implications of applying manualized treatments to diverse populations. We outline the strengths of CBT in quickly modifying problematic thought patterns and decreasing pathological behaviors while raising questions about cultural generalizability. In addition, we explore CBT's limitations in addressing certain underlying ED pathology-driving and maintaining factors for minority individuals. K E Y W O R D S bulimia nervosa, cognitive behavioral therapy, eating disorders, Hispanic, interpersonal psychotherapy, psychodynamic psychotherapy 1 | INTRODUCTION Eating disorders (EDs) are associated with high medical and psychiatric comorbidity, poor quality of life, and increased mortality. They are considered the deadliest of all mental disorders and are the 12th leading cause of disability in women from high-income nations (Hoek, 2016). While there have been considerable advancements in the treatment of ED's, there still remains a significant gap in the literature regarding the conceptualization and treatment of this disease in minority populations. Our primary knowledge of eating pathology and its related clinical considerations have been constrained by research that uses predominantly Caucasian female samples, and little is known about the generalizability of existing evidence-based interventions. Thus, providers are tasked with the challenge of adapting evidence-based programs that demonstrate a nuanced understanding of culturally salient factors, while still maintaining overall program efficacy. A recent review by Galmiche, Déchelotte, Lambert, and Tavolacci (2019) examined studies with reported ED prevalence with various populations and different methods of classification between the years 2000 and 2018. This study adopted illness classifications from both the Diagnostic and Statistical Manual (DSM)-IV and DSM-5 andre-conceptualized overall ED prevalence to encompass both systems of classification. Among the 33 selected studies, the weighted means of lifetime eating disorder prevalence were 8.4% for women and 2.2% for men. For individuals with anorexia nervosa (AN), the weighted means of lifetime prevalence for women and men were 1.4% and 0.2%, respectively. When examining the prevalence of bulimia nervosa (BN), this study found that the weighted means were 1.9% for women and 0.6% for men. For women and men with binge eating disorder (BED...

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“…65 Moreover, adverse behavioral coping strategies, such as smoking and loss of control over eating, have been used by persons of color to mitigate the effects of discrimination-based chronic stress. 59,66,67 Discrimination based on sexual orientation in minority men was also associated with HIV-risk taking behaviors. 68 Overall, one can posit that constant exposure to discrimination increases the stress response, or allostatic load, on the cardiovascular and metabolic systems and thereby increases the risk for cardiovascular disease, diabetes incidence, and poor glycemic control.…”

mentioning

confidence: 99%

A Framework for Using eHealth Interventions to Overcome Medical Mistrust Among Sexual Minority Men of Color Living with Chronic Conditions

Ramos

Warren

Shedlin

et al. 2019

Behavioral Medicine

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The purpose of this paper is to present a stepwise, multi-construct, innovative framework that supports the use of eHealth technology to reach sexual minority populations of color to establish trustworthiness and build trust. The salience of eHealth interventions can be leveraged to minimize the existing paradigm of medical mistrust among sexual minority populations of color living with chronic illnesses. These interventions include virtual environments and avatar-led eHealth videos, which address psychosocial and structural-level challenges related to mistrust. Our proposed framework addresses how eHealth interventions enable technology adoption and usage, anonymity, co-presence, self-disclosure, and social support and establish trustworthiness and build trust.

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Perceptions of general and postpresidential election discrimination are associated with loss of control eating among racially/ethnically diverse young men

Cited by 25 publications

References 82 publications

A virtual issue highlighting eating disorders in people of black/African and Indigenous heritage

A virtual issue highlighting eating disorders in people of black/African and Indigenous heritage

Cultural considerations for treating Hispanic patients with eating disorders: A case study illustrating the effectiveness of CBT in reducing bulimia nervosa symptoms in a Latina patient

A Framework for Using eHealth Interventions to Overcome Medical Mistrust Among Sexual Minority Men of Color Living with Chronic Conditions

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