Gender identity disorder and eating disorders

Hepp, Urs; Milos, Gabriella

doi:10.1002/eat.10090

Cited by 84 publications

(88 citation statements)

References 25 publications

(17 reference statements)

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“…1 There also may be an association with eating disorders in transgender MTF individuals, but more research is necessary. 65 Substance Abuse 22 Because this study combined the data for MSM and WSW and included information only from the 7 states and 6 school districts that volunteered to ask more sexuality questions, the data may not be as nationally representative. Tobacco use is also overrepresented among gay and lesbian youth.…”

Section: Eating Disordersmentioning

confidence: 99%

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Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth

Levine¹

2013

Pediatrics

134

111

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The American Academy of Pediatrics issued its last statement on homosexuality and adolescents in 2004.This technical report reflects the rapidly expanding medical and psychosocial literature about sexual minority youth. Pediatricians should be aware that some youth in their care may have concerns or questions about their sexual orientation or that of siblings, friends, parents, relatives, or others and should provide factual, current, nonjudgmental information in a confidential manner. Although most lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth are quite resilient and emerge from adolescence as healthy adults, the effects of homophobia and heterosexism can contribute to increased mental health issues for sexual minority youth.LGBTQ and MSM/WSW (men having sex with men and women having sex with women) adolescents, in comparison with heterosexual adolescents, have higher rates of depression and suicidal ideation, higher rates of substance abuse, and more risky sexual behaviors. Obtaining a comprehensive, confidential, developmentally appropriate adolescent psychosocial history allows for the discovery of strengths and assets as well as risks. Pediatricians should have offices that are teen-friendly and welcoming to sexual minority youth. This includes having supportive, engaging office staff members who ensure that there are no barriers to care. For transgender youth, pediatricians should provide the opportunity to acknowledge and affirm their feelings of gender dysphoria and desires to transition to the opposite gender. Referral of transgender youth to a qualified mental health professional is critical to assist with the dysphoria, to educate them, and to assess their readiness for transition. With appropriate assistance and care, sexual minority youth should live healthy, productive lives while transitioning through adolescence and young adulthood. The comprehensive IOM publication includes a section on childhood and adolescence. This updated clinical report provides definitions and the best information available about the demographics of this group of adolescents. Being a member of this group of teens is not, in itself, a risk behavior; nor should sexual minority youth be considered abnormal. However, the presence of stigma reflected in the terms "homophobia" and "heterosexism" often leads to psychological distress, which may be accompanied by an increase in risk behaviors. "Homophobia" refers to an irrational fear and resulting hatred of homosexual individuals. "Heterosexism" is the societal expectation that heterosexuality is the expected norm and that, somehow, LGBTQ individuals are abnormal. Although limited, studies on the resilience of sexual minority youth will be discussed. Studies specifically focused on the disparities in the health of these teens in mental health, substance abuse, and sexuality will be presented, along with new research about emerging effective individual and community health strategies for reducing risks. Finally, issues in providing clinical care and mo...

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Section: Eating Disordersmentioning

confidence: 99%

“…1 There also may be an association with eating disorders in transgender MTF individuals, but more research is necessary. 65 …”

mentioning

confidence: 99%

Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth

Levine¹

2013

Pediatrics

134

111

View full text Add to dashboard Cite

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“…They often hide their breasts with compression garments, and try to pass as the opposite sex in public (Gómez, Esteva de Antonio & Bergero, 2006). FtM subjects present signifi cant distress during development of secondary sexual features and menarche (Fisher et al, 2010); related to this, the occurrence of anorexia and bulimia nervosa has also been described in single case studies for female-to-male transsexuals in which slimness might be regarded as a possibility to suppress secondary sexual characteristics (e.g., the breasts) and menstruation (Hepp & Milos, 2002).…”

Section: Introductionmentioning

confidence: 88%

Diferencias y similitudes en la insatisfacción corporal entre personas con trastornos alimentarios, personas con disforia de género y estudiantes universitarios

Rabito-Alcón

Rodríguez-Molina

2016

RPPC

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Abstract:To subjects with gender dysphoria, body image is an important aspect of their condition. These individuals at times report high body dissatisfaction, similar to individuals with an eating disorder. In total, 61 subjects with gender dysphoria, 30 subjects with an eating disorder, and 40 healthy subjects were evaluated. We parted from the hypothesis that gender dysphoria subjects present more body dissatisfaction than the control group, but less than the eating disorder group. Results regarding body dissatisfaction (related to body beauty ideals) showed signifi cant differences between groups. Subjects with gender dysphoria had higher scores in the body dissatisfaction subscale than the general population, but lower scores than people with eating disorders.Keywords: Body dissatisfaction; body image; gender identity; eating disorders. Diferencias y similitudes en la insatisfacción corporal entre personas con trastornos alimentarios, personas con disforia de género y estudiantes universitariosResumen: Para las personas con disforia de género, la imagen corporal es un aspecto fundamental en su condición. Éstas a veces manifi estan alta insatisfacción corporal, similar a la que pueden tener personas con trastornos de la conducta alimentaria. En total, 61 personas con disforia de género, 30 personas con trastornos de la conducta alimentaria y 40 personas sanas fueron evaluadas. Como hipótesis se esperaba que los sujetos con disforia de género presentaran mayor insatisfacción corporal que el grupo control, pero menos que el grupo de trastornos de la conducta alimentaria. Los resultados sobre insatisfacción corporal (asociada al ideal de belleza) mostraron diferencias signifi cativas entre los grupos. Las personas con disforia de género tuvieron mayores puntuaciones en insatisfacción corporal que la población general, pero menores puntuaciones que las manifestadas por las personas con trastornos de la conducta alimentaria.Palabras clave: Insatisfacción corporal; imagen corporal; identidad de género; trastornos de la conducta alimentaria

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“…The evidence of a possible coexistence between gender identity disorders and eating disorders comes from published single case studies (Fernández-Aranda et al 2000;Hepp & Milos, 2002).…”

Section: Eating Disorders and Gender Identity Disordersmentioning

confidence: 99%